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Nurs 122 Lecture Week One Questions And Answers Latest Updated $14.99   Add to cart

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Nurs 122 Lecture Week One Questions And Answers Latest Updated

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Nurs 122 Lecture Week One Questions And Answers Latest Updated

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  • September 30, 2024
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  • 2024/2025
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  • Nurs 122
  • Nurs 122
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Nurs 122 Lecture Week One Questions
And Answers Latest Updated

Discussion ANS✔✔ an informal oral consideration of a subject by two or more healthcare personnel to
identify a problem or establish strategies



report ANS✔✔ oral, written, or computer-based communication intended to convey information to
others



The process of making an entry on a patient record is called ANS✔✔ recording, charting, or
documenting



clinical record ANS✔✔ a formal, legal document that provides evidence of a patient's care



"The nurse has a duty to maintain confidentiality of all patient information" is said by who? ANS✔✔ The
American Nurses Association (ANA) Code of Ethics



PHI is the abbreviation for ANS✔✔ Protected Health Information



purposes of patient records include ANS✔✔ communication, planning patient care, auditing health
agencies, research, education, reimbursement, legal documentation, healthcare analysis



the traditional patient record is called ANS✔✔ a source-oriented record



narrative charting consists of what? ANS✔✔ Written notes which include routine care, normal findings,
and patient problems




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, examples of diagnostic reports are ANS✔✔ laboratory reports, x-ray reports, CT scan reports



examples of consultation reports are ANS✔✔ physical therapy and respiratory therapy



the abbreviation for POMR is ANS✔✔ problem-oriented medical record



what is a POMR? ANS✔✔ data is arranged according to the problems the patient has rather than
according to the source of the information



what are some advantages and disadvantages of a POMR? ANS✔✔ advantages: they encourage
collaboration, and that the problem list in the front of the chart alerts caregivers to the patient's needs,
making it easier to track the status of each problem



disadvantages: not all caregivers can use the charting format effectively, constant vigilance is required to
maintain an up-to-date problem list which can be inefficient



what is a database? ANS✔✔ all information known about the patient



SOAP is an acronym for ANS✔✔ subjective, objective, assessment, and planning



subjective data ANS✔✔ what the person says about himself or herself during history taking



objective data ANS✔✔ information that is seen, heard, felt, or smelled by an observer; signs



assessment ANS✔✔ interpretation or conclusions drawn about the subjective and objective data



interventions ANS✔✔ actions taken to correct or manage a patient's problems



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