ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 20 : Documenting and Reporting Questions
Question 1 of 5
A patient asks to see his medical record (chart). How would the nurse respond?
Correct Answer: C
Rationale: Patients have the right to access their medical records, and the nurse should facilitate this while ensuring privacy.
Question 2 of 5
A physicians order reads up ad lib. What does this mean in terms of patient activity?
Correct Answer: B
Rationale: Up ad lib' means the patient may be up and active as desired, without restrictions.
Question 3 of 5
Which of the following abbreviations are on the Joint Commission do not use abbreviations? Select all that apply.
Correct Answer: A,B,E
Rationale: The Joint Commission prohibits abbreviations like U, QD, and > due to their potential for misinterpretation, which can lead to medication errors.
Question 4 of 5
What is the primary purpose of focus charting?
Correct Answer: C
Rationale: Focus charting centers on patient concerns, allowing nurses to document issues and responses systematically.
Question 5 of 5
A nurse organizes patient data using the SOAP format. Which of the following would be recorded under S of this acronym?
Correct Answer: A
Rationale: The 'S' in SOAP stands for subjective data, which includes the patient's complaints, such as pain.