ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 3 : Documentation Questions
Question 1 of 5
What are the basic purposes of written patient records?
Correct Answer: A,B,C,D,E
Rationale: There are five basic purposes for written patient records: (1) written communication, (2) permanent record for accountability, (3) legal record of care, (4) teaching, and (5) research and data collection.
Question 2 of 5
What should a medical record provide for all health care providers?
Correct Answer: A,B,C,D,F
Rationale: A medical record should furnish all health care providers with a concise, accurate, written picture of a patient's medical and nursing problems, care planned and given, and the patient's response to treatments.
Question 3 of 5
The best defense against malpractice claims associated with nursing care is accurate ____
Correct Answer: documentation
Rationale: Accurate documentation can guard against malpractice claims because it should describe when, what, and how events occurred.
Question 4 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 5 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.