with answers \|
CHAPTER 10: - CORRECT ANSWERS ✔✔ \| \| \| \| \|
What is a medical record? - CORRECT ANSWERS ✔✔a confidential,
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permanent legal document of information relevant to that
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patients health care \| \|
What does the health care information system do? - CORRECT
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ANSWERS ✔✔support and enhance health care \| \| \| \| \|
Define informatics. - CORRECT ANSWERS ✔✔use of information
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and computer technology to support all aspects of nursing
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practice
What does the EMR/EHR do? - CORRECT ANSWERS ✔✔increases
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patient safety \|
What are the five steps of expected documentation? - CORRECT
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ANSWERS ✔✔nursing assessment, care plan, interventions,
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patient's outcomes or response to care, assessment of patient's
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ability to manage.
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Military time: what is 11:42 a.m. and p.m.? - CORRECT ANSWERS
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✔✔a.m. - 1142 \| \|
,p.m. - 2342
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What does SOAP stand for? - CORRECT ANSWERS ✔✔subjective-
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objective-assessement-plan
What does PIE stand for? - CORRECT ANSWERS ✔✔problem-
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intervention-evaluation
What does DAR stand for? - CORRECT ANSWERS ✔✔data-action-
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response
What is charting by exception? - CORRECT ANSWERS ✔✔document
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when something out of the ordinary is observed
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What are the advantage of using charting by exeption? -
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CORRECT ANSWERS ✔✔easy to track unexpected changes,
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eliminated repetition and subjective data, decreases time spect
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on charting
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Define case managment. - CORRECT ANSWERS ✔✔a model of
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delivering care that includes a multidisciplinary approach
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What is used to direct and monitor client care and foster
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identification of variances? - CORRECT ANSWERS ✔✔critical\| \| \| \| \| \| \|
pathway
, What are the 2 types of hand-off report? - CORRECT ANSWERS
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✔✔change in shift report or a transfer report (move patient to new
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floor)
What communication does a nurse use during a telephone
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report? - CORRECT ANSWERS ✔✔SBAR
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CHAPTER 21: - CORRECT ANSWERS ✔✔ \| \| \| \| \|
Define culture. - CORRECT ANSWERS ✔✔how health, illness, and
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healthcare are precieved by a group \| \| \| \| \|
Define health disparity. - CORRECT ANSWERS ✔✔health difference
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linked to disadvantage
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What are social determinants of health? - CORRECT ANSWERS
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✔✔conditions in which persons are born, grow, live, work, and age
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What is a report? - CORRECT ANSWERS ✔✔oral, written,
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audiotapes exchange of information between members of the
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healthcare team \|
Define intersectionality. - CORRECT ANSWERS ✔✔is a research
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and policy model used to study the complexities of peoples lives
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and experiences
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