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 B

Explanation

A. Patient's nursing problem: Nursing problems are identified in assessments, not the actual care documentation.

B. Interventions carried out to meet the patient’s needs: Documentation should include interventions, the time they were performed, and the caregiver’s signature for legal and professional accountability.

C. Patient’s medical problem: Medical problems are diagnosed by physicians, while nurses document care interventions related to nursing diagnoses.

D. The patient's response to the intervention carried out: While patient responses should be documented, this question focuses on recording interventions, not patient reactions.

A. the specific time of all sudden changes in the patient's condition B. the period the shift covers C. every 2 hours D. every hour on the hour

Correct Answer is A

Explanation

A. The specific time of all sudden changes in the patient's condition: Timely documentation of sudden changes ensures accuracy in patient records and supports clinical decision-making.

B. The period the shift covers: While shift documentation is important, it does not replace event-specific charting.

C. Every 2 hours: Documentation frequency depends on patient status; critical changes require immediate recording, not just every 2 hours.

D. Every hour on the hour: Routine hourly documentation is unnecessary unless required by patient condition (e.g., ICU monitoring).

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One benefit of computerized charting is that:

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

When documenting events in a patient's chart, the nurse should chart:

Correct Answer is A

Explanation

Compare an actual nursing diagnosis with a risk for nursing diagnosis, recognizing that in the case of the actual nursing diagnosis

A nurse is receiving a provider's prescription by telephone for morphine for a patient who is reporting moderate to severe pain. Which of the following nursing actions should the nurse take? (Select all that apply)

Identify the two primary methods used to collect data:

Who should document care in the patient record?

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

To what does objective data refer when assessing a patient?

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

Subjective data provided by the patient included complaints of intermittent chest pain upon exertion. When performing a complete physical examination, the nurse might use an organized approach such as: