Although each clinical agency may use different documentation formats, nurses need to realize that the purpose of documentation is which of the following? Select all that apply
A. To aid in clinical research
B. To maintain a legal and financial record of care
C. To include a step-by-step description of how to perform procedures
D. To guide professional and organizational performance improvement
A, B, D
A report is an exchange of information among health care team members, which reflects a summary of activities or observations seen, performed, or heard by the health care providers.
You might also like to view...
A nurse researcher investigating treatment options to decrease the risk of developing hypertension should consider which genetic information?
1. The genes responsible for most hypertension have been identified through candidate gene studies. 2. Many of the genes responsible for familial hypertension are also responsible for essential hypertension. 3. Hypertension is the disease process that exemplifies how complete knowledge of genetic transmission can be used to control progression. 4. GWAS of hypertension identified numerous genetic foci not previously associated with hypertension.
The nurse is assessing a 13-year-old girl. Which of the following events would the nurse expect to have occurred first?
A) Evidence of pubic hair B) Development of breast buds C) Onset of menses D) Growth spurt
The process of talking out one's feelings is known as
a. catharsis c. change b. eustress d. suppression
The nursing instructor is teaching students how to apply for a job. Which of the following is recommended?
A) Spend at least 2 hours a day in the job search. B) Set a goal for number of contacts per day. C) Use networking skills instead of classified ads to find openings. D) Do not over plan the interview by practicing for difficult questions.