Chapter 5: DOCUMENTATION - Nurselytic

Questions 31

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Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills

Chapter 5 : DOCUMENTATION Questions

Question 1 of 5

Indicate whether the following statements are True (T) or False (F). An advantage of computerized documentation is that it is easy to read.

Correct Answer: A

Rationale: True (T): Computerized documentation is typically legible, reducing errors from handwriting.

Question 2 of 5

Indicate whether the following statements are True (T) or False (F). In charting by exception, normal findings are not charted and checklists are used for routine care.

Correct Answer: A

Rationale: True (T): Charting by exception focuses on abnormal findings, using checklists for routine care.

Question 3 of 5

Indicate whether the following statements are True (T) or False (F). When documenting patient teaching, the only thing that must be included is the subject that was taught and the methods used to teach the subject.

Correct Answer: B

Rationale: False (F): Documentation should also include patient understanding and response to teaching.

Question 4 of 5

Indicate whether the following statements are True (T) or False (F). If your cursive writing is not legible, you must print your documentation on a paper chart.

Correct Answer: A

Rationale: True (T): Legibility is critical, so printing is required if cursive is unreadable.

Question 5 of 5

Indicate whether the following statements are True (T) or False (F). The only time that it is okay to share your computer password with another student or coworker is if he or she is going to document vital signs for you.

Correct Answer: B

Rationale: False (F): Sharing passwords is never acceptable due to security and accountability concerns.

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