Which of the following are examples of high-quality nursing documentation? Select all that apply.
A) Patient states, "When I get up in the morning, I feel dizzy."
B) Patient is alert and oriented to person, place, time, and surroundings.
C) Drainage from midline abdominal incision appears normal.
D) Patient is angry with wife over arriving late for Dr. appointment.
E) Patent has no complaints of pain at this time.

Question

Quizplus · Accepted Answer

Patient statements using the patient's own words,documentation of patient level of consciousness,and documentation of patient denial of pain are all examples of high-quality documentation.These statements are not subjective or vague.The statement regarding the patient's incision is vague as what is considered normal cannot be measured.Noting that the patient is angry is subjective and unclear.

Which of the Following Are Examples of High-Quality Nursing Documentation