COMPETENCY APPRAISAL 1

ASSIGNMENT 2
EXAM 2 RATIONALE

DIRECTIONS: PLEASE FILL UP THE NEEDED DETAILS BELOW. AN EXAMPLE IS GIVEN

BELOW.
Nam CERVANTES ,LIANA S.
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Question Number: 11
Correct Answer: C
Rationale: Documentation should be consistent with professional agency standards:
complete, accurate, concise, factual, organized and “TIMELY.

The Day shift must chart nursing interventions chronologically on consecutive

lines “without skipping lines”.

The Day shift nurse must not sign notes describing interventions not
performed by her that she has no way of verifying.

The Night shift nurse should have documented the problems “as they occur”
and record nursing interventions done and patient’s response in timely
manner (but never before carrying out the interventions).

(Lines between entries, countersigning documents and omitted or inconsistent

documentation’s date and time of entries are documentation mechanics that
increases risk for legal problems.)

Because the night shift nurse did not document the interventions at the time of
occurrence, then entering an addendum notes on the nurse return the next
night in accordance with facilities policies and procedures is the best way to
add the interventions done during her shift. *

Reference: Fundamentals of Nursing Sixth Edition by Taylor,Lillis, Lemone and Lynn

Unit III The Nursing Process Chapter 17: Documenting, Reporting and
Conferring Page.356

Nam CERVANTES ,LIANA S.

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Question Number: 37
Correct Answer: A
Rationale: Mild anxiety is present in day-to-day living. It increases alertness and
perceptual fields and motivates learning and growth. Although mild anxiety
may interfere with sleep, it also facilitates problem solving. Mild anxiety is
often manifested by restlessness and increased questioning.

Reference: Fundamentals of Nursing Sixth Edition by Taylor, Lillis, Lemone and Lynn
Unit VII Promoting Healthy Psychosocial Responses
Chapter 32: Stress and Adaptation Page 961