Which of these nursing documentation methods take an unstructured approach to documenting on the client record and often present disorganized client information?
a. charting by exception and critical pathways
b. computerized documentation and point-of-care charting
c. narrative and source-oriented charting
d. SOAP (-IE, -IER) and PIE charting
C
Narrative charting is the traditional method of nursing documentation, including descriptions of a client's status, interventions, and treatments. The client's response to treatment is written chronologically in paragraph form. This type of charting is now being replaced by other formats that better reflect the flow of care and the nursing processes that are less time-consuming and subjective. In source-oriented charting, members of each health care team discipline write entries on separate records. Because it is unstructured, this type of charting shares many of the disadvantages of narrative charting and makes communication about client progress more difficult.
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