Question: please answer the following 1 the decision to withhold or...
Question details
PLEASE ANSWER THE FOLLOWING:
1. The decision to withhold or withdraw medical treatment are based primarily on:
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A. |
Statutes and regulations |
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B. |
Adequate communication among providers, patients, and families |
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C. |
The will of the patient surrogate |
|
D. |
None of the above |
2. Essential medical record components include:: Select three that apply
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A. |
Documentation and findings of assessments |
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B. |
Diagnostic procedures, tests and results |
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C. |
Reports of adverse events/incidents |
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D. |
Subjective comments |
|
E. |
Medications ordered and administered |
3. Record retention depends upon factors such as statutes of limitation, state statutes and various standards and regulations promulgated by: Select which one that does not apply.
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A. |
The Joint Commission (or other accrediting body) |
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B. |
Occupational Safety and Health Administration (OSHA) |
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C. |
Physician Preference |
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D. |
Federal /State reimbursement requirement guidelines (Medicare/Medicaid) |
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E. |
Healthcare and provider licensure requirements |
4. In a hard copy medical record, the biggest documentation challenge is?
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A. |
Legibility |
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B. |
Non-approved abbreviations |
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C. |
Alterations |
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D. |
Subjective comments |
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