Which of the following options is not considered a necessary part of client documentation?

a. Consistent format for note-taking and review
b. Notes that are written in language easily understood by clients
c. Accurate information free from speculation
d. Glossary of abbreviations

Answer: b

Health Professions

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After delivering your patient to the hospital, you sit down to complete the PCR. When documenting the patient's last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should:

A. leave the error on your PCR but inform the staff of the patient's actual blood pressure. B. cover the error with Correction fluid and simply write the patient's actual blood pressure over it. C. attempt to erase the error, initial it, and then write the correct data on a separate addendum. D. draw a single horizontal line through the error, initial it, and write the correct data next to it.

Health Professions

A very effective method of taking out glass in upper-level windows, especially in private dwellings, is by the use of a portable ground ladder.

Answer the following statement true (T) or false (F)

Health Professions