The nurse manager is reviewing documentation performed by newly hired nurses. Which of the examples does the nurse manager recognize as high-quality nursing documentation? Select all that apply.
A)Patient states, "I feel dizzy in the morning."
B)Patient is alert and oriented to person, place, and time.
C)Drainage from midline abdominal incision appears normal.
D)Patient appears angry and is refusing to talk to the spouse.
E)Patient expresses no complaints of pain at this time.

Question

Quizplus · Accepted Answer

High-quality nursing documentation should be clear, objective, and specific. A) is a direct patient quote, B) is an objective assessment, and E) is a clear statement of the patient's current status. C) and D) are subjective and vague.

The Nurse Manager Is Reviewing Documentation Performed by Newly Hired