Asked by Jazib Shamsi on May 19, 2024
Verified
At the end of the shift,the nurse is reviewing client documentation.Among the chart entries,special attention is paid to the flow sheets and abnormal assessment findings for each client.This type of charting is an example of which of the following?
A) Computerized documentation
B) Focus charting
C) SOAP charting
D) Charting by exception
Charting By Exception
A documentation system in which only significant findings or exceptions to norms are recorded.
Flow Sheets
Documents used in healthcare and engineering to record and track dynamic processes, showing trends of patient data over time or the sequence of operations in a process.
Abnormal Findings
Observations made during diagnostic processes that indicate deviation from normal health states, potentially signaling the presence of disease or disorders.
- Differentiate and identify various documentation methodologies like narrative charting, problem-oriented recording, SOAP, PIE, and focus charting, and understand their roles in nursing.
Verified Answer
Learning Objectives
- Differentiate and identify various documentation methodologies like narrative charting, problem-oriented recording, SOAP, PIE, and focus charting, and understand their roles in nursing.
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