NRSG 91 TEST 2 WEEKS 8 & 9 2025 (ACTUAL TEST) | ALL
QUESTIONS AND CORRECT ANSWERS | GRADED A+ |
VERIFIED ANSWERS | LATEST EXAM
What is a health care record? - ANSWER✔✔-Written or electronically generated
information about a patient.
What information is included in a health care record? - ANSWER✔✔-Patient's history,
current health status, care, treatments & services provided, discussions with the patient
and/or significant others, date & time and the health care professional's signature and
status.
What is the purpose of a health care record? - ANSWER✔✔-Facilitation of information
flow to support continuity, quality, and safety of care.
What is the goal of a health care record? - ANSWER✔✔-To describe facts clearly and
concisely to improve communication.
What are the functions of a health care record? - ANSWER✔✔-Communication tool,
promotes continuity of care, single data access point for staff, legal document, clinical
data archive, tool for research, audits, quality control, education, performance
appraisals.
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 1
, What standards must documentation in Ontario comply with? - ANSWER✔✔-CO's
Professional and Practice Standards.
What are the requirements for a health care record to provide legal evidence of care? -
ANSWER✔✔-Permanent record, clear and concise, accurate, complete and objective,
timely, accessible, must not be altered or have spelling or grammar errors.
What are potential problems with a written health care record? - ANSWER✔✔-May not
fax or photocopy well if black ink is not used, spaces can be left, can be difficult to
locate, single-user access, fragile and susceptible to damage, handwriting may be
illegible.
What are potential problems with an electronic health care record? - ANSWER✔✔-
Initial cost, sharing of passwords.
What is an EMR? - ANSWER✔✔-Electronic medical record, a record of one episode of
care.
What is an EHR? - ANSWER✔✔-Electronic health record, a longitudinal record of
health that includes in-patient and out-patient documentation.
What is CNA's vision for electronic health records? - ANSWER✔✔-By 2020, every
Canadian will have a secure, portable, and accessible electronic health record.
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 2
QUESTIONS AND CORRECT ANSWERS | GRADED A+ |
VERIFIED ANSWERS | LATEST EXAM
What is a health care record? - ANSWER✔✔-Written or electronically generated
information about a patient.
What information is included in a health care record? - ANSWER✔✔-Patient's history,
current health status, care, treatments & services provided, discussions with the patient
and/or significant others, date & time and the health care professional's signature and
status.
What is the purpose of a health care record? - ANSWER✔✔-Facilitation of information
flow to support continuity, quality, and safety of care.
What is the goal of a health care record? - ANSWER✔✔-To describe facts clearly and
concisely to improve communication.
What are the functions of a health care record? - ANSWER✔✔-Communication tool,
promotes continuity of care, single data access point for staff, legal document, clinical
data archive, tool for research, audits, quality control, education, performance
appraisals.
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 1
, What standards must documentation in Ontario comply with? - ANSWER✔✔-CO's
Professional and Practice Standards.
What are the requirements for a health care record to provide legal evidence of care? -
ANSWER✔✔-Permanent record, clear and concise, accurate, complete and objective,
timely, accessible, must not be altered or have spelling or grammar errors.
What are potential problems with a written health care record? - ANSWER✔✔-May not
fax or photocopy well if black ink is not used, spaces can be left, can be difficult to
locate, single-user access, fragile and susceptible to damage, handwriting may be
illegible.
What are potential problems with an electronic health care record? - ANSWER✔✔-
Initial cost, sharing of passwords.
What is an EMR? - ANSWER✔✔-Electronic medical record, a record of one episode of
care.
What is an EHR? - ANSWER✔✔-Electronic health record, a longitudinal record of
health that includes in-patient and out-patient documentation.
What is CNA's vision for electronic health records? - ANSWER✔✔-By 2020, every
Canadian will have a secure, portable, and accessible electronic health record.
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 2
