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nk - 7th Edition By Kim Cooper-
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Kelly Gosnell
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SAMPLE TEST WITH MULTIPLE CHOICE
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1. Whatfdoesfdocumentationfofftypefoffcare,ftimefoffcare,fandfsignaturefoffthefpersonfprove?
a) Thefpersonfwhofsignedfthefdocumentationfdidfallfthfa.fnoted.
b) Noflitigationfcanfbefbroughtfagainstfthefpersonfwhofb.fsigned.
c) Interventionsfwerefimplementedftofmeetfthefpatienfc.fneeds.
d) d.fThefpatient’sfresponseftofthefinterventionfwasfposi
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ANS:ffC
Documentingftypefoffcare,ftimefoffcare,fandfsignaturefoffthefpersonfresultsfinfrecordingfthefinterventionsfthatfarefimplemented
ofmeetfthefpatient’sfneeds.fManyfchartingfentriesfincludefdoctor’sfvisits,fpresencefofffamily,forfinterventionsfbyfotherfdepartme
ts.fPatientfresponseftofsomefinterventionsfisfnotfalwaysfpositive.
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DIF:ffffCognitivefLevel:fComprehensionfffREF:fffPagefffffffffffffffOBJ:fff1
TOP:fffDocumentationfffffffffffffffffffffffffffffffKEY:ffNursingfProcessfStep:fImplementationfMSC:ffNCLEX:fN/A
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2. Whyfisfdocumentationfespeciallyfsignificantfinfmanagedfcare?
Thefhospitalfneedsftofshowfthatfemployeesfcareffofa.fpatients.
Institutionsfarefreimbursedfonlyfforfpatientfcarefthafb.
documented.
c. Patientsfmightfbringflawsuitsfiffcarefwasfnotfgiven.
d. Documentsfmayfbecomefpartfoffaflawsuit.
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, ANS:ffB
Costfreimbursementfratesfbyfgovernmentfplansf(Medicare,fMedicaid)farefbasedfonfthefprospectivefpaymentfsystemfoffdiagnos
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relatedfgroupsf(DRGs);fafsystemfthatfclassifiesfpatientsfbyfage,fdiagnosis,fsurgicalfprocedure,fandfotherfinformationfwithfhundre
sfoffdifferentfcategoriesftofpredictfthefusefoffhospitalfresources,fincludingflengthfoffstay,fresultingfinfaffixedfpaymentfamount.
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DIF:ffffCognitivefLevel:fComprehensionfffREF:fffPagefffffffffffffffOBJ:fff1
TOP:fffDocumentationfffffffffffffffffffffffffffffffKEY:ffNursingfProcessfStep:fN/A
MSC:ffNCLEX:fN/A
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3. Thefnursefchartsfonlyfadditionalftreatmentsfdone,fchangesfinfpatientfcondition,fandfnewfconcerns.fWhatfisfthisfsystemfoffdo
umentation?
a. SOAP
b. Block
c. CBE
d. Focus
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ANS:ffC
Chartingfadditionalftreatmentsfdone,fchangesfinfafpatient’sfcondition,fandfnewfconcernsfduringfthefshiftfisfchartingfbyfexception
CBE).
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DIF:ffffCognitivefLevel:fComprehensionfffREF:fffPagef145ffffffffOBJ:fff1|f5|f7
TOP:fffDocumentationfffffffffffffffffffffffffffffffKEY:ffNursingfProcessfStep:fN/A
MSC:ffNCLEX:fN/A