JCAHO regulates standards of care to:

ensure subjective documentation

make sure that all nurses use the same charting system

ensure quality patient care

make sure insurance companies get paid correctly

Answer and Explanation

The Correct Answer is C

A. Ensure subjective documentation: JCAHO (Joint Commission on Accreditation of Healthcare Organizations) promotes objective documentation to ensure accuracy and reliability in patient care records.

B. Make sure that all nurses use the same charting system: JCAHO does not mandate a uniform charting system, as institutions may use different electronic health record (EHR) systems.

C. Ensure quality patient care: JCAHO’s primary role is to establish and enforce standards to improve patient safety and healthcare quality.

D. Make sure insurance companies get paid correctly: JCAHO’s focus is on patient care quality, not financial reimbursement.

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Correct Answer is C

Explanation

A. CNA (Certified Nursing Assistant): CNAs assist with basic patient care (e.g., hygiene, vital signs) but do not perform assessments or make nursing diagnoses.

B. Technician: Technicians perform specific tasks (e.g., drawing blood, ECGs) but do not analyze patient data for diagnosis.

C. RN (Registered Nurse): The RN is responsible for analyzing and interpreting data, identifying nursing diagnoses, and developing the care plan.

D. LPN/LVN (Licensed Practical/Vocational Nurse): LPNs/LVNs can collect data but cannot make a nursing diagnosis, which is the RN’s role.

A. Physician's Order Sheet B. Narcotic Administration Sheet C. Care Plan D. MAR and Narcotic Administration Sheet

Correct Answer is D

Explanation

A. Physician's Order Sheet: While the physician orders narcotics, administration is not documented here.

B. Narcotic Administration Sheet: The Narcotic Administration Sheet is specifically for controlled substances, ensuring proper tracking and preventing misuse.

C. Care Plan: The care plan outlines patient goals and interventions, not medication administration.

D. MAR (Medication Administration Record) and Narcotic Administration Sheet: The MAR (Medication Administration Record) documents all medications given to the patient. The Narcotic Administration Sheet is required for controlled substances to comply with regulations.

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JCAHO regulates standards of care to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Identify the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis:

Correct Answer is C

Explanation

On what form/forms should the nurse chart when administering a narcotic?

Correct Answer is D

Explanation

A charge nurse is reviewing documentation with a group of newly hired nurses. Which of the following guidelines should be followed when documenting in a patient record? (select all that apply)

When discovering subjective data, recognize that they relate to:

When documenting events in a patient's chart, the nurse should chart:

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

Subjective data provided by the patient included complaints of intermittent chest pain upon exertion. When performing a complete physical examination, the nurse might use an organized approach such as:

Patient health care records are:

One benefit of computerized charting is that:

In which step of the nursing process do nurses look at outcomes?