CNUR 107 DOCUMENTATION QUIZ REVIEW EXAM QUESTIONS
AND ANSWERS
TRUE - CORRECT ANSWER✅✅True or False::
The "Registered Nurses Act: (1988) enables the CRNS to create bylaws that:
- prescribe the powers and procedures of the Council
- provide a code of professional ethics
- set the standards for professional conduct, competency, and proficiency of nurses
- further specify categories of practice and the rights & privileges of those categories
(a) = Communicator
(b) = Professional Responsibility & Accountability
(c) = Knowledge-Based Practice
(d) = Ethical Practice - CORRECT ANSWER✅✅Standards and Competencies that Apply to
Documentation Include:
Entry-Level Competency: __(a)__
- documents and reports clearly, concisely, accurately, and in a timely manner
Standard I: __(b)__
- demonstrates effective communication
,Standard II: __(c)__
- utilizes nursing informatics and other information and communications technology in practicing safe
registered nursing care
Standard III: __(d)__
- communicates respectfully and effectively
FALSE
Although documentation is NOT optional, it is NOT SEPARATE from care. - CORRECT ANSWER✅✅True
or False::
Documentation is separate from care and not optional.
(a) = caregiver
(b) = nursing process
(c) = health outcome
(d) = response to care
(e) = continuity
(f) = safe, competent, and ethical care - CORRECT ANSWER✅✅Documentation:
- identifies the __(a)__ and records evidence that the __(b)__ was carried out, including the client's
__(c)__ and the client's __(d)__
- promotes __(e)__ of care through intra/interprofessional communication
- demonstrates the RN's accountability to providing __(f)__
, a), b), c), d), e), f) - CORRECT ANSWER✅✅Select All that Apply:
Why do RNs document?
a) Professional Accountability
b) Professional Liability
c) Funding & Resource Management
d) Research & Evidence-Informed Practice
e) Quality Improvement, Risk Management, & Accreditation
f) Communication
(a) = care
(b) = client
(c) = RN
(d) = When
(e) = Why
(f) = client's
(g) = outcome - CORRECT ANSWER✅✅Those reading the documentation should be able to determine:
1. The __(a)__ that was provided.
2. The __(b)__ who received the care.
AND ANSWERS
TRUE - CORRECT ANSWER✅✅True or False::
The "Registered Nurses Act: (1988) enables the CRNS to create bylaws that:
- prescribe the powers and procedures of the Council
- provide a code of professional ethics
- set the standards for professional conduct, competency, and proficiency of nurses
- further specify categories of practice and the rights & privileges of those categories
(a) = Communicator
(b) = Professional Responsibility & Accountability
(c) = Knowledge-Based Practice
(d) = Ethical Practice - CORRECT ANSWER✅✅Standards and Competencies that Apply to
Documentation Include:
Entry-Level Competency: __(a)__
- documents and reports clearly, concisely, accurately, and in a timely manner
Standard I: __(b)__
- demonstrates effective communication
,Standard II: __(c)__
- utilizes nursing informatics and other information and communications technology in practicing safe
registered nursing care
Standard III: __(d)__
- communicates respectfully and effectively
FALSE
Although documentation is NOT optional, it is NOT SEPARATE from care. - CORRECT ANSWER✅✅True
or False::
Documentation is separate from care and not optional.
(a) = caregiver
(b) = nursing process
(c) = health outcome
(d) = response to care
(e) = continuity
(f) = safe, competent, and ethical care - CORRECT ANSWER✅✅Documentation:
- identifies the __(a)__ and records evidence that the __(b)__ was carried out, including the client's
__(c)__ and the client's __(d)__
- promotes __(e)__ of care through intra/interprofessional communication
- demonstrates the RN's accountability to providing __(f)__
, a), b), c), d), e), f) - CORRECT ANSWER✅✅Select All that Apply:
Why do RNs document?
a) Professional Accountability
b) Professional Liability
c) Funding & Resource Management
d) Research & Evidence-Informed Practice
e) Quality Improvement, Risk Management, & Accreditation
f) Communication
(a) = care
(b) = client
(c) = RN
(d) = When
(e) = Why
(f) = client's
(g) = outcome - CORRECT ANSWER✅✅Those reading the documentation should be able to determine:
1. The __(a)__ that was provided.
2. The __(b)__ who received the care.
