Nokea
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Which of the following would be subjective data?
- A. Pain
- B. Itching
- C. Grimacing
- D. Flushing
- E. 124/74
- F. WBC-13,200
- G. Sleeping
Correct Answer: A,B
Rationale: Subjective data is reported by the patient, such as pain (A) or fatigue itching (B). Grimacing (C), flushing (D), blood pressure (E), WBC count (F), and sleeping (G), and snoring (H) are objective, as they can be observed or measured.
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Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Which of the following statements is(are) true in reference to The Joint Commission?
- A. The Joint Commission audits medical records to verify facility compliance in meeting established healthcare standards.
- B. The Joint Commission sets the standards by which the quality of health care is measured nationally and internationally.
- C. The Joint Commission seeks to improve safety and quality of care that health-care organizations provide to the public.
- D. The Joint Commission is a group of commissioned individuals who collectively represent all the medical insurance companies who set the standards for medical care reimbursement.
Correct Answer: A,B,C
Rationale: The Joint Commission audits records (A), sets healthcare quality standards (B), and aims to improve safety and quality (C). D is incorrect as it does not represent insurance companies.
Indicate whether the following statements are True (T) or False (F). When documenting patient teaching, the only thing that must be included is the subject that was taught and the methods used to teach the subject.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False (F): Documentation should also include patient understanding and response to teaching.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Which of the following entries are succinct?
- A. I took her temp and it was up to 104.2 degrees Fahrenheit.
- B. After giving a complete bed bath, oral care was performed with toothpaste, toothbrush, and mouthwash. Lotion was applied liberally over arms, back, legs, feet, and hands. Her feet and back were massaged for quite a while.
- C. 18 Fr. Foley cath inserted without difficulty & hung to gravity drainage. Returned 275 mL clear pale yellow urine.
- D. The patient said she is really nauseated badly but that she hasn't vomited yet. She asked for her nausea medication that comes in an injection.
- E. C/O constant sharp, stabbing pain in Rt. great toe, began 1 hr ago, now a 7 on 0-10 scale.
Correct Answer: C,E
Rationale: Succinct entries are the Foley catheter insertion (C) and pain complaint (E). A is informal, B is overly detailed, and D is wordy.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Occurrences that should be documented on an incident report form include some of the following. Which ones are included?
- A. A patient fall
- B. A medication error
- C. A 1/4-inch scrape on a visitor's leg from brushing the leg against the edge of the wheelchair
- D. A lack of supplies needed to perform a procedure
- E. A nursing assistant bumped her head on the television mounted on the wall
- F. An unsafe staffing situation for the number and type of patients on the unit
Correct Answer: A,B,E,F
Rationale: Incident reports are needed for patient falls (A), medication errors (B), staff injuries (E), and unsafe staffing (F). Minor visitor scrapes (C) and supply issues (D) are typically not reported.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Which of these following types of data should be included in weekly summaries in a long-term care facility?
- A. Use of prosthesis
- B. Activity level
- C. Length of time the resident has been at the facility
- D. Whether continent or incontinent of bowel and bladder
- E. Whether the resident can speak
- F. Whether the resident routinely has relatives and visitors
- G. Social activities in which the resident participates
Correct Answer: A,B,D,E,F,G
Rationale: Weekly summaries should include prosthesis use (A), activity level (B), continence (D), speech ability (E), visitors (F), social activities (G), self-care ability (I), and diet (J). Length of stay (C), staff conflicts (H), and payment status (K) are not typically included.