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17 Multiple choice questions

  1. has activity, treatment, nursing care plan sections that organize information for quick references
  2. subjective, objective, assessment, plan, intervention, evaluation
  3. focuses on deviations from the established norm or abnormal findings; highlights trends or changes
  4. provide baseline data to compare with changes in the clients condition.
  5. preprinted, established guidelines used to care for the client
  6. incorporates a multidisciplinary approach to documenting care
  7. involves the use of data, action, and response (DAR)
  8. emphasize previous learing by the client and the care that should be continued.
  9. story telling
  10. multidisciplinary care plans that include client problems, key interventions, and expected outcome.
  11. subjective, obejective, assessment, plan
  12. data entry of assessment such as vital signs, hygiene measures, ambulation, restraint checks
  13. determine the hours of care and staff required for a given group of clients.
  14. separate section for each discipline
  15. situation, background, assessment, recommendation
  16. problem, intervention, and evaulation
  17. database, problem list, care plan, and progress notes