NUR307 EXAM 1 CH. 20 AND 28
QUESTIONS AND ANSWERS. VERIFIED
2025/2026.
Bedside report - ANS A shift-to-shift handoff conducted in the presence of the patient that
allows the nurse to verify clinical information, visually assess the patient, and involve the patient
in care planning to improve safety and transparency.
Change-of-shift report - ANS A structured exchange of essential patient information between
nurses at shift change to ensure continuity, safety, and accountability of care.
Charting by Exception (CBE) - ANS A documentation system in which only significant findings
or deviations from predefined norms are recorded, assuming that standards of care have been
met unless otherwise documented.
Collaborative pathways - ANS Interdisciplinary, evidence-based plans of care that outline the
expected course of treatment for a specific diagnosis or procedure to promote quality,
efficiency, and consistency.
Confer - ANS The act of communicating with another healthcare professional to exchange
information or seek input regarding patient care.
Consultation - ANS A formal request for the opinion, expertise, or assistance of another
healthcare professional in the management of a patient's condition.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Critical pathways - ANS Standardized, diagnosis-specific care plans that guide interdisciplinary
interventions and expected patient outcomes across the continuum of care.
Discharge summary - ANS A comprehensive report prepared at the time of discharge
summarizing the patient's hospital course, treatments, condition at discharge, and instructions
for follow-up care.
Documentation - ANS The accurate, complete, and timely recording of patient data, nursing
assessments, interventions, and responses to care, serving clinical, legal, and quality-
improvement purposes.
Electronic health records (EHRs) - ANS Computerized patient records that allow authorized
healthcare providers to document, retrieve, and share patient information securely across care
settings.
Flow sheets - ANS Structured forms used to document routine, repetitive patient data in a
concise, organized format.
Focus charting - ANS A documentation method organized around patient-centered concerns,
behaviors, or events rather than medical diagnoses.
Graphic record - ANS A visual representation of patient data over time, such as vital signs or
intake and output, used to identify trends and changes quickly.
Handoff - ANS The process of transferring professional responsibility and accountability for
patient care from one caregiver or team to another.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS. VERIFIED
2025/2026.
Bedside report - ANS A shift-to-shift handoff conducted in the presence of the patient that
allows the nurse to verify clinical information, visually assess the patient, and involve the patient
in care planning to improve safety and transparency.
Change-of-shift report - ANS A structured exchange of essential patient information between
nurses at shift change to ensure continuity, safety, and accountability of care.
Charting by Exception (CBE) - ANS A documentation system in which only significant findings
or deviations from predefined norms are recorded, assuming that standards of care have been
met unless otherwise documented.
Collaborative pathways - ANS Interdisciplinary, evidence-based plans of care that outline the
expected course of treatment for a specific diagnosis or procedure to promote quality,
efficiency, and consistency.
Confer - ANS The act of communicating with another healthcare professional to exchange
information or seek input regarding patient care.
Consultation - ANS A formal request for the opinion, expertise, or assistance of another
healthcare professional in the management of a patient's condition.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Critical pathways - ANS Standardized, diagnosis-specific care plans that guide interdisciplinary
interventions and expected patient outcomes across the continuum of care.
Discharge summary - ANS A comprehensive report prepared at the time of discharge
summarizing the patient's hospital course, treatments, condition at discharge, and instructions
for follow-up care.
Documentation - ANS The accurate, complete, and timely recording of patient data, nursing
assessments, interventions, and responses to care, serving clinical, legal, and quality-
improvement purposes.
Electronic health records (EHRs) - ANS Computerized patient records that allow authorized
healthcare providers to document, retrieve, and share patient information securely across care
settings.
Flow sheets - ANS Structured forms used to document routine, repetitive patient data in a
concise, organized format.
Focus charting - ANS A documentation method organized around patient-centered concerns,
behaviors, or events rather than medical diagnoses.
Graphic record - ANS A visual representation of patient data over time, such as vital signs or
intake and output, used to identify trends and changes quickly.
Handoff - ANS The process of transferring professional responsibility and accountability for
patient care from one caregiver or team to another.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
