Clarify the primary purpose of nursing orders:
to clarify nursing principles
to resolve the patient's problems
to support physician's orders
to provide broad, general statements
The Correct Answer is B
A. To clarify nursing principles: Nursing orders are action-oriented and not just meant to clarify theoretical principles.
B. To resolve the patient’s problems: Nursing orders focus on patient care interventions that directly address identified problems in the nursing diagnosis.
C. To support physician’s orders: Nursing orders complement medical care but are independent nursing actions, not just support for physician directives.
D. To provide broad, general statements: Nursing orders should be specific, measurable, and actionable, not broad statements.
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Correct Answer is C
Explanation
A. Ensure subjective documentation: JCAHO (Joint Commission on Accreditation of Healthcare Organizations) promotes objective documentation to ensure accuracy and reliability in patient care records.
B. Make sure that all nurses use the same charting system: JCAHO does not mandate a uniform charting system, as institutions may use different electronic health record (EHR) systems.
C. Ensure quality patient care: JCAHO’s primary role is to establish and enforce standards to improve patient safety and healthcare quality.
D. Make sure insurance companies get paid correctly: JCAHO’s focus is on patient care quality, not financial reimbursement.
Correct Answer is A
Explanation
A. A head-to-toe assessment: A head-to-toe assessment is the most systematic approach to a complete physical exam, ensuring no body system is overlooked.
B. Subjective data collection: While subjective data is part of the process, it is not a structured approach to an entire physical exam.
C. Objective data collection: Objective data is collected during the exam, but the question asks about the approach to organizing the exam, not the data type.
D. Maslow’s Hierarchy of Needs: Maslow’s hierarchy helps prioritize care but is not a method for performing a physical assessment.
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