Indicate whether the following statements are True (T) or Fa...

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.

You may also like to solve these questions

Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Guidelines for paper documentation include which of the following?

A. All documentation for your shift must be signed after you have charted your last entry for the shift.
B. All documentation must be done in cursive writing.
C. Charting should be done in blocks of time to reduce the number of unnecessary entries.
D. The date and time should be included with each entry.

Correct Answer: A,D

Rationale: Paper documentation requires signing at shift's end (A) and including date/time (D). Cursive is not mandatory (B), and block charting (C) is not standard.

Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. The process of providing effective patient care that is delivered and evaluated continuously, systematically, and smoothly from one hour to the next, including through the staffing changes between shifts, is known as what?

A. Internal assessment
B. Accreditation
C. Quality assurance
D. Continuity of care

Correct Answer: D

Rationale: Continuity of care (D) ensures patient care is delivered consistently across time and staff changes. Internal assessment (A), accreditation (B), and quality assurance (C) are related to evaluation and standards but not the direct process of care delivery.

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). 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.

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.