RNSG 1144 - Chapter 4 (Documentation) with 100% complete solutions

RNSG 1144 - Chapter 4 (Documentation)Purpose of documentation - correct answer - ensures continuity of care - provides legal evidence - records evaluation of patient outcomes NANDA - correct answer North American Nursing Diagnosis Association - established standardized nursing diagnoses NIC - correct answer Nursing Interventions Classification - provides label, definition, and list of activities that a nurse preforms to complete intervention NOC - correct answer Nursing Outcomes Classification - provides outcome label, definition, and list of interventions that can result in outcome NANDA, NIC, NOC - correct answer promotes consistent nursing language when caring for a pt HIPAA - correct answer Health Insurance Portability and Accountability Act - protects patient privacy Five common issues in malpractice - correct answer 1. failure to record correct time 2. failure to record verbal orders 3. charting actions in advance to save time