As a staff nurse, Miss Cortes should remember that patient's records are documents that protect her from legal suits in the future.
21. Because of this fact, important observations and interventions are to be communicated through the:
A. Medication record
B. Progress notes
C. Flow chart
D. Discharge summary
22. Legally, nursing care that is not documented:
A. Is care provided even if it is not recorded
B. May be recorded soon after she remembers
C. May be recorded during her next round of duty
D. Is considered care that is not provided
23. As a form of information to all those involved in care prescribed and planned for her, it is necessary for Miss Cortes to document all care that:
A. She provided as well as all the care
B. The watchers provide
C. She was not provide
D. She provided
24. Legally, patient's charts are:
A. Owned by the government since it is a legal document
B. Owned by the doctor in charge and should be kept from the administrator for whatever reason
C. Owned by the hospital and should not be given to anyone who requests other than the doctor in charge
D. Owned by the patient and should be given by the nurse to her client if requested
25. Which of the following is true for charting done by nursing student and countersigned by the clinical instructor?
A. The staff nurse is legally accountable to the hospital for the nursing care delivered by the nursing students
B. The nursing student is legally accountable for all information she has written in the progress notes
C. The clinical instructor attest that she has personal knowledge of the information charted by the student
D. The instructor cannot be liable because the situation is part of the learning experience of the student
