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NURS 175 > QUESTIONS ON DOCUMENTATION > Flashcards

QUESTIONS ON DOCUMENTATION Flashcards

1
Q

Which of the following types of written documentation is NOT a typical problem-oriented documentation method?

SOAP
DAR
Narrative
PIE

A

Narrative

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2
Q

Which document type is often written in pencil because it is always changing?

Narrative
Flow sheet
Kardex
Acuity rating

A

Kardex

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3
Q

Which type of document has the potential to decrease instances of re-hospitalization if completed accurately?

Narrative nursing note
Discharge summary
Kardex
Flow sheet

A

Discharge summary

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4
Q

Which method of charting has the drawback of being lengthy and tedious, and difficult to find information?

Narrative
Charting by exception
SOAP
DAR

A

Narrative

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5
Q

Which type of document can be used to determine how many nurses are needed on a nursing unit?

Kardex
Acuity rating
Discharge summary
Flow sheet

A

Acuity rating

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6
Q

What method of documentation is ideal for charting measurable information quickly

Narrative
D-A-R
Acuity rating
Flow sheet

A

Flow sheet

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7
Q

What method of charting most closely describes “tic” charting?

Narrative
Charting by exception
D-A-R
Flow sheet

A

Flow sheet

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8
Q

What method of charting most closely describes “tic” charting?
20sec
Narrative
Charting by exception
D-A-R
Flow sheet

A

Charting by exception

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9
Q

Which type of documentation allows the nurse the most freedom to describe the care given?

Narrative
Flow sheets
Charting by exception
Discharge summary

A

Narrative

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10
Q

What is the most important ethic to uphold when using electronic charting?

Autonomy
Confidentiality
Beneficence
Justice

A

Confidentiality

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11
Q

Which of the following purposes of written documentation in health care is the most significant?

Communication
Education
Legalities
Research

A

Legalities

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NURS 175 (5 decks)

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