Which Factor Is Essential to Keep in Mind While Documenting

question 48

Multiple Choice

Which factor is essential to keep in mind while documenting in a patient's chart?

• A) Include less information rather than too much.
• B) Only record assumptions at the end of documentation.
• C) Add a signature only with written documentation, not electronic.
• D) Avoid abbreviations unless it is clear that anyone can understand them.
• E) Only chart what others see as significant.

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Definitions:

Neurotransmitter Glutamate

Glutamate is a key neurotransmitter in the brain that plays an important role in learning and memory by transmitting nerve signals.

Voluminous Hippocampus

Refers to a hippocampus with a larger-than-average volume, which is associated with enhanced memory and spatial navigation abilities.

Bipolar Disorder

A mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression).

Mania

A mental health condition characterized by periods of extreme elevated mood or irritability.