Narrative notes - Study guides, Class notes & Summaries

NFDN 1002 Midterm Question and answers 100% correct 2024/2025 NFDN 1002 Midterm Levels of communication - correct answer - intrapersonal(self discussion) - interpersonal(one to one) - transpersonal(spiritual) - small-group - public 5 Documentation Guidelines - correct answer Factual Accurate Current Complete Organized Narrative Charting - correct answer Chronological order Problem oriented Charting - correct answer Database Problem list Care plans for each problem ...

NUR 380 Fundamentals Exam 2 Questions with Answers 62. Independent interventions dependent variations: Activities that nurses are licensed to initiate on the basis of their knowledge and skills activities carried out under the orders or supervisoon of licensed physican or other hc provider authorized to wrote the order 63. Nursing Interventions Classification (NIC): a taxonomy of nursing actions each of which includes a label, a definition, and a list of activities (deve...

Which function allows coders to query health care providers for clarification during a patient's inpatient hospitalization? Concurrent coding Which data type exchange between facility and diagnostic lab can generate visual representation of trends in lab results over time? Fielded and Coded data Which report is the practice manager creating to assist the scheduling of staff? Production by provider report Which EHR tool documents a provider adding comments for increasing the speci...

Documentation Guidelines: Accountability - ️️-sign first name, last name, title to each entry -do not use dittos, erasers, correcting fluids, etc. -identify each page record -record is permanent Documentation Guidelines: Content - ️️-complete, accurate, concise, factual -reflecting nursing process -record observations, not interpretation -terminology -sequencing -include safety precautions -medical visits, consultations -document nursing response to questionable medical order...

. The World Health organizations definition of health is? A. The absence of all disease B. A complete, holistic state of wellbeing C. The absence of disease and risk factors D. Engaging in healthy Lifestyles and health promotion. - Correct answer-B 2. You are caring for a middle-age client who has cancer and is no longer able to work outside of the home. Although the client is doing relatively well in terms of his physical, psychological, and social condition, he is no longer able to work...

PNR 104 Exam 2 (Answered) Verified Solution Steps of the nursing process in order Assessment, nursing dx, planning, implementation, and evaluation Assessment and nursing DX RN's are responsible for this part of the nursing process Data Collection LPN's main role in nursing process Documentation of the plan Should be constructed right after the admission database is collected. Must be readily available to each nurse who is assigned to the patient. (Reviewed & updated once every 24 hrs.)...

CCDS REVIEW QUESTIONS WITH ALL CORRECT ANSWERS Which of the following procedures would be the best process to follow when a charting error has been discovered in the EHR? a. Delete the file and reenter all the information. b. Make the correction in an addendum. c. Add a paper notation with the correction and cross-reference the paper note in the chart. d. It cannot be changed after the fact and remains as is. - Answer- b. Make the correction in an addendum. What is a patient's C...

Originator's account statement - Answer- The the monthly deposit account statement of the______will show the amount of funds transferred out. investigator should determine the source of the funds for the wire. If a formal report is prepared, must the original notes be retained? - Answer- Yes Law enforcement notes should be maintained until.... - Answer- all court actions, including appeals are completed The primary use of law enforcement notes is to.... - Answer- aid in memory when pre...

HESI A2 - Critical Thinking 1. The nurse is working in the emergency department (ED) of a children's medical center. Which client should the nurse assess first? 1. The 1-month-old infant who has developed colic and is crying. 2. The 2-year-old toddler who was bitten by another child at the day-care center. 3. The 6-year-old school-age child who was hit by a car while riding a bicycle. 4. The 14-year-old adolescent whose mother suspects her child is sexually active. - ANSWER ...

NR 302 EXAM 1 REVIEW QUESTIONS AND ANSWERS NEW UPDATED | VERIFIED 100% | The Nurse is interviewing their patient. The nurse states "Can you tell me exactly what you feel when you are having difficulty catching your breath?" Which of the following communication techniques is the nurse utilizing? A) Attending to cues B) Paraphrasing C) Focusing D) Summarazing Ans- C) Focusing The nurse is obtaining a family health history when the client reports that a grandparent has type 1 diabe...