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Principles of Recording in Nursing

Instructions:

Choose an answer and hit 'next'. You will receive your score and answers at the end.

question 1 of 3

Which of the following is a TRUE statement concerning patient record keeping?

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1. When should a nurse write down records about a patient encounter?

2. What should a nurse do if he/she wants to correct a statement made on a patient record?

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About This Quiz & Worksheet

By working through this quiz and worksheet combo, you can gauge how much you know about record keeping in nursing. For this quiz, you'll need to know true statements concerning record keeping and when nurses should record patient information.

Quiz & Worksheet Goals

You can use this quiz and worksheet to review:

  • The information that should be included in a patient's record
  • How to fix mistakes on a record
  • Information about patient record keeping
  • What to do if patients do not want treatment

Skills Practiced

  • Reading comprehension - ensure that you draw the most important information from the related lesson on record keeping
  • Information recall - access the knowledge you've gained regarding how incorrect statements are rectified on a patient's record
  • Interpreting information - verify that you can read information regarding typical information that a nurse should place in a patient's record and interpret it correctly

Additional Learning

To discover more information about record keeping, view the lesson called Principles of Recording in Nursing. This lesson will help you to:

  • Recall what record keeping is and why it is important
  • Review the definition of a patient record
  • Learn about the rules of record keeping such as never destroying records without proper authorization
  • Examine why patient records are confidential
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