Nokea
Indicate whether the following statements are True (T) or False (F). If your cursive writing is not legible, you must print your documentation on a paper chart.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True (T): Legibility is critical, so printing is required if cursive is unreadable.
You may also like to solve these questions
Indicate whether the following statements are True (T) or False (F). An advantage of computerized documentation is that it is easy to read.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True (T): Computerized documentation is typically legible, reducing errors from handwriting.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. When using electronic (or computerized) documentation, which process should the nurse use to ensure that no one alters the information the nurse has entered?
- A. Charting in code
- B. Logging off
- C. Charting in privacy
- D. Signing on with a password
Correct Answer: B
Rationale: Logging off (B) prevents unauthorized access and alterations. Charting in code (A) is not standard, privacy (C) is important but not preventive, and passwords (D) are for access, not alteration prevention.
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). 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.