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Discipline #2: Final exam prep Questions and Answers | 100% Pass

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Discipline #2: Final exam prep Questions and Answers | 100% Pass Documentation - Answer-Anything written or electronically collected. Describes pts status and the care and trratment being received. Main purpose of documentation - Answer-A tool for health care professionals to communicate to on...

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  • October 16, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nursing
  • Nursing
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Emillect
EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024




Discipline #2: Final exam prep Questions
and Answers | 100% Pass

Documentation - Answer✔✔-Anything written or electronically collected. Describes pts status

and the care and trratment being received.


Main purpose of documentation - Answer✔✔-A tool for health care professionals to

communicate to one another about the ongoing health status of the pt, the type of care

provided and the response to care


Other purposes of documentation - Answer✔✔--Legal requirement


-Care planning


-Mandatory for pt safety


-Aids continuity of care


-Evidence of quality assurance


-Facilitates data collected for research


-Evidence of personal/professional credibility


-Demonstrates professional responsibility


-Evidence of nursing contribution to care


Page 1/22

,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024


Professional responsibility - Answer✔✔--Documents the nursing process


-Demonstrates responsibility for assessment, planning, implementation, evaluation & error

reporting


-Content raflects application of knowledge


Principle of confidentiality - Answer✔✔--Maintain PHIA (Patient health information act)


-Do not discuss contents of charts with anyone not directly involved with the client.


-Protect charts from unauthorized readers.


-All pt identifiable info must not be taken home (must be placed in facility shredding bin).


-Confidentiality must be maintained even after you are no longer with that agency.


Where is information recorded? - Answer✔✔--Paper based chart.


-MAR.


-Nuring Kardex (Nursing Care Plan).


-Electronic Health/Patient Record (EHR/EPR).


-Incidence/ occurance reports.


Parts of the chart: Physicians orders - Answer✔✔--Gives instructions to other health care

professionals.


-Requests for consults.


-Orders for meds, diagnostic tests and treatments.

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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024


Parts of the chart: Graphic or Clinical Flow Sheets - Answer✔✔--To identify trends in VS and

other measurement data.


-


Delegation - Answer✔✔-Refers to the transferring of responsibility for the performance of an

activity or task while retaining accountability for the outcome.


5 rights of delegation - Answer✔✔--Right task.


-Right circumstance.


-Right person.


-Right communication (clear, concise, correct, complete).


-Right supervision.


Roles of a graduated RN - Answer✔✔--Meet CRNMs entry level competencies.


-Pass the national NCLEX exam-to obtain legal designation RN.


Canadian Council of Registered Nurse Regulators (CCRNR) - Answer✔✔--New nursing body

made up of Canadian nurse regulators.


-An organization made up of representatives from Canada's 12 provincial/territorial bodies that

regulate the practice of RNs.




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