Documentation and Reporting Quiz 2025

What is the primary purpose of documentation in nursing?

• To entertain patients

• To facilitate communication among healthcare providers

• To fill hospital forms

• To advertise hospital services

Which of the following is NOT a principle of effective documentation?

• Accuracy

• Fiction

• Objectivity

• Completeness

What is considered a high-risk error in documentation?

• Documenting legibly

• Timely documentation

• Using standard abbreviations

• Recording in the wrong patient's medical record

Which of the following words should be avoided in documentation?

• Accidentally

• Factually

• Clearly

• Accurately

What is an ethical concern related to documentation?

• Using color pens

• Sharing charts with unauthorized personnel

• Writing in capital letters

• Using digital signatures