A patient requests that records of her hospitalization for treatment of an infection following an abortion be destroyed as soon as she is discharged. What is the likely outcome of this request?
1. The record will be sealed.
2. The record will be destroyed.
3. The request will be denied.
4. The record will be given to the patient's attorney.
Nursing home policy states that a registered nurse must cosign all charts that licensed practical nurses complete. What is the effect of this policy on the registered nurse?
1. It places the RN in the position of endorsing and authenticating the entries made in the charts cosigned.
2. It gives legal proof that the RN was in the facility.
3. It has no legal effect on the RN.
4. It makes the RN personally liable for any subsequent harm that befalls the patient.
The nurse manager is aware that several patients will be admitted to the unit today. Today's staff includes three registered nurses, two licensed practical nurses, and three unlicensed nursing assistants.
Who should the manager expect to assess and document the admitted patient's nursing needs? 1. The nursing assistant
2. The admitting physician
3. A registered nurse
4. A licensed practical or vocational nurse
A newly licensed nurse complains to the preceptor about the amount of time spent documenting in the medical record. What is the preceptor's best response?
1. The most important reason we document is to help us communicate the patient's condition to the rest of the health care team.
2. Since you just took a course in nursing research, you should realize the value of accurate documentation as a source of research data.
3. We have to document so that charges are clear to third-party payers.
4. The medical record protects us if a lawsuit is filed.
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