*NURSING > TEST BANK > TEST BANK FOR EBERSOLE AND HESS’ GERONTOLOGICAL NURSING AND HEALTHY AGING IN CANADA 2ND EDITION BY (All)
Chapter 5. Nursing Documentation Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 2nd Edition MULTIPLE CHOICE 1. Which of the following is a true statement abou... t documentation? a. Nurses should keep records of patients’ wishes. b. Patients do not have access to their own medical records. c. The Outcomes and Assessment Information Set (OASIS) is a complete record of the health status of a patient. d. The nurse is responsible for completing all of the Minimum Data Set (MDS). 2. Which one of the following iNs connected with the nursing home reform mandated by a 1987 law? a. Resident Assessment Instrument (RAI) b. Health Insurance Portability and Accountability Act (HIPAA) c. Outcomes and Assessment Information Set (OASIS) d. Fulmer SPICES 3. An older woman has diabetes mellitus and requires hemodialysis for renal failure. She is discharged to home to recover from a sternal wound infection and coronary artery bypass graft surgery (CABG). A home care nurse will provide wound care. Which of the following is the major justification for the complete and accurate documentation of this older adult’s care? a. Requires complex health care b. Has needs in multiple settings c. Is at risk for iatrogenic problems d. Has significant health care expenses 4. Which documentation tool does the nurse use to achieve optimal functional status for a nursing home resident? a. Narrative patient progress notesN b. Problem-oriented documentation c. Resource Utilization Group (RUG) d. Resident Assessment Instrument (RAI) 5. Using the RAI, the nurse identifies a trigger for a male nursing home resident who requires an indwelling urinary catheter from the Minimum Data Set (MDS). Which should the nurse do next? a. Develop an individualized care plan. b. Assign suitable nursing interventions. c. Use the RAPs. d. Institute agency-approved catheter care. ironment 6. The federal government requires the use of a specific standardized documentation tool for home nursing care. Which information must a home nurse add to the approved documentation tool? a. Activity b. Vital signs c. Functional d. Demographic [Show More]
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