Nokea
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. What is the military time for 1:15 a.m.?
- A. 115
- B. 1315
- C. 1115
- D. 1150
Correct Answer: A
Rationale: 1:15 a.m. is 0115 in military time (A), as it is 1:15 after midnight. 1315 (B) is 1:15 p.m., 1115 (C) is 11:15 a.m., and 1150 (D) is 11:50 a.m.
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Indicate whether the following statements are True (T) or False (F). The only time that it is okay to share your computer password with another student or coworker is if he or she is going to document vital signs for you.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False (F): Sharing passwords is never acceptable due to security and accountability concerns.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Why do insurance companies review medical records?
- A. Reimbursement is dependent on documentation of specific data in the medical record.
- B. Insurance reimbursement depends on the specific consents that the patient or family members have signed.
- C. Records help insurance companies to detect problems, less-than-desirable outcomes, or areas of weakness in the delivery systems so that improvements can be made.
- D. Because the medical record is the property of the patient's insurance company.
Correct Answer: A,C
Rationale: Insurance companies review medical records for reimbursement based on documented data (A) and to identify issues for improvement (C). B is incorrect as consents are not the primary focus, and D is false as records are not owned by insurance companies.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. The correct signature for documentation includes which of the following?
- A. First and last names
- B. First name, last initial, and credentials
- C. First initial, middle initial, last initial, and credentials
- D. First name, middle name, and last name
- E. First initial, last name, and credentials
Correct Answer: A,E
Rationale: Correct signatures include first and last names (A) or first initial, last name, and credentials (E). B, C, and D do not meet standard documentation requirements.
Indicate whether the following statements are True (T) or False (F). In charting by exception, normal findings are not charted and checklists are used for routine care.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True (T): Charting by exception focuses on abnormal findings, using checklists for routine care.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Which of the following is(are) a purpose of documentation?
- A. To provide a record for administration to prove that the nurses have earned their pay
- B. To provide a permanent record of medical diagnoses, nursing diagnoses, plan of care, care provided, and the patient's response to that care
- C. To serve as a punitive measure for nurses who will not do all the interventions
- D. To serve as a record of accountability for quality assurance, accreditation, and reimbursement purposes
Correct Answer: B,D
Rationale: Documentation serves as a permanent record of patient care (B) and supports accountability for quality assurance, accreditation, and reimbursement (D). A is incorrect as documentation is not about proving nurses' pay, and C is incorrect as it is not a punitive measure.