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This type of question evaluates analytical and critical thinking skills.

What This Question Is About

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Use appropriate theories and support your answer with clear reasoning.

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This topic involves questions read following. A strong answer should include explanation, application, and examples.

Original Question

Questions Read the following questions and continue to write the answers in this document. Later in this activity, all of these answers will be documented in a note in the patient’s chart. All four videos can be found at the link below: https://www.cno.org/en/learn-about-standards-guidelines/educational-tools/learning-modules/documentation-2010/ Questions for Video 1 What does a nurse’s documentation demonstrate? 2. What types of documentation are there? 1. 2. 3. 3.Provide a few examples of documentation. 1. 2. 3. Question for Video Chapter 2: Communication 1.What’s the most important purpose of documentation? 2. Nursing documentation provides: 3. What should be included in documentation? 4. Give an example of a temporary record: 5. Give an example of a permanent record: Question from Video Chapter 3: Accountability 1. Documentation should be ­­­­­­­_________________, _______________ and ___­­­­_____________. 2. When should a nurse document? 3. How should the date and time be included in your entry? 4. What is the exception in which you can document for others? Question from Video Chapter 4: Security 1. PHIPA stands for: 2. As a student in clinical you can access the electronic health record for your peer because you are both students. True or False 3. A nurse should explain to the client they will share their information with: 4. When does the nurse need specific consent to share client health information: 5. Nursing students often write out the details of their client’s medical history and current hospitalization to complete research on patients diagnoses, meds and surgeries. Nursing students have an obligation to not leave the building with identifying information on these notes. What could you do to de-identify them? 6. You are given a form in clinical to temporarily record vital signs and other notes during the day for your patient assignment, with patient first and last names and room numbers. What should you do with this document before leaving clinical?

 
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