ATI RN
ATI Ns 117 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods is the nurse utilizing?
Correct Answer: D
Rationale: The correct answer is D: Charting by exception (CBE). With CBE, nurses document only significant findings that deviate from the norm, focusing on exceptions rather than routine care. This method promotes efficiency by reducing redundant documentation and highlighting deviations that may require further assessment or intervention. In contrast, A: POMR involves problem lists and care plans, B: Focus charting (DAR) focuses on data, action, and response, and C: SOAP documentation follows a specific format for progress notes. These methods do not specifically emphasize documenting only unexpected findings like CBE does.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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