Identify the purposes of a health care record. (Select all that apply.)
a. Communication
b. Legal documentation
c. Reimbursement
d. Education
e. Research
f. Nursing process
ANS: A, B, C, D, E
The patient record is a valuable source of data for all members of the health care team. Its purposes include communication, legal documentation, financial billing (reimbursement), education, research, and auditing/monitoring. Nursing process is a way of thinking and performing nursing care; it is not a purpose of a health care record.
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