Which of the following entries would be an example of appropriate documentation?
A) Patient appears depressed and tired.
B) "I am so down today, and I just don't have any energy."
C) Patient had a good bowel movement.
D) Complains of abdominal pain. Probably constipated.

Question

Quizplus · Accepted Answer

This entry is a direct quote from the patient and provides a clear description of the patient's emotional and physical state. It is important to use direct quotes or objective observations in documentation. The other options are subjective or incomplete descriptions that do not provide enough information for proper documentation.

Which of the Following Entries Would Be an Example of Appropriate