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

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.

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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 is(are) a purpose of documentation?

A. To provide a record for administration to prove that the nurses have earned their pay
B. To provide a permanent record of medical diagnoses, nursing diagnoses, plan of care, care provided, and the patient's response to that care
C. To serve as a punitive measure for nurses who will not do all the interventions
D. To serve as a record of accountability for quality assurance, accreditation, and reimbursement purposes

Correct Answer: B,D

Rationale: Documentation serves as a permanent record of patient care (B) and supports accountability for quality assurance, accreditation, and reimbursement (D). A is incorrect as documentation is not about proving nurses' pay, and C is incorrect as it is not a punitive measure.

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.

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. Which of the following charting 'omissions' (meaning they were not charted) would carry potential legal risks just by the nature of the omission?

A. The time a patient consumed his or her evening meal
B. A rash and swelling noted during assessment
C. The fact that the patient has a history of hemophilia
D. A physician's order for a medication
E. The nurse instructed the patient that he needs to increase oral intake
F. Noting of a physician's order to make a patient NPO

Correct Answer: B,C,D,F

Rationale: Omitting a rash/swelling (B), hemophilia history (C), medication order (D), or NPO order (F) poses legal risks due to potential harm. Meal time (A) and oral intake instruction (E) are less critical.

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.