Nursing Documentation Quiz

10 Questions | By Arnoldjr2 | Updated: Mar 22, 2022 | Attempts: 18998

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This is a Nursing documentation quiz. From Foundations of Nursing by Christensen and Kockrow, pages 138-157. Do you think you can pass this test? Why not test your knowledge now? Let's go.

Questions and Answers

1.

This is the main basis for cost reimbursement rates by government plans.
- A.
  
  Critical pathway
- B.
  
  Minimum datasheet
- C.
  
  Diagnoses related groups
- D.
  
  Patient expense documentation
2.

What kind of documentation is the following? 0800-1300 0 45, pain scale 0/10, hand and leg, strong to the right, weak to the left. Skin pink, warm and dry, turgor good, incision to Rt. Anterior chest wall erythema or edema ...................Jane Night, LPN.
- A.
  
  Kardex
- B.
  
  Narrative
- C.
  
  Nurse's Notes
- D.
  
  Shift report
3.

_________ is a traditional charting?
- A.
  
  Narrative
- B.
  
  Problem-Oriented Medical Record
- C.
  
  SOAPE
- D.
  
  DARE
4.

The right difference between PIE and SOAPE formats is
- A.
  
  SOAPE is from a medical model, whereas PIE is from the nursing process.
- B.
  
  PIE is part of a medical model, and SOAPE is not.
- C.
  
  Both are same
- D.
  
  PIE is a part of SOAPE.
5.

When does discharge planning ideally begin?
- A.
  
  During admission
- B.
  
  After admission
- C.
  
  Before admission
- D.
  
  Without admission
6.

______ is not in the process of adding written valuable information for a health care record?
- A.
  
  Recording
- B.
  
  Charting
- C.
  
  Data entry
- D.
  
  Documenting