Question 1

Change-of-shift reports can be given: (Select all that apply.)

Accepted Answer

A)  Face to face 
B)  Via audiotape 
C)  In a computer format 
D)  At each patient's bedside 
E)   None of above 
A)  Face to face 
B)  Via audiotape 
C)  In a computer format 
D)  At each patient's bedside 
E)   None of above

Question 2

The abbreviation for every day (___ )is no longer used.

Accepted Answer

qd
The abbreviation for every day (qd)is

Question 3

Multidisciplinary care plans that include key interventions and expected outcomes within an established time frame are known as _______________.

Accepted Answer

critical pathways
Critical pat

Question 4

The federally mandated ________________________ provides standardized protocols for assessment and care planning and promotes quality improvement within and among facilities.

Accepted Answer

Long-Term Care Facility Resident Assessm

Question 5

An ________________ is any event not consistent with the routine operation of a health care unit or with the routine care of a patient.

Accepted Answer

incident
An incident is any ev

Question 6

The student is caring for a patient on the medical unit and would like to use the patient situation as a case study paper to meet one of the objectives of her course.She asks if she can take copies of the lab reports to use in her paper.The charge nurse allows her to do so but tells her to remove all identifiers from the documents to protect the patient's confidentiality.Besides the patient's name,this would include: (Select all that apply.)

Accepted Answer

A)  Room number 
B)  Date of birth 
C)  Medical record number 
D)  Other identifiable demographics 
E)   None of above 
A)  Room number 
B)  Date of birth 
C)  Medical record number 
D)  Other identifiable demographics 
E)   None of above

Question 7

To limit liability,nursing documentation must clearly indicate that the nurse provided individualized,goal-directed nursing care to a patient based on the _____________________.

Accepted Answer

nursing assessment
To limit li

Exam 4: Reporting and Recording

Change-of-shift reports can be given: (Select all that apply.)

The abbreviation for every day (___ )is no longer used.

Multidisciplinary care plans that include key interventions and expected outcomes within an established time frame are known as _______________.

The federally mandated ________________________ provides standardized protocols for assessment and care planning and promotes quality improvement within and among facilities.

An ________________ is any event not consistent with the routine operation of a health care unit or with the routine care of a patient.

To limit liability,nursing documentation must clearly indicate that the nurse provided individualized,goal-directed nursing care to a patient based on the _____________________.

Using Evidence in Nursing Practice

Admitting, transfer, and Discharge

Communication

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bedmaking

Pressure Ulcer Care

Care of Eye and Ear Prostheses

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination

Ostomy Care

Preoperativepostoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Warm and Cold Therapy

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

Filters