Clarify the primary purpose of nursing orders:
to clarify nursing principles
to resolve the patient's problems
to support physician's orders
to provide broad, general statements
The Correct Answer is B
A. To clarify nursing principles: Nursing orders are action-oriented and not just meant to clarify theoretical principles.
B. To resolve the patient’s problems: Nursing orders focus on patient care interventions that directly address identified problems in the nursing diagnosis.
C. To support physician’s orders: Nursing orders complement medical care but are independent nursing actions, not just support for physician directives.
D. To provide broad, general statements: Nursing orders should be specific, measurable, and actionable, not broad statements.
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Correct Answer is C
Explanation
A. The care plan: While important for care, the care plan alone does not provide a full picture of patient care over time.
B. The medical orders: Medical orders show physician instructions but do not capture the full scope of patient care.
C. The entire record: The entire medical record can be subpoenaed and used as legal evidence, including notes, orders, test results, and nursing documentation.
D. Nursing notes: Nursing notes are part of the medical record but do not represent the full legal documentation on their own.
Correct Answer is D
Explanation
A. The patient's friends: While family and friends can provide secondary information, they are not the primary source of assessment data.
B. Past medical records: Past records can provide valuable history, but they do not replace real-time data from the patient.
C. The patient's record: The medical record is a collection of past documentation but is not a source of new assessment data.
D. The patient: The patient is the primary source of assessment data, as they provide information about their symptoms, medical history, and concerns.
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