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
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