HUMN 303N WEEK 7 ASSIGNMENT
CONTROVERSIAL ART AND CENSORSHIP
PROFESSIONAL EXAMPREP 2026 TESTED
QUESTIONS AND SOLUTIONS FULL REVIEW
GRADED A+
◉ Effective Documentation. Answer: Documentation that is
complete, accurate, concise, factual, organized, timely, legally
prudent, and confidential.
◉ Confidentiality. Answer: The ethical and legal obligation to protect
all patient information from unauthorized disclosure.
◉ Protected Health Information (PHI). Answer: Any identifiable
patient information, including name, address, diagnosis, treatments,
and health history.
◉ Breach of Confidentiality. Answer: Unauthorized access,
disclosure, or failure to protect patient information (e.g., not logging
off a computer).
,◉ 24-Hour Military Clock. Answer: Time-keeping system used in
health care documentation to prevent errors and confusion (e.g.,
1300 instead of 1:00 PM).
◉ Patient Rights. Answer: Legal rights ensuring patients can access,
review, and request updates to their medical record (but not revise
entries themselves).
◉ Verbal Orders (VO). Answer: Orders given orally by a provider
during urgent situations that must be read back, documented, timed,
and signed.
◉ Read-Back. Answer: Safety process where verbal orders are
repeated to verify accuracy and reduce errors.
◉ Source-Oriented Record. Answer: Record organized around
patient problems rather than disciplines.
◉ Problem-Oriented Medical Record (POMR). Answer:
Documentation organized by discipline (nursing, physician, labs),
each maintaining separate records.
◉ SOAP Notes. Answer: Documentation format: Subjective,
Objective, Assessment, Plan.
, ◉ PIE Charting. Answer: Charting method integrating care plans
using Problem, Intervention, Evaluation.
◉ Focus Charting. Answer: Patient-centered charting that focuses on
patient concerns, behaviors, or significant events.
◉ Charting by Exception (CBE). Answer: Documentation method
where only deviations from normal findings are recorded.
◉ Medication Administration Record (MAR). Answer: Legal record
of all medications administered, including dose, time, route, and
nurse signature.
◉ Flow Sheets. Answer: Graphic records used to quickly document
routine or repeated assessments and interventions.
◉ Acuity Record. Answer: Tool that measures patient care needs and
nursing workload.
◉ Discharge Summary. Answer: Documentation outlining patient
status, education, medications, and follow-up care at discharge.
CONTROVERSIAL ART AND CENSORSHIP
PROFESSIONAL EXAMPREP 2026 TESTED
QUESTIONS AND SOLUTIONS FULL REVIEW
GRADED A+
◉ Effective Documentation. Answer: Documentation that is
complete, accurate, concise, factual, organized, timely, legally
prudent, and confidential.
◉ Confidentiality. Answer: The ethical and legal obligation to protect
all patient information from unauthorized disclosure.
◉ Protected Health Information (PHI). Answer: Any identifiable
patient information, including name, address, diagnosis, treatments,
and health history.
◉ Breach of Confidentiality. Answer: Unauthorized access,
disclosure, or failure to protect patient information (e.g., not logging
off a computer).
,◉ 24-Hour Military Clock. Answer: Time-keeping system used in
health care documentation to prevent errors and confusion (e.g.,
1300 instead of 1:00 PM).
◉ Patient Rights. Answer: Legal rights ensuring patients can access,
review, and request updates to their medical record (but not revise
entries themselves).
◉ Verbal Orders (VO). Answer: Orders given orally by a provider
during urgent situations that must be read back, documented, timed,
and signed.
◉ Read-Back. Answer: Safety process where verbal orders are
repeated to verify accuracy and reduce errors.
◉ Source-Oriented Record. Answer: Record organized around
patient problems rather than disciplines.
◉ Problem-Oriented Medical Record (POMR). Answer:
Documentation organized by discipline (nursing, physician, labs),
each maintaining separate records.
◉ SOAP Notes. Answer: Documentation format: Subjective,
Objective, Assessment, Plan.
, ◉ PIE Charting. Answer: Charting method integrating care plans
using Problem, Intervention, Evaluation.
◉ Focus Charting. Answer: Patient-centered charting that focuses on
patient concerns, behaviors, or significant events.
◉ Charting by Exception (CBE). Answer: Documentation method
where only deviations from normal findings are recorded.
◉ Medication Administration Record (MAR). Answer: Legal record
of all medications administered, including dose, time, route, and
nurse signature.
◉ Flow Sheets. Answer: Graphic records used to quickly document
routine or repeated assessments and interventions.
◉ Acuity Record. Answer: Tool that measures patient care needs and
nursing workload.
◉ Discharge Summary. Answer: Documentation outlining patient
status, education, medications, and follow-up care at discharge.
