NF Review

Which is not a method for observation

• Sight
• Smell
• Hearing
• Verbal

T or F: When reporting, its okay to report opinions.

• True
• False

Which type of Observation is observed using the senses?

• Subjective
• Objective

Which type of observation is told to the nurse by the paitent?

• Subjective
• Objective

Who prepares patient care plans?

• Nurse
• CNA
• Doctor
• Facility administrator

T or F: A patients medical record is a LEGAL document

• True
• False

T or F: Abbreviations are used primarily in verbal communication

• True
• False

Medical Abbreviations are meant to

• Increase time needed to document information
• Ways that health care workers communicate longer
• Serve as shortened forms of words that make the care process more efficient

Verbal sharing of resident/patient information

• Reporting
• Recording
• Incident report
• Documentation

The writing of resident/patient information. Often referred to as charting. May be electronic

• Reporting
• Recording
• Incident report
• Conversation