Documentation & Reporting Practice Questions
Accurate documentation by the nurse is necessary since proper documentation:
a.) Is needed for proper reimbursement
b.) Must be electronically generated
c.) Does not involve emails or faxes
d.) Is only legal is written by hand correct answers a
A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When
completing the admission paper work, the nurse needs to record:
a.) An interpretation of patient behavior
b.) Objective data that are observed
c.) Lengthy entry using lay terminology
d.) Abbreviations familiar to the nurse correct answers b
The nurse is admitting a patient who has had several previous admissions. In order to obtain a
knowledge base about the patient's medical history, the nurse may use the:
a.) Electronic medical record
b.) The computerized order entry
c.) Electronic health record
d.) American recovery and reinvestment act correct answers c
Concept maps can help build critical thinking in nursing education by:
a.) Determining priority patient needs
b.) Showing a new way to look at patient data
c.) Builds relationships between data/concepts
d.) All of the above correct answers d
,Which of the following are advantages of concept maps?
a.) Can be individual or group work
b.) Potential to be time consuming
c.) Active and interactive learning
d.) Can enhance or demonstrate understanding
e.) A, C, and D correct answers e
In comparing the American Nurses Association (ANA) and the International Council of Nurses
(ICN) definitions of nursing, what component does the ICN mention that is not included in
ANA's definition and is indicative of a more global focus?
a. Advocacy
b. Health promotion
c. Shaping health policy
d. Prevention of illness correct answers c
A profession has specific characteristics. In regard to how nursing meets these characteristics,
which criteria are consistent and standardized processes? (Select all that apply.)
a. Code of ethics
b. Licensing
c. Body of knowledge
d. Educational preparation
e. Altruism correct answers a,b,c,e
What specific aspect of a profession does the development of theories provide?
a. Altruism
b. Body of knowledge
c. Autonomy
, d. Accountability correct answers b
Health care workers are discussing a diverse group of patients respectfully and are being
responsive to the health beliefs and practices of these patients. What important aspect of nursing
professional practice are they exhibiting?
a. Autonomy
b. Accountability
c. Cultural competence
d. Autocratic leadership correct answers c
A nurse makes a medication error, immediately assesses the patient, and reports the error to the
nurse manager and the primary care provider (PCP). Which characteristic of a professional is the
nurse demonstrating?
a. Autonomy
b. Collaboration
c. Accountability
d. Altruism correct answers c
Which are included in the ANA standards? (Select all that apply.)
Standards of professional performance
a. Code of ethics
b. Standards of practice
c. Legal scope of practice
d. Licensure requirements correct answers a,c
Which core competency of advanced practice nursing is the Master of Science in Nursing (MSN)
nurse educator exhibiting when counseling a student in therapeutic communication techniques?
a. Leadership
b. Ethical decision making