ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 3 : Documentation Questions
Question 1 of 5
Twenty-four-hour charting is designed to establish ____ levels to help determine staffing needs.
Correct Answer: acuity
Rationale: Patient acuity, which is reflected in 24-hour charting compilation, can dictate staffing needs.
Question 2 of 5
Documentation using the DARE format (Data Action Response Education) includes elements of the ____ charting system.
Correct Answer: focused
Rationale: Focused charting uses the acronym DARE to direct and formalize charting.
Question 3 of 5
A health care audit that evaluates services provided and the results achieved compared with accepted standards is known as ____
Correct Answer: quality assurance
Rationale: Quality assurance/assessment/improvement is an audit in health care that evaluates services provided and the results achieved compared with accepted standards. This process ensures that care delivery meets established benchmarks, identifying areas for improvement to maintain high-quality patient care.
Question 4 of 5
What does documentation of type of care time of care and signature of the person prove?
Correct Answer: C
Rationale: Documenting type of care, time of care, and signature of the person results in recording the interventions that are implemented to meet the patient's needs. Many charting entries include health care provider's visits, presence of family, or interventions by other departments. Patient response to some interventions is not always positive.
Question 5 of 5
Why is documentation especially significant in managed care?
Correct Answer: B
Rationale: Cost reimbursement rates by government plans (Medicare, Medicaid) are based on the prospective payment system of diagnosis-related groups (DRGs): a system that classifies patients by age, diagnosis, surgical procedure, and other information with hundreds of different categories to predict the use of hospital resources, including length of stay, resulting in a fixed payment amount.