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Module 15- Observation and Charting

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  1. Question 1 of 11
    1. Question

    Which of the following most completely defines observation?

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  2. Question 2 of 11
    2. Question

     An error made while writing in the patient’s/resident’s chart is corrected by:

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  3. Question 3 of 11
    3. Question

     Which of the following statements is an example of objective data or information?

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  4. Question 4 of 11
    4. Question

    Using the following statement, identify the sentence that uses the correct abbreviations: Patient/resident up in wheelchair all
    afternoon. Range of motion done three times a day. Physical Therapy to ambulate patient/resident after meals every day.
    Patient/resident may be out of bed as desired.

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  5. Question 5 of 11
    5. Question

    The words “ambulatory,” “bathroom privileges” and “before meals” are correctly abbreviated in only one of the sentences below.
    The correct abbreviations are:

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  6. Question 6 of 11
    6. Question

    A quick, easy, source of patient/resident information which includes the patient’s/resident’s diagnosis, diet, activity, special
    treatments and routine care measures is known as a:

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  7. Question 7 of 11
    7. Question

    The Nurse Assistant has just given Mrs. Kennedy a complete bed bath. What type of information would be appropriate to chart?

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  8. Question 8 of 11
    8. Question

    The routine, daily nursing tasks performed for a patient/resident are charted on the:

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  9. Question 9 of 11
    9. Question

    When charting on a patient’s/resident’s medical record, the Nurse Assistant should:

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  10. Question 10 of 11
    10. Question

    A list of the patient’s/resident’s needs and specific nursing activities to address those needs would be found

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  11. Question 11 of 11
    11. Question

    The Minimum Data Set (MDS) manual

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