Pasco #1 - Reporting And Documenting Client care

10 Questions | By Msjbco | Last updated: Mar 21, 2022 | Total Attempts: 1898

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Are you "In the Know" about reporting and documenting client care? Circle the best choice. Then check your answers with your supervisor!

Questions and Answers

1.

It's best to perform all your care on all your clients first, then sit down to document everything all at once.
- A.
  
  True
- B.
  
  False
2.

You can use any abbreviation you like as long as it is neatly written.
- A.
  
  True
- B.
  
  False
3.

If your client refuses care, you should not document anything in the chart.
- A.
  
  True
- B.
  
  False
4.

After making an oral report, you should document the name and title of the person you reported to (if documentation is part of your job description).
- A.
  
  True
- B.
  
  False
5.

Your client tells you, "I'm sick of living in pain like this," you should report:
- A.
  
  "Client is suicidal."
- B.
  
  "Client needs pain medication but the nurse is not available."
- C.
  
  "Client reports, 'I'm sick of living in pain like this.'"
- D.
  
  "Client reports feeling sick from all the pain."
6.

If you accidentally chart on the wrong client, you should use "white-out" to cover the documentation, then immediately chart in the right chart.
- A.
  
  True
- B.
  
  False
7.

An example of an objective observation is: "Temp. 99.6, pulse 74, resp. 16."
- A.
  
  True
- B.
  
  False
8.

Keeping documentation confidential in a Home Health setting is not as important as other settings because most people in the home are family or friends.
- A.
  
  True
- B.
  
  False
9.

It is never okay to document care before you give it, even if you do the same thing every day.
- A.
  
  True
- B.
  
  False
10.

A report that describes an unexpected event that involves an accident or injury is called an _________ report.