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). Statistics such as rates of hospital-acquired infections, mortality rates, success rates of specific procedures, and number of incidents and accidents serve as factors of a medical facility's reputation.

Correct Answer: A

Rationale: True (T): These statistics are key indicators of a facility's performance and influence its reputation.

Question 2 of 5

Indicate whether the following statements are True (T) or False (F). Failure to document administration of a medication does not carry a potential legal risk.

Correct Answer: B

Rationale: False (F): Failing to document medication administration poses a legal risk due to potential patient harm and accountability issues.

Question 3 of 5

Indicate whether the following statements are True (T) or False (F). A federal law known as OBRA mandates that an extensive assessment form called the MDS must be completed on every patient admitted to the hospital.

Correct Answer: B

Rationale: False (F): OBRA mandates the MDS for long-term care facilities, not hospitals.

Question 4 of 5

Indicate whether the following statements are True (T) or False (F). The omission of a patient's latex allergy in his medical history carries a potential legal risk.

Correct Answer: A

Rationale: True (T): Omitting a latex allergy can lead to harm and legal liability.

Question 5 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.

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