A nurse working in a care area that uses paper charting notices an error when recording a patient’s vital signs in the patient record.

Which option adheres to The Centers for Medicare & Medicaid Services (CMS) guidelines for making corrections to documentation?

The nurse may use white out to remove the incorrect documentation and write the correct information over the white out.

The nurse should use a permanent marker to eliminate all incorrect documentation from view and initial the mistake.

The nurse should cross out the error with a double line so the original documentation may be seen and date the new entry.

The nurse should cross out the error with a single line so the original documentation can be seen and sign and date the correction.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Using white out to remove incorrect documentation and writing the correct information over the white out is not an acceptable practice according to CMS guidelines. This method does not allow for the original documentation to be seen, which is a requirement for making corrections to documentation.
Choice B rationale
Using a permanent marker to eliminate all incorrect documentation from view and initialing the mistake is also not an acceptable practice according to CMS guidelines. This method completely obscures the original documentation, which goes against the CMS requirement that all original content must be clearly identifiable.
Choice C rationale
Crossing out the error with a double line so the original documentation may be seen and dating the new entry is not specifically mentioned in the CMS guidelines. While this method does allow for the original documentation to be seen, it’s not clear whether it adheres to all CMS guidelines.
Choice D rationale
According to CMS guidelines, when making corrections to documentation, the nurse should cross out the error with a single line so the original documentation can be seen and sign and date the correction. This method ensures that all original content is clearly identifiable, which is a requirement for making corrections to documentation.

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Correct Answer is A

Explanation

Choice A rationale
The Americans with Disabilities Act (ADA) prohibits discrimination against people with disabilities in several areas, including employment, transportation, public accommodations, communications and access to state and local government’ programs and services. If a diabetic client was terminated from their employment for using their glucose meter, it would infringe upon this law.
Choice B rationale
The Emergency Medical Treatment and Active Labor Act (EMTALA) is a statute that governs when and how a patient may be refused treatment or transferred from one hospital to another when he is in an unstable medical condition. This law is not related to employment rights.
Choice C rationale
The Mental Health Parity Act (MHPA) is legislation signed into United States law on September 26, 1996 that requires annual or lifetime dollar limits on mental health benefits to be no lower than any such dollar limits for medical and surgical benefits offered by a group health plan or health insurance issuer offering coverage in connection with a group health plan. This law does not pertain to employment rights.
Choice D rationale
The Affordable Care Act (ACA), also known as Obamacare, is a healthcare reform that includes a list of health-related provisions that began taking effect in 2010. It doesn’t deal with employment rights.

A. Discrimination. B. Ethnocentrism. C. Stereotyping. D. Acculturation.

Correct Answer is A

Explanation

Choice A rationale
Discrimination refers to the unjust or prejudicial treatment of different categories of people, especially on the grounds of race, age, or sex. In this case, the physician is refusing to use a translator and only provides materials in English to patients who may not understand the language. This action can be seen as discriminatory because it denies these patients the same level of care that English-speaking patients receive.
Choice B rationale
Ethnocentrism is the belief in the inherent superiority of one’s own ethnic group or culture. While the physician’s actions may seem ethnocentric, as they are not considering the cultural needs of their patients, the scenario does not provide enough information to definitively label the behavior as such.
Choice C rationale
Stereotyping involves generalized and oversimplified beliefs about a particular group. The physician’s actions do not necessarily indicate that they are stereotyping their patients, but rather that they are not providing equitable care.
Choice D rationale
Acculturation is the process of adopting the cultural traits or social patterns of another group. The physician’s actions do not demonstrate acculturation. Instead, they show a lack of willingness to accommodate the cultural and linguistic needs of their patients.

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A nurse working in a care area that uses paper charting notices an error when recording a patient’s vital signs in the patient record. Which option adheres to The Centers for Medicare & Medicaid Services (CMS) guidelines for making corrections to documentation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A diabetic client reports being terminated from their employment for using their glucose meter. Which law does this action infringe upon?

Correct Answer is A

Explanation

The nurse is working at a clinic that assists minority patients. The nurse notes that the physician refuses to use a translator and gives the patients materials only in English. The nurse notes that the physician is guilty of which of the following?

Correct Answer is A

Explanation

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A nurse working in a care area that uses paper charting notices an error when recording a patient’s vital signs in the patient record.

Which option adheres to The Centers for Medicare & Medicaid Services (CMS) guidelines for making corrections to documentation?