Before the end of the shift, the nurse records the occurrences for each patient in the electronic medical record. Which statement below indicates that the nurse understands the main principle of accurate charting?

a. "Charting communicates to members of the healthcare team the patient's care and responses during my shift."
b. "Charting is important so that I may share with the healthcare team my opinions of what happened with the patient."
c. "Charting allows the other nurses to understand the patient care provided during my shift."
d. "Charting is important to comply with practice guidelines and institutional policies."


A
Accurate charting is needed to clearly communicate the patient's care and responses to other members of the healthcare team, not just the other nurses. This statement reflects the nurse's understanding of this principle. The nurse's opinions are not to be placed in a chart because they are not factual. While charting is important to comply with standards of practice and institutional policy, it is not the main principle of accurate charting.

Nursing

You might also like to view...

An organism that can cross from an animal species to humans is a(n) ____________organism

ANS:

Nursing

A client will have a serum Alpha1-antitrypsin drawn in the morning. The nurse should instruct the client to:

1. Exercise before the test. 2. Take several deep breaths before the blood is drawn. 3. Not eat or drink anything except water for 8 hours prior to the test. 4. Void before the test is drawn.

Nursing

The nurse is developing a plan of care for a client with a diagnosis of ineffective coping. An intervention to help the client develop insight would include:

A) Having the client identify how the illness has affected the client's life. B) Providing the client with a list of community resources. C) Identifying adaptive coping mechanisms. D) Discussing ways of dealing with stress.

Nursing

What population is at greatest risk for hypertension?

A) Hispanic B) White C) Asian D) African American

Nursing