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Examen

TEST 4: CHAPTER 26 MASTERING (FUNDAMENTALS OF NURSING) QUESTIONS WITH 100% RATED ANSWERS 2025/2026 LATEST UPDATE/GET A+

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Escrito en
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RATIONALE: An assessment process that includes subjective and objective data is not included in the PIE charting format. PIE charting includes only the problem, the necessary intervention, and an effective outcome. Focus charting follows a data, action, and response (DAR) format. This format reflects various steps of the nursing process. SOAP and PIE charting are similar in their problem-oriented nature. However, the SOAP format originated from the medical records and PIE charting has a nursing origin. The verbalizations of the patient are included under the subjective data in the SOAP format. TEST-TAKING TIP: Read the question carefully before looking at the answers: (1) Determine what the question is really asking and look for key words, (2) Read each answer thoroughly and see if it completely covers the material asked by the question, and (3) Narrow the choices by immediately eliminating answers you know are incorrect. How is proper documentation of a patient's health information useful to medical insurance companies? Choose the best answer. - A. It helps in providing preventive care to the patients. *B. It helps in determining the diagnosis-related group (DRG) of the patient. C. It helps in reducing the cost of the monthly premium paid by the patient. D. It helps in reducing the cost of healthcare services provided to the patient RATIONALE: In order to determine healthcare reimbursements that have to be provided for the patient, insurance companies have to first determine the diagnosis-related group (DRG) of the patient. This can be done by referring to the patient's documented reports. Thus, it is very important that the information pertaining to the patient's health is well documented. Insurance companies do not provide preventive care to patients; preventive care is given by the provider. The amount that has to be paid for a premium is fixed and is not related to the patient's interventions. Proper documentation is not helpful in reducing the cost of healthcare services provided to the patient. Using the SOAP format, which represents the appropriate P statement? - *A. Reposition the patient on the right side. Encourage the patient to use the patient-controlled analgesia (PCA) device. B. The patient states, "The pain increases every time I try to turn on my left side." C. Acute pain is related to tissue injury from a surgical incision. D. Left lower abdominal surgical incision, 3 inches in length, closed, sutures intact, no drainage. Pain noted on mild palpation. RATIONALE: The planning statement is, "Reposition the patient on the right side. Encourage the patient to use the patient-controlled analgesia (PCA) device." The subjective statement is the patient's statement, "The pain increases every time I try to turn on my left side." The objective statement is, "Left lower abdominal surgical incision, 3 inches in length, closed, sutures intact, no drainage. Pain noted on mild palpation." The assessment statement is, "Acute pain is related to tissue injury from surgical incision." STUDY TIP: Be sure to understand the meanings of each letter of SOAP and understand what types of information go into each section. The nurse is given a form with preset standard findings for recording a progress note. The nurse reports the findings in the following way: "Physical Exam: All systems within normal except left lower extremity, casted d/t to heel fracture. Review of Systems: All normal except pain in the left foot." What kind of documentation and informatics is this? - *A. Charting by exception B. DAR (data, action of nursing intervention, and response of the patient) report C. PIE (problem, intervention, and evaluation) report D. Narrative report RATIONALE: Charting by exception uses forms that have predefined normal findings. The nurse only documents findings that not standard. Unless documented, all other findings are assumed to be normal. Charting is recording or updating a patient's chart. The DAR report consists of an elaborate description of the patient's concerns, signs and symptoms, condition, nursing diagnosis, behavior, significant events, or change in a patient's condition. The PIE report documents problem—intervention—an evaluation and is not narrative. A narrative report is documentation of information in a narrative format.

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Nursing Pharmacology
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Institución
Nursing pharmacology
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Nursing pharmacology

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Subido en
10 de julio de 2025
Número de páginas
6
Escrito en
2024/2025
Tipo
Examen
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TEST 4: CHAPTER 26 MASTERING (FUNDAMENTALS
OF NURSING) QUESTIONS WITH 100% RATED
ANSWERS 2025/2026 LATEST UPDATE/GET A+
The nurse understands that documentation is an important part of nursing care. What
are the advantages of effective documentation? Select all that apply. - A. Repetition of
therapy

*B. Saving time

*C. Minimizing error

*D. Effective continuity of patient care

E. Omission of treatment

RATIONALE: Effective documentation saves time in finding the patient's details, change
in status, treatment plans, and the treatments administered. It minimizes errors in
treatment because all the details are mentioned in the document. It enhances and
ensures effective continuity of patient care as the relevant details, outcomes of
treatment, and the quality of patient care are noted. Effective documentation reduces
repetition of therapy, because the treatment or therapy that has been done is mentioned
in the document. It also stops omission of treatment, because the treatment plan is
clearly mentioned in the document.

TEST-TAKING TIP: This is a good example of a question where common sense should
prevail. Would you ever want to repeat therapy or omit treatment? The choices,
"Repetition of therapy" and "Omission of treatment" are easily eliminated by staying
calm and examining the choices individually.

You are giving a hand-off report to another nurse who will be caring for your patient at
the end of your shift. Which pieces of information do you include in the report? Select all
that apply. - *A. The patient's name, age, and admitting diagnosis

*B. Allergies to food and medications

C. Your evaluation that the patient is "needy"

D. How much the patient ate for breakfast

*E. That the patient's pain rating went from 8 to 2 on a scale of 1 to 10 after receiving
650 mg of acetaminophen

RATIONALE: During change of shift report, include essential background information
such as the patient's name, age, diagnosis, and allergies. Also include the response to
treatments such as the response to pain-relieving measures. Information about how

, much the patient ate for breakfast is not necessary. This information is in the chart if the
nurse really needs to know. Do not include critical comments about your patients.

A registered nurse is teaching a group of student nurses about the nursing process in a
hospital. Which statement made by a student nurse indicates the need for additional
teaching? - A. "Focus charting follows a data, action, and response (DAR) format."

B. "SOAP originated from medical records and PIE charting has a nursing origin."

*C. "The subjective and objective data are included in problem, intervention, evaluation
(PIE) charting."

D. "The patient's verbalizations are included under subjective data in the subjective,
objective, assessment, plan (SOAP) format."

RATIONALE: An assessment process that includes subjective and objective data is not
included in the PIE charting format. PIE charting includes only the problem, the
necessary intervention, and an effective outcome. Focus charting follows a data, action,
and response (DAR) format. This format reflects various steps of the nursing process.
SOAP and PIE charting are similar in their problem-oriented nature. However, the
SOAP format originated from the medical records and PIE charting has a nursing origin.
The verbalizations of the patient are included under the subjective data in the SOAP
format.

TEST-TAKING TIP: Read the question carefully before looking at the answers: (1)
Determine what the question is really asking and look for key words, (2) Read each
answer thoroughly and see if it completely covers the material asked by the question,
and (3) Narrow the choices by immediately eliminating answers you know are incorrect.

How is proper documentation of a patient's health information useful to medical
insurance companies? Choose the best answer. - A. It helps in providing preventive
care to the patients.

*B. It helps in determining the diagnosis-related group (DRG) of the patient.

C. It helps in reducing the cost of the monthly premium paid by the patient.

D. It helps in reducing the cost of healthcare services provided to the patient

RATIONALE: In order to determine healthcare reimbursements that have to be provided
for the patient, insurance companies have to first determine the diagnosis-related group
(DRG) of the patient. This can be done by referring to the patient's documented reports.
Thus, it is very important that the information pertaining to the patient's health is well
documented. Insurance companies do not provide preventive care to patients;
preventive care is given by the provider. The amount that has to be paid for a premium
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