Blog

Sue is a nurse who cares for patients. In which of the following situations is she not using the medical record for documentation purposes? (Score: 5) Sue creates a care plan based on the information in the record.

Sue examines the record to see if the patient refused her last medication.

Sue consults the record to confirm the spelling of a medication that another patient is also taking so that she can record it in the second patient’s chart.

Sue records an incident in which the patient refuses to take her medication.