Which of the following is an example of good charting?
"No complaints of pain or discomfort."
The patient states, "It feels like a knife stabbing me."
"Lump diminished."
"Patient's condition much better today than yesterday."
The Correct Answer is B
thoroughly. The patient may not have verbalized pain but could still be experiencing it.
B. The patient states, "It feels like a knife stabbing me.": This documents subjective data verbatim using the patient’s exact words, which is best practice for accuracy and clarity.
C. "Lump diminished.": This lacks specificity—the exact size, texture, or other changes should be documented using precise measurements (e.g., “Lump decreased from 3 cm to 2 cm”).
D. "Patient's condition much better today than yesterday.": This is too vague and lacks measurable indicators of improvement (e.g., vital signs, pain level, mobility).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. It serves as a reminder of human growth and development across the life span: Maslow’s hierarchy focuses on prioritizing needs, not general growth and development.
B. It helps in prioritizing nursing diagnoses and care: Maslow’s hierarchy is used to prioritize patient needs, ensuring physiological needs (oxygen, fluid, nutrition) come first before psychological and self-actualization needs.
C. It outlines the basic psychological needs that people have when they are hospitalized and feel anxiety: Maslow includes psychological needs, but its primary purpose is prioritizing all human needs, including physiological ones.
D. It is a framework for thinking critically: While it aids in clinical decision-making, critical thinking encompasses broader concepts beyond Maslow’s hierarchy.
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