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NR501 WEEK 8: NURSING THEORY QUIZ| NR 501 WEEK 8 NURSING THEORY QUIZ (SOLUTIONS).

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NR501 WEEK 8: NURSING THEORY QUIZ| NR 501 WEEK 8 NURSING THEORY QUIZ (SOLUTIONS).

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NR501
Course
NR501

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NR501 WEEK 8: NURSING THEORY QUIZ|
NR 501 WEEK 8 NURSING THEORY QUIZ
(SOLUTIONS).



documenting in nursing is defined as - CORRECT_ANSWER_the process of
documenting nursing information about nursing care in the health records




methods of documentation (2) - CORRECT_ANSWER_narrative and problem-
orientated medical record




what is narrative documentation ? - CORRECT_ANSWER_The traditional method
(story-like format)




what percentage of nursing practice time does documentation take up ? -
CORRECT_ANSWER_around 25%

,documentation must be ... - CORRECT_ANSWER_accurate, comprehensive and
reflect standards of nursing practice




what are common record keeping forms - CORRECT_ANSWER_- Admission nursing
history form

- Flow sheets and graphic records

- Patient summary or Kardex

- Standardized care plans

- Discharge summary forms




acuity rating systems - CORRECT_ANSWER_Determine the hours of care and
number of staff required for a given group of patient every shift or every 24 hours




does an acuity rating help justify the number and qualification of staff needed to
safely care for patients? - CORRECT_ANSWER_yes




Documentation in HOME health care - CORRECT_ANSWER_-Patient and family
often guardians of information if a hard copy of the health care record is kept in
patients home

- communication is critical

, Documentation in the LONG-TERM health care setting - CORRECT_ANSWER_-
Documentation is used to review levels of care given to and needed by the
residents in long term care facilities

-different agencies will have different standards and policies for documentation




Documenting communication with providers - CORRECT_ANSWER_- Telephone
calls made to health care provider

- Telephone orders

-Verbal orders

- Change of shift reports

-transfer reports

-SBAR

-I-SBAR-R

-incident/occurrence report




what do change in shift reports need - CORRECT_ANSWER_- Transfer of
accountability practice guidelines

- Background information

- Assessment

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