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WorksheetsHA LEC quiz
Total questions: 19
Worksheet time: 10mins
Why should a nurse avoid blank space in their entries or notes?
It makes information more organized
It saves paper
Prevents additional information being added
It makes notes look neater
The following are most common complaints about written documentation EXCEPT?
The entries are arranged in chronological order
Illegible or messy handwriting
Recording on incorrect record
Failing to record nursing action on time
At what step of the nursing process does the care provider document the client’s health problems?
Assessment
Nursing diagnosis
Evaluation
Implementation
Planning
If you are unable to chart immediately, what is the best thing to do?
Keep pocket notes
Ask a colleague to chart for you
Don’t forget if you forget some minor details
Try and remember the important details
During which step of the nursing process would you record direct quotes and statements from the client and/or his family?
Assessment
Implementation
Planning
Nursing diagnosis
An element of effective documentation that refers to the use of descriptive terms to chart exactly what was observed or done
Factual
Accuracy
Legibility
Current
In which step of the nursing process would you NOT normally chart or document?
Implementation
Nursing Diagnosis
Evaluation
Planning
At what step of the nursing process does the care provider document the client’s health problems?
Asssessment
Nursing diagnosis
Planning
Imlementation
Nurse Kate accidentally made an error on the patient’s chart, the best action is to
Call immediate supervisor
Tamper the wrong entry
Cross out the error using single line then sign the correction with date and time
Revise/rewrite the whole page where error has been made
Which of the following are characteristics of Nursing Process? Select all that applies.
A. Client centered
B. Involves decision making
C. Interpersonal and collaborative
D. Uses critical thinking
E. Selective application
F. Adapts problem making
A, b, c, and d
A, c, d, and e
C, d, e, and f
All of the above
Which type of assessment monitors and identifies a specific or overlooked problem
Initial assessment
Problem focused assessment
Emergency assessment
Time-lapsed assessment
During data organization the nurse organizes and clusters information in order to identify?
Strengths and weaknesses
Nursing diagnosis
Health teaching
Discharge instruction
Framework for health assessment in nursing includes the following EXCEPT
Family history
Examination of the body system
Lifestyle and health practices
Preferences and desires
Which of the following data requires validation
Findings that are consistent and normal
Final laboratory results
Gaps between subjective and objective data
None of the above
Which of the following steps is included in Data Validation?
Clarify data by asking additional questions
Sign each entry with professional credentials
Use quotation marks to indicate client’s responses
Document in complete and concise manners by using phrases and abbreviations
It is carried out during all the phases of the nursing process.
Implementation
Planning
Nursing diagnosis
Assessment
Emergency assessment is done to
Establish a database
Identify life-threatening problems
Monitor and/or identify specific, new or overlooked problems
Compare a client’s status over a period of time
The secondary sources of data include the following, EXCEPT
Family members
Client
Friends
Records
All are considered subjective data, EXCEPT
Sensations or symptoms
Feelings
Results of Laboratory Tests
Values and preferences
