A Nurse Enters a Notation in a Patient's Medical Record

question 23

Multiple Choice

A nurse enters a notation in a patient's medical record but then discovers that the notation was made in the wrong chart. The nurse correctly:

• A) draws a single line through the notation so that it is still readable and writes "mistaken entry," his signature, and the date and time.
• B) removes the page on which the error is located and documents the other correct notes.
• C) blacks out the note to protect the confidentiality of the patient about whom it was written and writes in the margin "wrong patient," his signature, and the date and time.
• D) whites out the wrong entry and writes the note in the chart of the correct patient.

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Definitions:

Mental Illness

Disorders that affect a person's mood, thinking, and behavior, ranging from depression and anxiety to schizophrenia and bipolar disorder.

Psychosocial Force

Influences arising from individual psychological needs interacting with societal or social structures.

Chemical Imbalance

A theory suggesting that psychological disorders are associated with changes in the brain's chemical makeup, often used in the context of depression and anxiety.

Cultural Forces

Cultural forces are the collective influences that shape the behaviors, values, perceptions, and practices of a society or a group of people.