ASSIGNMENTS CERTIFICATION EVALUATION
2026 QUESTIONS AND SOLUTIONS VERIFIED
◉ in most states patients can gain access to their medical records by
which means? Answer: 2. submitting a written request to the facility
to view the record
◉ the charge nurse in a long-term care facility has been asked by the
facility administrator to be sure that the staff documents in a way
that will help ensure appropriate reimbursement for services
provided. The charge nurse should instruct the staff to chart using
what system as a guide? Answer: 1. minimum data sets (MDS)
◉ An elderly patient with pneumonia is in an acute care hospital.
Medicare will pay for 4 days of care in the facility. What prospective
payment system is responsible for determining this reimbursement?
Answer: 4. Diagnosis- related groups (DRGs)
◉ CBE Answer: Charting by Exception.
focuses on documenting deviations from the norm
,◉ DRGs Answer: Diagnosis Related Groups,
disease classification system that relates the type of inpatients a
hospital treats (case mix) to the costs incurred by the hospital
◉ EHR Answer: electronic health record.
EHR is shared between one facility to another known as
intercommunication
facilitated delivery of patient care and supports the data analysis
necessary for coordinating patient care.
increase efficiency, consistency, accuracy and decreases cost.
◉ EMR Answer: electronic medical record
EMR is shared between one unit f a facility to another unit in the
same facility known as intracommunication
◉ HIPPA Answer: Health Insurance Portability and Accountability
Act. patient information privacy and confidentiality.
, ◉ MDS (minimum data set) Answer: Resident Assessment protocols
in long term care facilities, and utilization guidelines for each state
◉ POC Answer: point of care
Charting that is done at the bedside via computerized system
convenient and quicker allows immediate documentation
◉ DARE Answer: Data, action, response, education
type of focus charting is a modified list of patient problem
statements that is used as an index for nursing documentation.
◉ SBARR Answer: Situation, background, assessment,
recommendation, read back
method among communication among health care workers.
safety measure for preventing errors from poor communication
during interactions between health care personnel (ie day shift to
night shift nurse exchange of communication/information).