St. Louis Review Center (SLRC) | LET, CLE, NLE, CSE Review – Always Committed to Excellence!

Situation 2 – Cel is a Beginning Nurse

Charting and Documentation Quiz

Cel must know that in narrative charting, documentation of client care should be ______. Choose the BEST answer.

Descriptive

Chronologic

Extensive

Formatted

Which statement is not TRUE about medical record that Cel must understand? Charts _______.

Can be borrowed by any nursing student

Can be accessed by researcher

Contents must be kept confidential

Can be given out only with client’s written consent

The following are the methods of charting, EXCEPT:

Focus

POMR

Narrative

Sequential

In the PIE method of charting, the meaning of P is __________.

Planning

Teaching

Admission

Discharge

In charting neurologic assessment, Cel must understand that the following should be indicated, EXCEPT:

Skin elasticity

Facial symmetry

Movement of extremities

Level of consciousness