One benefit of computerized charting is that:

it increases cost

it promotes individualization of the medical record

it improves legibility

it minimizes the number of forms to be completed

Answer and Explanation

The Correct Answer is C

A. It increases cost.: While initial implementation is costly, computerized charting ultimately reduces costs by improving efficiency and reducing errors.

B. It promotes individualization of the medical record.: Computerized systems standardize documentation rather than individualizing it. However, personalization can be added through specific notes.

C. It improves legibility.: Handwritten notes can be illegible, leading to errors. Computerized charting eliminates handwriting issues and ensures clarity.

D. It minimizes the number of forms to be completed.: While it may reduce paperwork, it does not necessarily minimize documentation, as structured data entry is still required.

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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.

A. ensure subjective documentation B. make sure that all nurses use the same charting system C. ensure quality patient care D. make sure insurance companies get paid correctly

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.

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One benefit of computerized charting is that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements is correct about abbreviations?

Correct Answer is A

Explanation

JCAHO regulates standards of care to:

Correct Answer is C

Explanation

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

Which of the following assists the nurse in the identification of nursing diagnoses?

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)

Clarify the primary purpose of nursing orders:

Your patient is admitted with a serious injury of the left hip after a fall at home. She is crying with severe pain in her left hip and leg. Which nursing diagnosis would apply to this patient's immediate needs?

When discovering subjective data, recognize that they relate to:

Identify the two primary methods used to collect data:

Understanding that health care personnel must respect the confidentiality of patients' records, the nurse: