A nurse is using focus charting to document a client’s progress notes.
What are the advantages of using focus charting?
(Select all that apply.).
It highlights the client’s concerns and strengths.
It reduces redundancy and duplication of data.
It facilitates communication among health care team members.
It incorporates nursing diagnoses and care plans.
It provides a chronological record of events.
Correct Answer : A,B,C
Focus charting is a method of organizing health information in an individual’s record that centers on the patient’s concerns and strengths. It uses a three-column format to document the data, action and response (DAR) of each focus.
The advantages of using focus charting are:.
• It highlights the client’s concerns and strengths, which makes the care more patient-centered and holistic.
• It reduces redundancy and duplication of data, as it avoids repeating information that is already recorded in other forms or flow sheets.
• It facilitates communication among health care team members, as it promotes interdisciplinary documentation and helps organize the information in a concise and precise way.
Choice D is wrong because focus charting does not incorporate nursing diagnoses and care plans, although it is based on the nursing process. Nursing diagnoses and care plans are documented separately or as part of the action category.
Choice E is wrong because focus charting does not provide a chronological record of events, but rather organizes the data by the focus. A chronological record of events can be found in other forms of documentation, such as narrative or SOAP notes.
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Related Questions
Correct Answer is D
Explanation
To provide continuity of care.
A care plan conference is a meeting between the nursing home staff, the resident, and the resident’s family to set measurable, specific goals for the resident to meet during their stay, decide what needs to be done to meet those goals, and decide who in the nursing home is responsible for performing each job necessary to help the resident.The main purpose of this meeting is to provide continuity of care, which means ensuring that the resident receives consistent and coordinated care across different settings and providers.
Choice A is wrong becauseto discuss possible solutions to certain client problemsis not the main purpose of a care plan conference, although it may be one of the topics discussed.
A care plan conference is not meant to address only specific problems, but rather the overall plan of care for the resident.
Choice B is wrong becauseto evaluate the effectiveness of the care givenis not the main purpose of a care plan conference, although it may be one of the outcomes of the meeting.
A care plan conference is not meant to assess only the performance of the staff, but rather the progress of the resident.
Choice C is wrong becauseto gather information for the plan of careis not the main purpose of a care plan conference, although it may be one of the steps involved.
A care plan conference is not meant to collect only information, but rather to use it to develop and update the plan of care.
Correct Answer is ["A","B","D","E"]
Explanation
The nurse should use the following abbreviations when documenting the care of a client who has pneumonia and is receiving oxygen therapy via nasal cannula at 2 L/min:.
• O2: This stands for oxygen and indicates the type of gas being delivered to the patient.
• NC: This stands for nasal cannula and indicates the device used to deliver oxygen to the patient.
• SpO2: This stands for peripheral oxygen saturation and indicates the percentage of hemoglobin that is saturated with oxygen in the blood.
It is measured by a pulse oximeter attached to the patient’s finger or earlobe.
• RR: This stands for respiratory rate and indicates the number of breaths per minute that the patient takes.
It is an important vital sign to monitor in patients with respiratory conditions.
Choice C is wrong because LPM is not an accepted abbreviation for oxygen therapy.LPM stands for liters per minute and indicates the flow rate of oxygen being delivered to the patient.However, it should not be abbreviated as LPM, but written out in full or as L/min.This is to avoid confusion with other abbreviations such as lpm (lowercase L) which stands for light per minute, a unit of luminous flux.
Normal ranges for SpO2 and RR vary depending on the age, health status and activity level of the patient, but generally they are:.
• SpO2: 95% to 100% for healthy adults.
Lower values may indicate hypoxemia (low blood oxygen level) or other conditions affecting oxygen delivery or uptake in the body.
• RR: 12 to 20 breaths per minute for healthy adults.
Higher or lower values may indicate respiratory distress, infection, pain, anxiety or other conditions affecting breathing.
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