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Documenting and Reporting
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Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Documenting and Reporting
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Question 1 of 5
What is the nurses best defense if a patient alleges nursing negligence?
A. testimony of other nurses
B. testimony of expert witnesses
C. patients record
D. patients family
Correct Answer:
Rationale:
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Question 2 of 5
A nurse is documenting the intensity of a patients pain. What would be the most accurate entry?
A. Patient complaining of severe pain.
B. Patient appears to be in a lot of pain and is crying.
C. Patient states has pain; walking in hall with ease.
D. Patient states pain is a 9 on a scale of 1 to 10.
Correct Answer:
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Question 3 of 5
Which of the following data entries follows the recommended guidelines for documenting data?
A. Patient is overwhelmed by the diagnosis of pancreatic cancer.
B. Patient kidneys are producing sufficient amount of measured urine.
C. Following oxygen administration, vital signs returned to baseline.
D. Patient complained about the quality of the nursing care provided on previous shift.
Correct Answer:
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Question 4 of 5
Alice Jones, a registered nurse, is documenting assessments at the beginning of her shift. How should she sign the entry?
A. Alice J, RN
B. A. Jones, RN
C. Alice Jones
D. AJRN
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Question 5 of 5
In which of the following cases should a progress note be written? Select all that apply.
A. for any nursepatient interaction
B. when admitting a patient
C. when receiving a patient postoperatively
D. when assisting a patient with ADLs
Correct Answer:
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