A nurse writes: “Patient is anxious about surgery; appropriate support provided.” What is a possible improvement to this note?
Show answer and explanation
Correct answer: Add the duration and patient’s stated concern.
Improve specificity by adding details like duration and stated concern rather than vague statements.
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More Documentation and Reporting questions
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- What does the 'R' stand for in the focus charting (DAR) method?
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- During hand-off report, which patient should be discussed first?
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