Chapter 20: Documenting and Reporting - Nurselytic

Questions 21

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ATI LPN TextBook-Based Test Bank

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

What part of the patients record is commonly used to document specific patient variables, such as vital signs?

Correct Answer: D

Rationale: The graphic record is designed to track measurable variables like vital signs in a clear, visual format.

Question 2 of 5

A nurse is documenting information about a patient in a long-term care facility. What is used in a Medicare-certified facility as a comprehensive assessment and as the foundation for the Resident Assessment Instrument (RAI)?

Correct Answer: B

Rationale: The minimum data set is a standardized tool used in Medicare-certified facilities for comprehensive resident assessment and RAI development.

Question 3 of 5

What is the primary purpose of an incident report?

Correct Answer: A

Rationale: Incident reports are used to identify risks and improve safety by analyzing events, not for evaluation or discipline.

Question 4 of 5

A group of nurses visits selected patients individually at the beginning of each shift. What are these procedures called?

Correct Answer: D

Rationale: Nursing care rounds involve visiting patients to assess and plan care at the start of a shift.

Question 5 of 5

A nurse uses informatics to plan nursing care for a patient. Which three terms best describes this science as it is applied to nursing?

Correct Answer: A

Rationale: Nursing informatics involves transforming data into information and knowledge to support patient care.

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