A mentoring nurse tells a new nurse that "Documentation is a critically important skill for you to

develop.". The rationale for this advice is that documentation (more than one answer may be correct)

A. ensures that clients receive necessary care.
B. justifies payment for the client's care.
C. keeps evaluators from giving deficiencies.
D. makes risk management more effective.


ANS: A, B
Rationale: Progress notes written on a daily basis document behavior, behavioral outcomes, and
daily interventions. Client change necessitates revised planning. Only when documentation is
relevant, accurate, and timely will the client receive optimal care. Payors are unwilling to pay for
care that is not justified or not received; thus documentation is the foundation on which payment is
based. The other options bear no relevance to the importance of documentation.

Nursing

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A client with ascites is scheduled for a paracentesis. What should the nurse instruct the client to prepare for this procedure?

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Which of the following statements when made by a cancer patient with moderate-to-severe pain prescribed oxymorphone (Opana IR) indicates further instruction is required?

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