A nursing instructor asked his nursing students to discuss their experiences with charting assessment data.Which comment by the student indicates the need for further teaching?

A) "I find it difficult to avoid using phrases like 'the patient tolerated the procedure well.'"
B) "It's confusing to have to remember which abbreviations this hospital allows."
C) "I need to work on charting assessments and interventions right after they are done."
D) "My patient was really quiet and didn't say much, so I charted that he acted depressed."

Question

Brody Counts · Accepted Answer

Final Answer : D , Explanation :  When charting data,chart only what was observed,not what it meant.Inferences should not be made about a patient's behavior during data collection (he acted depressed),so that response reflects the student's lack of knowledge and need for teaching.Chart specific data,not vague phrases; the student is acknowledging the importance of this.There are no universally accepted phrases,just agency-approved abbreviations; the student is acknowledging the need to use agency-approved abbreviations.The student is correct that charting should be completed as soon after data collection as possible.

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