Exam 6: Documentation

The nurse is preparing to record a narrative health history. Which assessments should the nurse include in the health history? Select all that apply.

The nurse is creating a genogram for a client. Which standard symbol should the nurse use to identify a male carrier?

The nurse is documenting a client's family medical history in a genogram. Which standardized symbol should the nurse use to identify the patient's biological mother?

The nurse is using the SBAR communication tool to communicate with a healthcare provider. Which statement should the nurse use to communicate the background?

The nurse is assessing the family history of a client that has children. Which should the nurse plan to do when creating a genogram?

The nurse is constructing a pedigree for a client. Which symbol should the nurse use to represent the client's biological father?

The preceptor is discussing the principles of documentation with a new nurse. Which principles should the preceptor include? Select all that apply.

The nurses have requested a documentation system that will reduce the time spent writing out routine tasks but will still allow for documentation of exceptions. Which type of documentation should the nurse manager consider implementing in the healthcare organization?

The nurse is preparing to document a narrative note. Which format should the nurse use?

The nurse has incorporated the principles of documentation into written communication. Which should the nurse recognize reflects the accuracy of the documentation?