Week 9 Flashcards
1
Q
What to document
A
What you observe
What you did
When you did it
Clients response
Print name and signature
2
Q
Can u paraphrase what the client says to you
A
No
3
Q
Documentation is a
A
Communication tool
4
Q
Care plan can be divided into
A
Diagnosis, goal, and intervention
5
Q
Nursing process
A
Assessment
Nursing diagnosis
Planning
Intervention
6
Q
Implementation- what to document
A
What we observed
What we did
