Review: Narrative and Problem-Oriented Nursing Documentation

Review Summary

0 of 8 Questions completed

Questions:

You have already completed the review before. Hence you can not start it again.

Review is loading…

You must sign in or sign up to start the review.

You must first complete the following:

Results

Review complete. Results are being recorded.

Results

0 of 8 Questions answered correctly

You have reached 0 of 0 point(s), (0)

Current
Review / Skip
Answered
Correct
Incorrect

Question 1 of 8

1. Question
The Narrative Note format for nursing documentation
- Uses an S to denote what the patient told you.
- Provides a clear chronology in the Health Record.
- Is easily integrated with the use of flowsheets.
- Is best to use because it is not time consuming to write.
Correct

Incorrect
Question 2 of 8

2. Question
One Disadvantage to using the Narrative Note format is
- It lacks structure.
- Nurses may need a lot of instruction on its use.
- It follows the Nursing process.
- It is cannot be used easily in an emergency.
Correct

Incorrect
Question 3 of 8

3. Question
Problem-Oriented charting is also called
- Narrative charting
- SOAP charting
- Focus charting
- PIE charting
Correct

Incorrect
Question 4 of 8

4. Question
The O in SOAP refers to
- What the patient tells you about his/her condition.
- What your plan is for patient care.
- What you observe during the patient assessment.
- What your follow-up care will be for this patient.
Correct

Incorrect
Question 5 of 8

5. Question
One advantage to using Problem-Oriented documentation is
- It lacks structure and therefore is easier to follow.
- The nursing process is reflective in the SOAP format – assessment, diagnosis, plan, intervention and evaluation are all included in the documentation.
- It allows for a standardized treatment plan that is not supported through the documentation in the health record.
- It cannot be used to chronologically track the patient’s care.
Correct

Incorrect
Question 6 of 8

6. Question
One disadvantage to using Problem-Oriented documentation is
- It lacks structure.
- It may be redundant, as each problem should have its own note.
- It does not include subjective information.
- It does not include a plan of care.
Correct

Incorrect
Question 7 of 8

7. Question
The Database
- refers to the main method used to gather information about the patient upon admission.
- includes a nursing assessment and history to gather pertinent data about the patient’s condition.
- is used to help determine the priority of the patient’s problem(s) and develops the Nursing Care Plan.
- All of these statements about the Database are correct.
Correct

Incorrect
Question 8 of 8

8. Question
Why is the Problem-Oriented method of documentation appropriate in the correctional setting?
- Correctional nurses never contact a provider for further instructions.
- Correctional nurses do not use nursing diagnoses in their patient care.
- Correctional nurses do not provide patient education.
- Correctional nurses determine discharge plans for their patients at each encounter and document them under the Plan.
Correct

Incorrect

Review Summary

Information

Results

Results

Categories

1. Question

2. Question

3. Question

4. Question

5. Question

6. Question

7. Question

8. Question