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If a Client's Medical Chart Is Used in a Legal

Question 37

Multiple Choice

If a client's medical chart is used in a legal proceeding,which of the following represents an example of correct documentation under the standard of practice that the jury will be looking for?


A) Each chart entry should be signed or initialed.
B) Administration of medications is documented before they are actually given.
C) Nursing notes reflect facts and opinions about the client.
D) Nursing notes are changed to reflect changes in client status.

Correct Answer:

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