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Question: please answer the following 1 the decision to withhold or...

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PLEASE ANSWER THE FOLLOWING:

1. The decision to withhold or withdraw medical treatment are based primarily on:

A.

Statutes and regulations

B.

Adequate communication among providers, patients, and families

C.

The will of the patient surrogate

D.

None of the above

2. Essential medical record components include:: Select three that apply

A.

Documentation and findings of assessments

B.

Diagnostic procedures, tests and results

C.

Reports of adverse events/incidents

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.

A.

The Joint Commission (or other accrediting body)

B.

Occupational Safety and Health Administration (OSHA)

C.

Physician Preference

D.

Federal /State reimbursement requirement guidelines (Medicare/Medicaid)

E.

Healthcare and provider licensure requirements

4. In a hard copy medical record, the biggest documentation challenge is?

A.

Legibility

B.

Non-approved abbreviations

C.

Alterations

D.

Subjective comments

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