A patient reviewing his medical record tells the nurse that he does not remember the name of a person who documented the care
The nurse reviews the area in question, sees that the name of the health care provider was not signed correctly and completely, and then should do which of the following? 1. Explain to the patient who the health care provider is and then remind the health care provider to document his or her full name and credentials with every documentation entry.
2. Correct the entry in the medical record.
3. Tell the patient that it is not important.
4. Ask the patient if he has found anything else wrong with the documentation.
Explain to the patient who the health care provider is and then remind the health care provider to document his or her full name and credentials with every documentation entry.
Rationale: All entries in the medical record should be authenticated with the name and title of the caregiver. The nurse should not correct the entry in the medical record or tell the patient that it is not important. The nurse should not confront the patient about any other errors in the documentation.
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