What is the most critical element of documentation of education?

A) A summary of the education plan
B) The implementation of the education plan
C) the client's need for learning
D) Evidence that learning has occurred


Ans: D
Documentation of the education–learning process includes a summary of the learning need, the plan, the implementation of the plan, and the evaluation results. The evaluative statement is crucial and must show concrete evidence that demonstrates that learning has occurred. If the desired learning has not occurred, the notes should indicate how the problem was resolved. It is insufficient to document only what was taught; the charting must show evidence that the client or significant other has actually learned the material taught.

Nursing

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