ATI LPN
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). 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 2 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 3 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 4 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 5 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.