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. Evaluation: Evaluation is the phase where nurses assess whether patient goals and expected outcomes were met.

B. Assessment: Assessment is the first step, where data is collected to identify patient needs.

C. Implementation: Implementation involves carrying out nursing interventions, not reviewing outcomes.

D. Planning: Planning is where goals and interventions are developed, not evaluated.

A. Incident reports must be recorded in the nurse's notes B. Institutions are only reimbursed for patient care that is documented C. Document only when not successful D. The patient record is a complete picture of individualized problems, treatments and responses to treatments

Correct Answer is ["B","D"]

Explanation

A. Incident reports must be recorded in the nurse's notes: Incident reports should not be recorded in the patient’s chart. They are used internally to improve patient safety and should be kept separate from the medical record.

B. Institutions are only reimbursed for patient care that is documented: Insurance companies and government programs (e.g., Medicare, Medicaid) only reimburse for care that is documented, as documentation serves as proof that care was provided.

C. Document only when not successful: Documentation should be comprehensive, including both successful and unsuccessful interventions, to provide a full picture of patient care.

D. The patient record is a complete picture of individualized problems, treatments, and responses to treatments: A patient's medical record includes their health status, nursing interventions, and responses, making it a complete reference for continuity of care.

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One benefit of computerized charting is that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

Show that documentation of patient care by the nurse is very important by selecting from the following: (select all that apply)

Correct Answer is ["B","D"]

Explanation

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)

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?

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

The primary source of assessment information is:

What is the major concern when using a computer for documentation?

The patient with a urinary tract infection is being assessed using a critical pathway. When a projected outcome is not met by a predetermined date it is determined that a/an:

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

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data represents: