Soapie charting Study guides, Class notes & Summaries

What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)? Select all that apply. Correct Answer-a. Ensuring that an individual's health information is protected e. Allowing healthcare providers to obtain health information to provide high-quality healthcare. Which intervention demonstrates a nurse's understanding of the initial action associated with the assessment of a patient's spiritual beliefs? Correct Answer-c. Asking the patient what role spirituality p...

Intrapersonal Communication : communication with oneself Interpersonal Communication : between two or more people Transpersonal Communication : interaction that occurs within a person's spiritual domain SOAP Charting : S= Subjective data (how the patient feels) O= Objective data (results of physical exam, vital signs, etc) A= Assessment (what is the patient's status) P= Plan (does the plan stay the same or is change needed?) 2 | P a g e SOAPIE Charting : I= Intervention (what did ...

Intrapersonal Communication - ️️communication with oneself Interpersonal Communication - ️️between two or more people Transpersonal Communication - ️️interaction that occurs within a person's spiritual domain SOAP Charting - ️️S= Subjective data (how the patient feels) O= Objective data (results of physical exam, vital signs, etc) A= Assessment (what is the patient's status) P= Plan (does the plan stay the same or is change needed?) SOAPIE Charting - ️️I= Int...

NFDN 1002 MIDTERM UNITS 1-4 QUESTIONS AND ANSWERS Intrapersonal Communication - Correct Answer ️️ -communication with oneself Interpersonal Communication - Correct Answer ️️ -between two or more people Transpersonal Communication - Correct Answer ️️ -interaction that occurs within a person's spiritual domain SOAP Charting - Correct Answer ️️ -S= Subjective data (how the patient feels) O= Objective data (results of physical exam, vital signs, etc) A= Assessment (what is t...

NFDN 1002 MIDTERM UNITS 1-4 QUESTIONS AND ANSWERS Intrapersonal Communication - Correct Answer ️️ -communication with oneself Interpersonal Communication - Correct Answer ️️ -between two or more people Transpersonal Communication - Correct Answer ️️ -interaction that occurs within a person's spiritual domain SOAP Charting - Correct Answer ️️ -S= Subjective data (how the patient feels) O= Objective data (results of physical exam, vital signs, etc) A= Assessment (what is t...

Paroxysmal nocturnal dyspnea: - awakening from sleep with SOB and needing to be upright to achieve comfort Electronic health record: - Systematic collection of a patient's health care and treatment in a digital format Mistakes in documentation that commonly result in malpractice: - - failing to record pertinent health or drug information - failing to record nursing actions - failing to record medication administration - failing to record drug reactions or changes in patient's condition...

What is the purpose of documentation? : Facilitating communication among team members. Creating a legal report of care delivery. Providing consistent care from shift to shift. Improving the facility's care quality. What are some common charting formats? : - SOAPIE - Focus charting - Narrative - Problem / intervention / evaluation 2 - Exception What are some advantages of electronic records? : - Saves time for nurses - less repetition - more accurate - can be used by multiple peo...

NFDN 1002 MIDTERM UNITS 1-4 2024 EXAM!!

1. What aspects of the therapeutic nurse Client relationship is addressed in the article "lend an ear"?: Ans- Trust and respect 2. What is one way a nurse violates the nurse client relationship?: Ans- When we don't listen. 3. What is the goal behind listening according to Broeder-morin and land?: - Ans- Gain empathetic understanding 4. How does a nurse show they are listening?: uncrossed, facial expression, touch, warmth Eye contact, arms 5. What are the client consequences o...

What is the purpose of documentation? - Answer-Facilitating communication among team members. Creating a legal report of care delivery. Providing consistent care from shift to shift. Improving the facility's care quality. What are some common charting formats? - Answer-- SOAPIE - Focus charting - Narrative - Problem / intervention / evaluation - Exception What are some advantages of electronic records? - Answer-- Saves time for nurses - less repetition - more accurate - can be used ...