The electronic medical record was set up as a goal of the 2009 American Recovery and Reinvestment Act, for the purpose of providing a:

A. Changing the subject:
Changing the subject refers to diverting the conversation away from the topic the patient wants to discuss. This can be seen as a blocking technique if used to avoid uncomfortable or challenging discussions. It's essential to stay focused on the patient's concerns to ensure effective communication.

B. Offering false reassurance:
Offering false reassurance occurs when a healthcare provider tries to comfort a patient by stating that everything will be fine, even if they cannot guarantee the outcome. While well-intentioned, this can hinder communication because it may discourage the patient from sharing their genuine concerns, fearing they won't be taken seriously.

C. Inattentive listening:
Inattentive listening happens when a healthcare provider is physically present but not mentally engaged in the conversation. This can occur due to distractions or preoccupation with other thoughts. It hampers effective communication because the patient may feel neglected or unheard, leading to dissatisfaction and misunderstandings.

D. Giving information:
Providing information is a fundamental aspect of healthcare communication. However, if done without actively listening to the patient's concerns or without considering their emotional state, it might not address the underlying issues. Effective communication involves both giving information and actively listening to the patient's thoughts, feelings, and questions.

A. The case management system:
Case management involves coordinating comprehensive healthcare services for patients across different settings and healthcare professionals.
This choice doesn't describe the specific style of documentation used in the scenario provided.

B. SOAP Note:
Subjective: Information reported by the patient, like feelings or symptoms.
Objective: Observable and measurable data, such as physical examination findings.
Assessment: The nurse's professional judgment about the patient's condition.
Plan: Interventions and treatments planned for the patient.
In the scenario, the documentation includes subjective information (patient denies itching, happy with improvement), objective data (rash fading, no visible hives), the nurse's assessment (skin integrity improving), and the plan (check rash daily until discharge). This aligns with the structure of a SOAP note.

C. Narrative style:
Narrative charting involves writing out the patient's story in a paragraph form.
While it can contain similar information to a SOAP note, it doesn't follow the structured format of SOAP (Subjective, Objective, Assessment, Plan) and tends to be more detailed and descriptive.

D. Charting by exception:
Charting by exception involves documenting only abnormal findings or significant events.
This method reduces redundant documentation, focusing on deviations from the expected or normal findings.
The scenario provides a mix of both normal (improvement in skin, patient satisfaction) and abnormal (initial rash and hives) findings, so it's not solely charting by exception.