A nurse working in a care area that uses paper charting notices an error when recording a patient’s vital signs in the patient record.

Which option adheres to The Centers for Medicare & Medicaid Services (CMS) guidelines for making corrections to documentation?

The nurse may use white out to remove the incorrect documentation and write the correct information over the white out.

The nurse should use a permanent marker to eliminate all incorrect documentation from view and initial the mistake.

The nurse should cross out the error with a double line so the original documentation may be seen and date the new entry.

The nurse should cross out the error with a single line so the original documentation can be seen and sign and date the correction.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Using white out to remove incorrect documentation and writing the correct information over the white out is not an acceptable practice according to CMS guidelines. This method does not allow for the original documentation to be seen, which is a requirement for making corrections to documentation.
Choice B rationale
Using a permanent marker to eliminate all incorrect documentation from view and initialing the mistake is also not an acceptable practice according to CMS guidelines. This method completely obscures the original documentation, which goes against the CMS requirement that all original content must be clearly identifiable.
Choice C rationale
Crossing out the error with a double line so the original documentation may be seen and dating the new entry is not specifically mentioned in the CMS guidelines. While this method does allow for the original documentation to be seen, it’s not clear whether it adheres to all CMS guidelines.
Choice D rationale
According to CMS guidelines, when making corrections to documentation, the nurse should cross out the error with a single line so the original documentation can be seen and sign and date the correction. This method ensures that all original content is clearly identifiable, which is a requirement for making corrections to documentation.

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Correct Answer is B

Explanation

Choice A rationale
Respite care is temporary care provided to give the primary caregiver a break, which is not the primary need of a patient recovering from a hip fracture.
Choice B rationale
Home health care is the most appropriate service for a patient who has been discharged home and needs physical therapy. Home health care can provide a range of services, including physical therapy, in the patient’s home.
Choice C rationale
Wound care would be more appropriate for a patient with a wound or ulcer that requires regular dressing changes, not for a patient recovering from a hip fracture.
Choice D rationale
Hospice care is end-of-life care for patients with terminal illnesses. It is not appropriate for a patient recovering from a hip fracture.

A. Intuition. B. Apathy. C. Empathy. D. Advocacy.

Correct Answer is D

Explanation

Choice A rationale
Intuition refers to understanding or knowing something without the need for conscious reasoning. It doesn’t fit in this context as the nurse’s actions are deliberate and based on the patient’s needs.
Choice B rationale
Apathy refers to a lack of interest, enthusiasm, or concern. It is the opposite of what the nurse is demonstrating. The nurse is showing concern for the patient’s situation and taking action to help.
Choice C rationale
Empathy refers to the ability to understand and share the feelings of another. While empathy may motivate the nurse’s actions, it does not fully describe the action of contacting a social worker to assist the patient.
Choice D rationale
Advocacy refers to the act of pleading for, supporting, or recommending a course of action. The nurse is advocating for the patient by recognizing their needs and seeking assistance from a social worker.

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A nurse working in a care area that uses paper charting notices an error when recording a patient’s vital signs in the patient record. Which option adheres to The Centers for Medicare & Medicaid Services (CMS) guidelines for making corrections to documentation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been discharged home following a hospital stay for a hip fracture sustained in a fall. The provider has ordered physical therapy to help the patient regain strength and flexibility. To which tertiary service is the patient likely to be referred?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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A nurse working in a care area that uses paper charting notices an error when recording a patient’s vital signs in the patient record.

Which option adheres to The Centers for Medicare & Medicaid Services (CMS) guidelines for making corrections to documentation?