SCF Nursing Level 1 Exam 2 Questions with
100% Correct Answers | Verified | Latest
Update
Nursing..action..that..produces..a..written..account..of..pertinent..patient..data,..clinical..decisions
..and..interventions,..and..patients..response..in..a..health..record...-..Correct..Answer-
Documentation
Classifications..based..on..a..patients..primary..and..secondary..medical..diagnosis..that..are..used.
.as..the..basis..for..establishing..Medicare..reimbursement..for..patient..care...-..Correct..Answer-
Diagnosis-related..groups..(DRGs)
A..combination..of..hardware..and..software..that..protects..private..network..resources..-
..Correct..Answer-Firewall
A..system..of..organizing..documentation..to..place..primary..focus..on..patients..individual..probl
ems..-..Correct..Answer-Problem-oriented..medical..record..(POMR)
S.O.A.P.I.E..-..Correct..Answer-
subjective,..objective,..assessment,..plan,..intervention,..evaluation
Address..the..patient..concerns:..A..sign..or..symptom,..condition,..nursing..diagnosis,..behavior,..a
nd..change..in..patients..condition..-..Correct..Answer-DAR..notes..(Data,..Action,..Response)
Chart..methodology..in..which..data..are..entered..only..when..there..is..an..exception..from..that..
which..is..normal..or..expected;..reduces..time..spent..documenting..in..charting...Shorthand..met
hod..for..documenting..normal..findings..and..routine..care..-..Correct..Answer-
Charting..by..exception..(CBE)
, Inter..professional..care..plans..that..identify..patient..problems,..key..interventions,..and..expect
ed..outcomes..within..an..established..time..frame..-..Correct..Answer-Critical..Pathways
Unexpected..event..that..occurs..during..patient..care..and..that..is..different..from..CareMao..pred
ictions...Interventions..or..outcomes..that..are..not..achieved..as..anticipated...May..be..positive..o
r..negative..-..Correct..Answer-Variances
Documents..on..which..frequent..observations..or..specific..measurements..are..recorded...-
..Correct..Answer-Flow..sheets
Written..care..plans..used..for..groups..of..patients..who..have..similar..health..care..problems...-
..Correct..Answer-Standardized..care..plans..or..Clinical..practice..guidelines
Mechanism..by..which..entries..describing..patient..care..activities..are..made..over..a..24..hour..pe
riod...The..activities..are..then..translated..into..a..rating..score..that..allows..for..comparison..of..p
atients..who..vary..by..severity..of..illness..-..Correct..Answer-Acuity..recording
Comprehensive..computerized..system..used..by..all..healthcare..practitioners..to..permanently..s
tore..information..pertaining..to..a..patients..health..status,..clinical..problems,..and..functional..a
bilities..-..Correct..Answer-Computer-based..patient..record
A..confidential..document..that..describes..any..patient..accident..while..the..person..is..on..the..pr
emises..of..a..health..care..agency...-..Correct..Answer-incident..report
management..and..processing..of..information,..generally..with..the..assistance..of..computers..-
..Correct..Answer-Information..technology..(IT)
100% Correct Answers | Verified | Latest
Update
Nursing..action..that..produces..a..written..account..of..pertinent..patient..data,..clinical..decisions
..and..interventions,..and..patients..response..in..a..health..record...-..Correct..Answer-
Documentation
Classifications..based..on..a..patients..primary..and..secondary..medical..diagnosis..that..are..used.
.as..the..basis..for..establishing..Medicare..reimbursement..for..patient..care...-..Correct..Answer-
Diagnosis-related..groups..(DRGs)
A..combination..of..hardware..and..software..that..protects..private..network..resources..-
..Correct..Answer-Firewall
A..system..of..organizing..documentation..to..place..primary..focus..on..patients..individual..probl
ems..-..Correct..Answer-Problem-oriented..medical..record..(POMR)
S.O.A.P.I.E..-..Correct..Answer-
subjective,..objective,..assessment,..plan,..intervention,..evaluation
Address..the..patient..concerns:..A..sign..or..symptom,..condition,..nursing..diagnosis,..behavior,..a
nd..change..in..patients..condition..-..Correct..Answer-DAR..notes..(Data,..Action,..Response)
Chart..methodology..in..which..data..are..entered..only..when..there..is..an..exception..from..that..
which..is..normal..or..expected;..reduces..time..spent..documenting..in..charting...Shorthand..met
hod..for..documenting..normal..findings..and..routine..care..-..Correct..Answer-
Charting..by..exception..(CBE)
, Inter..professional..care..plans..that..identify..patient..problems,..key..interventions,..and..expect
ed..outcomes..within..an..established..time..frame..-..Correct..Answer-Critical..Pathways
Unexpected..event..that..occurs..during..patient..care..and..that..is..different..from..CareMao..pred
ictions...Interventions..or..outcomes..that..are..not..achieved..as..anticipated...May..be..positive..o
r..negative..-..Correct..Answer-Variances
Documents..on..which..frequent..observations..or..specific..measurements..are..recorded...-
..Correct..Answer-Flow..sheets
Written..care..plans..used..for..groups..of..patients..who..have..similar..health..care..problems...-
..Correct..Answer-Standardized..care..plans..or..Clinical..practice..guidelines
Mechanism..by..which..entries..describing..patient..care..activities..are..made..over..a..24..hour..pe
riod...The..activities..are..then..translated..into..a..rating..score..that..allows..for..comparison..of..p
atients..who..vary..by..severity..of..illness..-..Correct..Answer-Acuity..recording
Comprehensive..computerized..system..used..by..all..healthcare..practitioners..to..permanently..s
tore..information..pertaining..to..a..patients..health..status,..clinical..problems,..and..functional..a
bilities..-..Correct..Answer-Computer-based..patient..record
A..confidential..document..that..describes..any..patient..accident..while..the..person..is..on..the..pr
emises..of..a..health..care..agency...-..Correct..Answer-incident..report
management..and..processing..of..information,..generally..with..the..assistance..of..computers..-
..Correct..Answer-Information..technology..(IT)
