Nursing 204- Quiz 1 (Passed!)

Are charts a legal document? correct answers Yes What is your best legal device if you are in a malpractice suit? correct answers the chart What happens if you do not chart the information? correct answers it technically never happened What is the mobile computer system called in the hospital? What did it used to be called? What do they mean? correct answers WOW- workstation on wheels used to be called COW- computer on wheels Can you put late entries into the charting system? correct answers Yes What three steps should charting follow? correct answers Assessment, Intervene, Evaluate In charting, should you record your findings or your interpretation of what is going on? correct answers your findings What words should be avoided when charting? correct answers good, average, normal, sufficient, adequate Should you record precautions or preventive measures you have used? correct answers yes What along with your name should be included when charting? correct answers date and time In nursing, what time and measurement system do we use? correct answers military time and metric system Should you document before doing the task? correct answers NO How are errors corrected in charting? correct answers a single line through the word with error in charting written beside or above along with your signature Who can give verbal orders? correct answers An RN What is paralanguage? correct answers the tone, pitch, speed, pace, volume, and inflection of the voice in addition to the words being said What is nonverbal language? correct answers touch, eye contract, facial expression, posture, gait, gestures, general physical appearance, mode of dress, grooming, sounds, and silence What is professionalism? correct answers The assimilation of nursing skills and knowledge integrated with dignity and respect for all human beings, incorporating the assumptions and values of the profession while maintaining accountability and self-awareness