ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 3 : Documentation Questions
Question 1 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.
Question 2 of 5
The nurse charts only additional treatments done changes in patient condition and new concerns. What is this system of documentation?
Correct Answer: C
Rationale: Charting additional treatments done, changes in a patient's condition, and new concerns during the shift is charting by exception (CBE).
Question 3 of 5
What form explains the lapse when events are not consistent with facility or national standards of expected care?
Correct Answer: C
Rationale: An incident report is completed when patient care was not consistent with facility or national standards. The form explains the event, time, extent of injury, and who was notified.
Question 4 of 5
The staff from all disciplines is developing integrated care plans for a projected length of stay for patients of a specific case type. This is known as a:
Correct Answer: D
Rationale: Critical pathways allow staff from all disciplines to develop integrated care plans for a projected length of stay for patients of a specific case type.
Question 5 of 5
What makes home health care documentation unique?
Correct Answer: C
Rationale: Home health care documentation has unique problems because of the need for different health care workers to access the medical record.