Nokea
Indicate whether the following statements are True (T) or False (F). The omission of a patient's latex allergy in his medical history carries a potential legal risk.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True (T): Omitting a latex allergy can lead to harm and legal liability.
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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.
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 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.
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.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. When documenting with focus charting, which acronym is generally used?
- A. SOAP
- B. SOAPIER
- C. PIE
- D. DAR
Correct Answer: D
Rationale: Focus charting uses the DAR (Data, Action, Response) acronym (D). SOAP (A), SOAPIER (B), and PIE (C) are used in other charting methods.