The nurse who works in a facility that is changing from a source oriented system of documentation to the FACT system of documentation will discover the main difference between the two is
1. The FACT system duplicates information
2. The source oriented system duplicates information
3. The FACT system documents progress in DAE format
4. The FACT system is similar to CBE and is designed to eliminate redundant and irrelevant data
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Rationale: The FACT system is consists of flow sheets that are individualized, assessment sheet that is standardized, concise integrated progress notes and flow sheets, timely entries, and is computer ready. It is efficient and time saving.
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A 5-year-old with a history of hypopituitarism comes to the physician with complaints of right hip and leg pain. The nurse understands that this symptom might be related to:
1. Daily growth hormone. 2. DDAVP (desmopressin acetate) at HS. 3. Insulin before meals and bedtime. 4. Cortisone injections.
A client is receiving procainamide hydrochloride (Pronestyl) for treatment of a dysrhythmia. Which outcome indicates the client is adhering to the provided medication instruction?
A) The client will monitor the pulse and not take the medication if the pulse is less than 60. B) The client will take the medication as directed, even when feeling well. C) The client will take the medication on an empty stomach. D) The client will take the medication with food.
In reviewing a patient's chart to determine whether she has progressed from HIV disease to AIDS, the nurse should look for
a. CD4+ count below 500, chronic fatigue, night sweats. b. HIV-positive test result, CD4+ count below 200, history of opportunistic disease. c. weight loss, persistent generalized lymphadenopathy, chronic diarrhea. d. fever, chills, CD4+ count below 200.
Which is an appropriate strategy for planning, conducting, and controlling the interview?
A) When an applicant clearly does not have the proper qualifications for a position, the interviewer should be tactful, but advise the applicant as soon as possible that there is a lack of appropriate qualifications for the job. B) Personal questions should be asked early during the interview process so a rapport can be established between the interviewer and the applicant. C) The interviewer should develop questions that can be answered with a yes or no answer. D) The interviewer should assess an applicant's perceptive skills by sending nonverbal cues to the applicant during his or her responses.