Chapter 15: Documenting and Reporting
Potter et al: Canadian Fundamentals of
Nursing, 6th Edition Exam Containing 46
Questions with Correct Answers 2024-
2025.
(Dark Back Ground for better Visibility and eye Care)
A nurse preceptor is supervising a student nurse. Which behavior by the student
nurse will require the nurse preceptor to intervene?
a. The student nurse reviews the patient's medical record.
b. The student nurse reads the patient's plan of care.
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, Chapter 15: Documenting and Reporting Potter et al: Canadian Fundamentals of Nursing, 6th Edition
c. The student nurse shares patient information with a friend.
d. The student nurse documents medication administered to the patient. -
Answer: c. The student nurse shares patient information with a friend.
2. A nurse prepared an audiotaped exchange with another nurse of information
about a patient. Which action did the nurse complete? - Answer: A report.
Which situation best indicates that the nurse has a good understanding of
auditing and monitoring patients' health records?
a. The nurse determines the degree to which standards of care are met by
reviewing patients' health records.
b. The nurse realizes that care not documented in patients' health records still
qualifies as care provided.
c. The nurse knows that reimbursement is based on the diagnosis-related groups
documented in patients' records.
d. The nurse compares data in patients' records to determine whether a new
treatment had better outcomes than the standard treatment. - Answer: a. The
nurse determines the degree to which standards of care are met by reviewing
patients' health records.
After providing care, a nurse charts in the patient's record. Which entry should the
nurse document?
a. "Appears restless when sitting in the chair"
b. "Drank adequate amounts of water"
c. "Apparently is asleep with eyes closed"
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