Multiple Choice
The nurse is charting using paper nursing notes. The nurse is aware that:
A) attorneys are not allowed access to medical records during litigation.
B) when mistakes are made in documentation, the nurse should scribble out the entry.
C) only one nurse should document on a sheet so that it can be removed in case of error.
D) the medical record is the most reliable source of information in any legal action.
Correct Answer:
Verified
Correct Answer:
Verified
Q15: The nurse is charting using electronic documentation.
Q16: A type of charting that records only
Q17: The nurse is caring for patients on
Q18: The nurse is charting using the DAR
Q19: The medical record:<br>A) serves as a major
Q20: The nurse is caring for a patient
Q21: Expected nursing documentation includes: (Select all that
Q22: If a verbal or phone order is
Q23: Accurate documentation by the nurse is necessary
Q24: The use of electronic health records:<br>A) improves