JCAHO regulates standards of care to:

ensure subjective documentation

make sure that all nurses use the same charting system

ensure quality patient care

make sure insurance companies get paid correctly

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is A

Explanation

A. Focused: A focused assessment is ongoing and directed at specific problems based on the patient’s condition (e.g., assessing pain, circulation, or respiratory status frequently).

B. Body systems: Body systems assessments are structured assessments that evaluate a particular system (e.g., cardiovascular, respiratory) rather than continuous monitoring.

C. Subjective: Subjective assessment includes patient-reported symptoms but does not define the type of continuous assessment nurses perform.

D. Complete: A complete (or comprehensive) assessment is done at admission, not continuously.

A. Every facility should have an approved abbreviations list. B. Creating abbreviations saves time for the person reading the chart. C. Writing out questionable abbreviations could make a jury think you're hiding something D. Abbreviating drug name and dosages helps reduce medication errors.

Correct Answer is A

Explanation

A. Every facility should have an approved abbreviations list. Hospitals and healthcare settings maintain a list of approved abbreviations to ensure consistency and prevent misinterpretation.

B. Creating abbreviations saves time for the person reading the chart: Unapproved abbreviations can lead to confusion and errors, potentially harming the patient.

C. Writing out questionable abbreviations could make a jury think you're hiding something: Avoiding abbreviations improves clarity, and using full words is preferred in legal documentation.

D. Abbreviating drug names and dosages helps reduce medication errors: Abbreviating drug names can cause dangerous medication errors (e.g., MS can mean morphine sulfate or magnesium sulfate). The Joint Commission prohibits certain abbreviations.

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JCAHO regulates standards of care to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Select the type of assessment which is performed continuously throughout nurse-patient contact:

Correct Answer is A

Explanation

Which of the following statements is correct about abbreviations?

Correct Answer is A

Explanation

During the shift, the nurse charts only additional treatments done or withheld, changes in patient condition, and new concerns. Charting these factors demonstrates which of the following type of charting?

The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

A charge nurse is reviewing documentation with a group of newly hired nurses. Which of the following guidelines should be followed when documenting in a patient record? (select all that apply)

Documenting the type of interventions carried out, the time care was given, and the signature of the care giver results in recording:

A focused assessment should be done by the nurse in all of the following situations EXCEPT:

One benefit of computerized charting is that:

In which step of the nursing process do nurses look at outcomes?

The nurse is reviewing the patient's plan of care and ordered treatments. Which of the following is (are) independent nursing interventions? (select all that apply)