Which nursing assessment is an example of brevity and clarity while meeting legal guidelines?

A. A nursing care plan in the medical record before assessing the patient so that the nurse can identify priorities. The nurse should assess the patient first to determine their needs and priorities rather than create a care plan without assessment.

B. At least three times during the shift: at the beginning, in the middle, at the end, and as needed. Regular documentation is good practice, but the initial assessment must be documented at the beginning of the shift to establish a baseline.

C. An initial assessment of the patient and a plan based on the needs of the patient as assessed at the beginning of the shift. Documenting an initial assessment is crucial for identifying immediate needs and planning care, especially after surgery.

D. At the end of the shift so that the nurse can give full attention to the patient's needs during the shift. Waiting until the end of the shift risks missing critical changes and does not provide a clear baseline assessment.

A. Be certain the patient is wearing his glasses and/or hearing aid. Ensuring the patient has optimal hearing and vision aids can improve comprehension and help the patient accurately learn the procedure.

B. Wait for the patient to ask any questions about the procedure. Waiting for questions might lead to gaps in understanding, as the patient may not feel comfortable initiating questions without encouragement.

C. Talk through the process rapidly to keep the patient from becoming tired. Rushing the instruction may cause the patient to miss important details, as learning may be slower in older adults.

D. Point out each mistake during the return demonstration. Correcting every error without constructive feedback can discourage the patient. It’s more effective to provide gentle guidance and support.