100% Correct Answers
What are the 5 steps in the nursing process? - CORRECT ANSWER✔✔Assessment
Diagnosis
Planning
Implementation
Evaluation
What is the assessment portion of the nursing process used for? - CORRECT ANSWER✔✔data
collection
what is the nursing diagnosis portion of the nursing process used for? - CORRECT
ANSWER✔✔analyzing the data
what is the planning portion of the nursing process used for? - CORRECT ANSWER✔✔the steps
to resolve the health problem present
what is the implementation portion of the nursing process used for? - CORRECT
ANSWER✔✔carrying out the steps of the planning portion
what is the evaluation portion of the nursing process used for? - CORRECT ANSWER✔✔to
assess the patients respose to the treatment
How often is the nursing care plan updated? - CORRECT ANSWER✔✔every 24 hours
, what are the three charecteristics of an expected outcome? - CORRECT ANSWER✔✔realistic,
attainable, and have a set timeline
Who should have access to the patients records? - CORRECT ANSWER✔✔only those who are
directly involved in the patients care
What is source-oriented or narrative charting? - CORRECT ANSWER✔✔organized according to
the source of the information
What is problem-oriented medical record charting (POMR)? - CORRECT ANSWER✔✔charting
the focuses on the patient's status with an emphasis on the problem-solving approach
What is problem identification, interventions, and evaluation charting (PIE)? - CORRECT
ANSWER✔✔follows the nursing process and uses nursing diagnosises while placing the plan of
care within the nurses progress notes
What is focused charting? - CORRECT ANSWER✔✔focuses only on the direct health problems of
the patient
What is charting by exception? - CORRECT ANSWER✔✔the assumption that all standards of
practice are carried out and met with a normal or expected response
What is computer-assisted charting or an electronic health record (EHR)? - CORRECT
ANSWER✔✔a computerized comprehensive record of a patient's history and care across all
facilities and admissions
What is a computerized provider order entry (CPOE)? - CORRECT ANSWER✔✔an efficent and
effective way for any orders put in through the system to be automatically sent to the
appropriate clinical areas for action