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
Alice Jones, a registered nurse, is documenting assessments at the beginning of her shift. How should she sign the entry?
Correct Answer: B
Rationale: The standard format for signing documentation is the nurse's initial, last name, and credentials (e.g., A. Jones, RN), ensuring clarity and professionalism.
Question 2 of 5
In which of the following cases should a progress note be written? Select all that apply.
Correct Answer: B,C,E
Rationale: Progress notes are required for significant events such as admissions, postoperative care, and procedures, as they reflect critical changes in the patient's condition or care.
Question 3 of 5
A student has reviewed a patients chart before beginning assigned care. Which of the following actions violates patient confidentiality?
Correct Answer: A
Rationale: Including the patient's name on a student care plan can expose confidential information if not properly secured, violating confidentiality.
Question 4 of 5
Which of the following are examples of breaches of patient confidentiality? Select all that apply.
Correct Answer: A,B,D,F
Rationale: Discussing patient information in public, sharing passwords, disclosing to unauthorized parties, and accessing records without a care-related purpose are breaches of confidentiality.
Question 5 of 5
Which of the following are examples of incidental disclosures of patient health information that are permitted? Select all that apply.
Correct Answer: A,B,E
Rationale: Incidental disclosures like sign-in sheets, overheard conversations in clinical settings, and calling names in waiting rooms are permitted if reasonable safeguards are in place.