Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. In which facilities might EHR be used?
- A. Hospitals
- B. Clinics and HCP offices
- C. Laboratories
- D. Pharmacies
- E. Home health
Correct Answer: A,B,C,D,E
Rationale: EHR is used in hospitals (A), clinics (B), labs (C), pharmacies (D), and home health (E) for comprehensive health data management.
You may also like to solve these questions
Indicate whether the following statements are True (T) or False (F). Failure to document administration of a medication does not carry a potential legal risk.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False (F): Failing to document medication administration poses a legal risk due to potential patient harm and accountability issues.
Indicate whether the following statements are True (T) or False (F). Statistics such as rates of hospital-acquired infections, mortality rates, success rates of specific procedures, and number of incidents and accidents serve as factors of a medical facility's reputation.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True (T): These statistics are key indicators of a facility's performance and influence its reputation.
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. You can safely delegate documentation of certain data to an unlicensed staff member. Which of the following data cannot be delegated?
- A. Administration of medication
- B. Documenting vital signs
- C. Items on a patient care flow sheet, such as type of bath, ambulation, or percentage of diet consumed
- D. Items on a patient care flow sheet, such as pm use of oxygen, that heart sounds are distinct, or presence of edema
Correct Answer: A
Rationale: Medication administration documentation (A) cannot be delegated, as it requires a licensed professional. Vital signs (B) and flow sheet items (C, D) can typically be delegated to unlicensed staff.
Indicate whether the following statements are True (T) or False (F). A federal law known as OBRA mandates that an extensive assessment form called the MDS must be completed on every patient admitted to the hospital.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False (F): OBRA mandates the MDS for long-term care facilities, not hospitals.
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