The following should be written in a patient's medical record:
A) long, defensive, or derogatory notes
B) facts pertinent to the patient's care
C) complaints or emotional comments about other caregivers
D) emotional comments and extraneous remarks
Correct Answer:
Verified
Q15: The Health Insurance Portability and Accountability Act
Q16: The HIPAA security provisions took effect April
Q17: Rewriting record entries by a nurse _.
A)
Q18: Medical record entries should _.
A) be written
Q19: When making changes to a patient's record,
Q21: Progress notes should describe the patient's _
A)
Q22: The process of facilitating the flow of
Q23: Peer review documents are
A) discoverable in all
Q24: Falsification of medical records is grounds for
Q25: Persistent failure of a physician to complete
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