Fundamentals of Nursing 10th Edition
Lippincott - Test Bank Chapter 20
Questions with Accurate Answers
A CLIENT'S DIAGNOSIS OF PNEUMONIA REQUIRES TREATMENT WITH
ANTIBIOTICS. THE CORRESPONDING ORDER IN THE CLIENT'S CHART SHOULD
BE WRITTEN AS:
A) AVELOX (MOXIFLOXACIN) 400 MG DAILY
B) AVELOX (MOXIFLOXACIN) 400 MG Q.D.
C) AVELOX (MOXIFLOXACIN) 400 MG QD
D) AVELOX (MOXIFLOXACIN) 400 MG OD - ANSWERSA) Avelox (Moxifloxacin) 400
MG daily
AMONG THE JCAHO'S LIST OF "DO NOT USE ABBREVIATIONS" ARE Q.D., QD,
AND OD WHEN DENOTING A ONCE-PER-DAY DRUG ADMINISTRATION.
BECAUSE OF THE POTENTIAL FOR MISINTERPRETATION AND CONSEQUENT
DRUG ERRORS, THE JCAHO RECOMMENDS WRITING "DAILY" IN THE ORDER
THE NURSES WHO PROVIDE CARE IN A LARGE, LONG-TERM CARE FACILITY
UTILIZE CHARTING BY EXCEPTION (CBE) AS THE PREFERRED METHOD OF
DOCUMENTATION. THIS DOCUMENTATION METHOD MAY HAVE WHICH OF THE
FOLLOWING DRAWBACKS?
A) VULNERABILITY TO LEGAL LIABILITY SINCE NURSE'S SAFE, ROUTINE CARE
IS NOT RECORDED
B) INCREASED WORKLOAD FOR NURSES IN ORDER TO COMPLETE
NECESSARY DOCUMENTATION
C) FAILURE TO IDENTIFY AND RECORD CLIENT PROBLEMS AND ASSOCIATED
INTERVENTIONS
D) SIGNIFICANT DIFFERENCES IN THE CHARTING BETWEEN NURSES DUE TO
LACK OF STANDARDIZATION - ANSWERSA) Vulnerability to legal liability since a
nurse's safe, routine care is not recorded
A SIGNIFICANT DRAWBACK TO CHARTING BY EXCEPTION IS ITS LIMITED
USEFULNESS WHEN TRYING TO PROVE HIGH-QUALITY SAFE CARE IN
RESPONSE TO A NEGLIGENCE CLAIM MADE AGAINST NURSING. CBE IS
GENERALLY LESS TIME-CONSUMING THAN ALTERNATE METHODS OF
DOCUMENTATION, AND BOTH STANDARDIZATION OF CHARTING AND
, IDENTIFICATION OF CLIENT-SPECIFIC PROBLEMS ARE POSSIBLE WITHIN THIS
DOCUMENTATION FRAMEWORK.
THE NURSE MANAGERS OF A HOME HEALTH CARE OFFICE WISH TO MAXIMIZE
NURSES' FREEDOM TO CHARACTERIZE AND RECORD CLIENT CONDITIONS
AND SITUATIONS IN THE NURSES' OWN TERMS. WHICH OF THE FOLLOWING
DOCUMENTATION FORMATS IS MOST LIKELY TO PROMOTE THIS GOAL?
A) NARRATIVE NOTES
B) SOAP NOTES
C) FOCUS CHARTING
D) CHARTING BY EXCEPTION - ANSWERSA) Narrative notes
ONE OF THE ADVANTAGES OF A NARRATIVE NOTES MODEL OF
DOCUMENTATION IS THAT IT ALLOWS NURSES TO DESCRIBE CLINICAL
ENCOUNTERS IN THEIR OWN TERMS, AS THEY UNDERSTAND THEM. OTHER
DOCUMENTATION FORMATS, SUCH AS SOAP NOTES, FOCUS CHARTING, AND
CHARTING BY EXCEPTION, ARE MORE RIGIDLY DELINEATED AND ALLOW
NURSES LESS LATITUDE IN THEIR DOCUMENTATION.
A HOSPITAL UTILIZES THE SOAP METHOD OF CHARTING. WITHIN THIS MODEL,
WHICH OF THE NURSE'S FOLLOWING STATEMENTS WOULD APPEAR AT THE
BEGINNING OF A CHARTING ENTRY?
A) "CLIENT COMPLAINING OF ABDOMINAL PAIN RATED AT 8/10."
B) "CLIENT IS GUARDING HER ABDOMEN AND OCCASIONALLY MOANING."
C) "CLIENT HAS A HISTORY OF RECENT ABDOMINAL PAIN."
D) "2 MG DILAUDID PO ADMINISTERED WITH GOOD EFFECT." - ANSWERSA)
"Client complaining of abdominal pain rated at 8/10."
THE SOAP METHOD OF CHARTING (SUBJECTIVE DATA, OBJECTIVE DATA,
ASSESSMENT, PLAN) BEGINS WITH THE INFORMATION PROVIDED BY THE
CLIENT, SUCH AS A COMPLAINT OF PAIN. THE NURSE'S OBJECTIVE
OBSERVATIONS AND ASSESSMENTS FOLLOW, WITH INTERVENTIONS,
ACTIONS, AND PLANS LATER IN THE CHARTING ENTRY.
WHAT IS THE NURSE'S BEST DEFENSE IF A CLIENT ALLEGES NURSING
NEGLIGENCE?
A) TESTIMONY OF OTHER NURSES
B) TESTIMONY OF EXPERT WITNESSES
C) CLIENT'S RECORD
D) CLIENT'S FAMILY - ANSWERSC) Client's record
THE CLIENT RECORD IS THE ONLY PERMANENT LEGAL DOCUMENT THAT
DETAILS THE NURSE'S INTERACTIONS WITH THE CLIENT. IT IS THE BEST
Lippincott - Test Bank Chapter 20
Questions with Accurate Answers
A CLIENT'S DIAGNOSIS OF PNEUMONIA REQUIRES TREATMENT WITH
ANTIBIOTICS. THE CORRESPONDING ORDER IN THE CLIENT'S CHART SHOULD
BE WRITTEN AS:
A) AVELOX (MOXIFLOXACIN) 400 MG DAILY
B) AVELOX (MOXIFLOXACIN) 400 MG Q.D.
C) AVELOX (MOXIFLOXACIN) 400 MG QD
D) AVELOX (MOXIFLOXACIN) 400 MG OD - ANSWERSA) Avelox (Moxifloxacin) 400
MG daily
AMONG THE JCAHO'S LIST OF "DO NOT USE ABBREVIATIONS" ARE Q.D., QD,
AND OD WHEN DENOTING A ONCE-PER-DAY DRUG ADMINISTRATION.
BECAUSE OF THE POTENTIAL FOR MISINTERPRETATION AND CONSEQUENT
DRUG ERRORS, THE JCAHO RECOMMENDS WRITING "DAILY" IN THE ORDER
THE NURSES WHO PROVIDE CARE IN A LARGE, LONG-TERM CARE FACILITY
UTILIZE CHARTING BY EXCEPTION (CBE) AS THE PREFERRED METHOD OF
DOCUMENTATION. THIS DOCUMENTATION METHOD MAY HAVE WHICH OF THE
FOLLOWING DRAWBACKS?
A) VULNERABILITY TO LEGAL LIABILITY SINCE NURSE'S SAFE, ROUTINE CARE
IS NOT RECORDED
B) INCREASED WORKLOAD FOR NURSES IN ORDER TO COMPLETE
NECESSARY DOCUMENTATION
C) FAILURE TO IDENTIFY AND RECORD CLIENT PROBLEMS AND ASSOCIATED
INTERVENTIONS
D) SIGNIFICANT DIFFERENCES IN THE CHARTING BETWEEN NURSES DUE TO
LACK OF STANDARDIZATION - ANSWERSA) Vulnerability to legal liability since a
nurse's safe, routine care is not recorded
A SIGNIFICANT DRAWBACK TO CHARTING BY EXCEPTION IS ITS LIMITED
USEFULNESS WHEN TRYING TO PROVE HIGH-QUALITY SAFE CARE IN
RESPONSE TO A NEGLIGENCE CLAIM MADE AGAINST NURSING. CBE IS
GENERALLY LESS TIME-CONSUMING THAN ALTERNATE METHODS OF
DOCUMENTATION, AND BOTH STANDARDIZATION OF CHARTING AND
, IDENTIFICATION OF CLIENT-SPECIFIC PROBLEMS ARE POSSIBLE WITHIN THIS
DOCUMENTATION FRAMEWORK.
THE NURSE MANAGERS OF A HOME HEALTH CARE OFFICE WISH TO MAXIMIZE
NURSES' FREEDOM TO CHARACTERIZE AND RECORD CLIENT CONDITIONS
AND SITUATIONS IN THE NURSES' OWN TERMS. WHICH OF THE FOLLOWING
DOCUMENTATION FORMATS IS MOST LIKELY TO PROMOTE THIS GOAL?
A) NARRATIVE NOTES
B) SOAP NOTES
C) FOCUS CHARTING
D) CHARTING BY EXCEPTION - ANSWERSA) Narrative notes
ONE OF THE ADVANTAGES OF A NARRATIVE NOTES MODEL OF
DOCUMENTATION IS THAT IT ALLOWS NURSES TO DESCRIBE CLINICAL
ENCOUNTERS IN THEIR OWN TERMS, AS THEY UNDERSTAND THEM. OTHER
DOCUMENTATION FORMATS, SUCH AS SOAP NOTES, FOCUS CHARTING, AND
CHARTING BY EXCEPTION, ARE MORE RIGIDLY DELINEATED AND ALLOW
NURSES LESS LATITUDE IN THEIR DOCUMENTATION.
A HOSPITAL UTILIZES THE SOAP METHOD OF CHARTING. WITHIN THIS MODEL,
WHICH OF THE NURSE'S FOLLOWING STATEMENTS WOULD APPEAR AT THE
BEGINNING OF A CHARTING ENTRY?
A) "CLIENT COMPLAINING OF ABDOMINAL PAIN RATED AT 8/10."
B) "CLIENT IS GUARDING HER ABDOMEN AND OCCASIONALLY MOANING."
C) "CLIENT HAS A HISTORY OF RECENT ABDOMINAL PAIN."
D) "2 MG DILAUDID PO ADMINISTERED WITH GOOD EFFECT." - ANSWERSA)
"Client complaining of abdominal pain rated at 8/10."
THE SOAP METHOD OF CHARTING (SUBJECTIVE DATA, OBJECTIVE DATA,
ASSESSMENT, PLAN) BEGINS WITH THE INFORMATION PROVIDED BY THE
CLIENT, SUCH AS A COMPLAINT OF PAIN. THE NURSE'S OBJECTIVE
OBSERVATIONS AND ASSESSMENTS FOLLOW, WITH INTERVENTIONS,
ACTIONS, AND PLANS LATER IN THE CHARTING ENTRY.
WHAT IS THE NURSE'S BEST DEFENSE IF A CLIENT ALLEGES NURSING
NEGLIGENCE?
A) TESTIMONY OF OTHER NURSES
B) TESTIMONY OF EXPERT WITNESSES
C) CLIENT'S RECORD
D) CLIENT'S FAMILY - ANSWERSC) Client's record
THE CLIENT RECORD IS THE ONLY PERMANENT LEGAL DOCUMENT THAT
DETAILS THE NURSE'S INTERACTIONS WITH THE CLIENT. IT IS THE BEST
