MODULE 3 EAQ QUESTIONS (ASSIGNEMENT) || 100%
CORRECT ANSWERS.
A nurse supervisor is reviewing the medical records of different patients. For which event would
the nurse supervisor suggest writing an incident report?
A. A fall in the bathroom
B. Administration of medication
C. New laboratory reports
D. Progress in the patient's condition correct answers Answer: (A)
Rationale A patient's fall in the bathroom is an unusual and unexpected event. The nurse
supervisor should suggest that the nurse write an incident report for the event. The nurse should
obtain the signature of the nurse supervisor. Administration of medication is a routine
responsibility of the nurse, for which the nurse fills out the medication administration chart. The
sample analysis technician working in the laboratory fills in the data in the reports and results
section of the patient record. The nurse is not involved in writing laboratory reports. To provide
comprehensive information on the patient's health status, the nurse writes the progress report
using a narrative form of documentation.Test-Taking Tip: An incident report is completed when
an accident happens; they are called incidents instead of accidents to help you stay calm. (p. 134)
A patient reports to the nurse, "I have a sharp and intense pain around the umbilicus." The patient
rates the pain as 9 on a scale from 0 to 10. The nurse documents it as "The patient has abdominal
pain and feels uncomfortable." Which characteristic of high-quality nursing documentation is
lacking?
A. Accuracy
B. Timeliness
C. Accessibility
D. Retrievability correct answers Answer: (A
Rationale Accuracy, accessibility, relevance, auditability, thoughtfulness, timeliness, and
retrievability are the characteristics of high-quality nursing documentation. The nurse fails to
accurately reflect the patient's complaint by omitting the exact nature and severity of the pain;
, therefore the documentation lacks accuracy. The patient reported sharp and intense pain and
rated it 9 on a scale of 10; the nurse documented only generic pain and discomfort. There is no
evidence for a particular timeliness while documenting the patient's complaint. The nurse enters
information in the patient's medical record, so authorized personnel can access and retrieve the
reports or results filed by the nurse. Therefore the documentation does not lack timeliness,
accessibility, or retrievability. (p. 124)
A manager who is reviewing the nurses' notes in a patient's medical record finds the following
entry, "Patient is difficult to care for, refuses suggestion for improving appetite." Which direction
does the manager give to the nurse who entered the note?
A. Avoid rushing when charting an entry.
B. Use correction fluid to remove the entry.
C. Draw a single line through the statement and initial it
D. Enter only objective and factual information about the patient. correct answers Answer: (D)
RationaleNurses should enter only objective and factual information about patients. Opinions
have no place in the medical record. Nurses should avoid rushing when charting an entry.
Because the information has already been entered and is not incorrect, it should be left on the
record. Never use correction fluid in a written medical record. Instead, the nurse should draw a
single line through the statement and initial it and write "error" above it. (p. 126)
A nurse understands that patient records are legal documents and should be accurate. Which
precautions would the nurse take during documentation? Select all that apply.
- Record all facts.
- Apply correction fluid on errors.
-Record all written entries legibly and in black ink.
- Begin each entry with date and time and end with signature and title.
-Leave blank spaces in the nurse's note to fill in the details later. correct answers Record all facts.
Record all written entries legibly and in black ink.
CORRECT ANSWERS.
A nurse supervisor is reviewing the medical records of different patients. For which event would
the nurse supervisor suggest writing an incident report?
A. A fall in the bathroom
B. Administration of medication
C. New laboratory reports
D. Progress in the patient's condition correct answers Answer: (A)
Rationale A patient's fall in the bathroom is an unusual and unexpected event. The nurse
supervisor should suggest that the nurse write an incident report for the event. The nurse should
obtain the signature of the nurse supervisor. Administration of medication is a routine
responsibility of the nurse, for which the nurse fills out the medication administration chart. The
sample analysis technician working in the laboratory fills in the data in the reports and results
section of the patient record. The nurse is not involved in writing laboratory reports. To provide
comprehensive information on the patient's health status, the nurse writes the progress report
using a narrative form of documentation.Test-Taking Tip: An incident report is completed when
an accident happens; they are called incidents instead of accidents to help you stay calm. (p. 134)
A patient reports to the nurse, "I have a sharp and intense pain around the umbilicus." The patient
rates the pain as 9 on a scale from 0 to 10. The nurse documents it as "The patient has abdominal
pain and feels uncomfortable." Which characteristic of high-quality nursing documentation is
lacking?
A. Accuracy
B. Timeliness
C. Accessibility
D. Retrievability correct answers Answer: (A
Rationale Accuracy, accessibility, relevance, auditability, thoughtfulness, timeliness, and
retrievability are the characteristics of high-quality nursing documentation. The nurse fails to
accurately reflect the patient's complaint by omitting the exact nature and severity of the pain;
, therefore the documentation lacks accuracy. The patient reported sharp and intense pain and
rated it 9 on a scale of 10; the nurse documented only generic pain and discomfort. There is no
evidence for a particular timeliness while documenting the patient's complaint. The nurse enters
information in the patient's medical record, so authorized personnel can access and retrieve the
reports or results filed by the nurse. Therefore the documentation does not lack timeliness,
accessibility, or retrievability. (p. 124)
A manager who is reviewing the nurses' notes in a patient's medical record finds the following
entry, "Patient is difficult to care for, refuses suggestion for improving appetite." Which direction
does the manager give to the nurse who entered the note?
A. Avoid rushing when charting an entry.
B. Use correction fluid to remove the entry.
C. Draw a single line through the statement and initial it
D. Enter only objective and factual information about the patient. correct answers Answer: (D)
RationaleNurses should enter only objective and factual information about patients. Opinions
have no place in the medical record. Nurses should avoid rushing when charting an entry.
Because the information has already been entered and is not incorrect, it should be left on the
record. Never use correction fluid in a written medical record. Instead, the nurse should draw a
single line through the statement and initial it and write "error" above it. (p. 126)
A nurse understands that patient records are legal documents and should be accurate. Which
precautions would the nurse take during documentation? Select all that apply.
- Record all facts.
- Apply correction fluid on errors.
-Record all written entries legibly and in black ink.
- Begin each entry with date and time and end with signature and title.
-Leave blank spaces in the nurse's note to fill in the details later. correct answers Record all facts.
Record all written entries legibly and in black ink.
