b b b b
nk - 7th Edition By Kim Cooper-
b b b b b b
Kelly Gosnell
b b
SAMPLE TEST WITH MULTIPLE CHOICE
b b b b
, b
1. Whatbdoesbdocumentationbofbtypebofbcare,btimebofbcare,bandbsignaturebofbthebpersonbprove?
a) Thebpersonbwhobsignedbthebdocumentationbdidballbthba.bnoted.
b) Noblitigationbcanbbebbroughtbagainstbthebpersonbwhobb.bsigned.
c) Interventionsbwerebimplementedbtobmeetbthebpatienbc.bneeds.
d) d.bThebpatient’sbresponsebtobthebinterventionbwasbposi
b
ANS:bbC
Documentingbtypebofbcare,btimebofbcare,bandbsignaturebofbthebpersonbresultsbinbrecordingbthebinterventionsbthatbarebimpleme
tedbtobmeetbthebpatient’sbneeds.bManybchartingbentriesbincludebdoctor’sbvisits,bpresencebofbfamily,borbinterventionsbbybotherb
epartments.bPatientbresponsebtobsomebinterventionsbisbnotbalwaysbpositive.
b
DIF:bbbbCognitivebLevel:bComprehensionbbbREF:bbbPagebbbbbbbbbbbbbbbOBJ:bbb1
TOP:bbbDocumentationbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbKEY:bbNursingbProcessbStep:bImplementationbMSC:bbNCLEX:bN/A
b
2. Whybisbdocumentationbespeciallybsignificantbinbmanagedbcare?
Thebhospitalbneedsbtobshowbthatbemployeesbcarebfoba.bpatients.
Institutionsbarebreimbursedbonlybforbpatientbcarebthabb.
documented.
c. Patientsbmightbbringblawsuitsbifbcarebwasbnotbgiven.
d. Documentsbmaybbecomebpartbofbablawsuit.
b
b
, ANS:bbB
Costbreimbursementbratesbbybgovernmentbplansb(Medicare,bMedicaid)barebbasedbonbthebprospectivebpaymentbsystembofbdiag
osis-
relatedbgroupsb(DRGs);babsystembthatbclassifiesbpatientsbbybage,bdiagnosis,bsurgicalbprocedure,bandbotherbinformationbwithbhu
dredsbofbdifferentbcategoriesbtobpredictbthebusebofbhospitalbresources,bincludingblengthbofbstay,bresultingbinbabfixedbpaymentba
mount.
b
DIF:bbbbCognitivebLevel:bComprehensionbbbREF:bbbPagebbbbbbbbbbbbbbbOBJ:bbb1
TOP:bbbDocumentationbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbKEY:bbNursingbProcessbStep:bN/A
MSC:bbNCLEX:bN/A
b
3. Thebnursebchartsbonlybadditionalbtreatmentsbdone,bchangesbinbpatientbcondition,bandbnewbconcerns.bWhatbisbthisbsystembo
documentation?
b
a. SOAP
b. Block
c. CBE
d. Focus
b
b
ANS:bbC
Chartingbadditionalbtreatmentsbdone,bchangesbinbabpatient’sbcondition,bandbnewbconcernsbduringbthebshiftbisbchartingbbybexce
tionb(CBE).
b
DIF:bbbbCognitivebLevel:bComprehensionbbbREF:bbbPageb145bbbbbbbbOBJ:bbb1|b5|b7
TOP:bbbDocumentationbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbKEY:bbNursingbProcessbStep:bN/A