Which part of the information contained in the patient's record may be used in court?

a. Subjective information only
b. Objective information only
c. Diagnostic information only
d. All information


D
Anything that is entered into a patient's record, in paper or electronic form, is a legal document and can be used in court.

Nursing

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After a Jewish woman has been delivered and returns to her room, the husband arrives with a camera. The culturally sensitive nurse would say:

1. "Here is a chair near the door so you can be comfortable while you visit." 2. "I'll give you all some privacy because I know you want to give your wife a big hug." 3. "Let me get some instructions for you to follow in her home care after she is dis-charged this afternoon." 4. "Sit on the bed and put your arm around your wife, and I will take your photo."

Nursing

After delivery of a health baby, a 17-year-old is admitted to the postpartum unit. An appropriate nursing diagnosis for her at this time is "Risk for altered parenting related to knowledge deficit of newborn care"

Which of the following is most appropriate to include in the woman's discharge plan? A. Provide time for the woman to bathe her baby after she views a baby bath dem-onstration. B. Give the woman written information on bathing her baby. C. Tell the woman how to feed and bathe her baby. D. Advise her that all women instinctively know how to care for their babies.

Nursing

The newly hired nurse learns that the facility uses the Braden Scale for Predicting Pressure Sore Risk to assess all new admissions. Before using this scale, the nurse:

A) Is required to ask the client's permission. B) Should receive specific training. C) Must be certified. D) Has to obtain special assessment equipment.

Nursing

The language used in the IOM publication Best Care and Lower Cost: The Path to Continuously Learning Healthcare in America differs from Senge's five disciplines,

but the implications involving effective communication, empowered change agents, and collaborative care are similar. Indicate whether this statement is true or false.

Nursing