NRSG 91 TEST 2 WEEKS 8 & 9 2025
(ACTUAL TEST) | ALL QUESTIONS AND
CORRECT ANSWERS | GRADED A+ |
VERIFIED ANSWERS | LATEST EXAM
What is a health care record? - ANSWER-Written or electronically
generated information about a patient.
What information is included in a health care record? - ANSWER-
Patient's history, current health status, care, treatments & services
provided, discussions with the patient and/or significant others,
date & time and the health care professional's signature and status.
What is the purpose of a health care record? - ANSWER-Facilitation
of information flow to support continuity, quality, and safety of
care.
What is the goal of a health care record? - ANSWER-To describe
facts clearly and concisely to improve communication.
,What are the functions of a health care record? - ANSWER-
Communication tool, promotes continuity of care, single data
access point for staff, legal document, clinical data archive, tool for
research, audits, quality control, education, performance
appraisals.
What standards must documentation in Ontario comply with? -
ANSWER-CO's Professional and Practice Standards.
What are the requirements for a health care record to provide legal
evidence of care? - ANSWER-Permanent record, clear and concise,
accurate, complete and objective, timely, accessible, must not be
altered or have spelling or grammar errors.
What are potential problems with a written health care record? -
ANSWER-May not fax or photocopy well if black ink is not used,
spaces can be left, can be difficult to locate, single-user access,
fragile and susceptible to damage, handwriting may be illegible.
What are potential problems with an electronic health care record?
- ANSWER-Initial cost, sharing of passwords.
, What is an EMR? - ANSWER-Electronic medical record, a record of
one episode of care.
What is an EHR? - ANSWER-Electronic health record, a longitudinal
record of health that includes in-patient and out-patient
documentation.
What is CNA's vision for electronic health records? - ANSWER-By
2020, every Canadian will have a secure, portable, and accessible
electronic health record.
What are the benefits of electronic documentation? - ANSWER-
Permits computerized provider order entry, can offer decision
support and guideline-based care, enhances communication.
What are the benefits of using an electronic health record system?
- ANSWER-Provides long term cost savings, increases productivity,
decreases errors and storage space issues, supports administrative
processes
(ACTUAL TEST) | ALL QUESTIONS AND
CORRECT ANSWERS | GRADED A+ |
VERIFIED ANSWERS | LATEST EXAM
What is a health care record? - ANSWER-Written or electronically
generated information about a patient.
What information is included in a health care record? - ANSWER-
Patient's history, current health status, care, treatments & services
provided, discussions with the patient and/or significant others,
date & time and the health care professional's signature and status.
What is the purpose of a health care record? - ANSWER-Facilitation
of information flow to support continuity, quality, and safety of
care.
What is the goal of a health care record? - ANSWER-To describe
facts clearly and concisely to improve communication.
,What are the functions of a health care record? - ANSWER-
Communication tool, promotes continuity of care, single data
access point for staff, legal document, clinical data archive, tool for
research, audits, quality control, education, performance
appraisals.
What standards must documentation in Ontario comply with? -
ANSWER-CO's Professional and Practice Standards.
What are the requirements for a health care record to provide legal
evidence of care? - ANSWER-Permanent record, clear and concise,
accurate, complete and objective, timely, accessible, must not be
altered or have spelling or grammar errors.
What are potential problems with a written health care record? -
ANSWER-May not fax or photocopy well if black ink is not used,
spaces can be left, can be difficult to locate, single-user access,
fragile and susceptible to damage, handwriting may be illegible.
What are potential problems with an electronic health care record?
- ANSWER-Initial cost, sharing of passwords.
, What is an EMR? - ANSWER-Electronic medical record, a record of
one episode of care.
What is an EHR? - ANSWER-Electronic health record, a longitudinal
record of health that includes in-patient and out-patient
documentation.
What is CNA's vision for electronic health records? - ANSWER-By
2020, every Canadian will have a secure, portable, and accessible
electronic health record.
What are the benefits of electronic documentation? - ANSWER-
Permits computerized provider order entry, can offer decision
support and guideline-based care, enhances communication.
What are the benefits of using an electronic health record system?
- ANSWER-Provides long term cost savings, increases productivity,
decreases errors and storage space issues, supports administrative
processes
