Asked by Jazib Shamsi on May 19, 2024

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At the end of the shift,the nurse is reviewing client documentation.Among the chart entries,special attention is paid to the flow sheets and abnormal assessment findings for each client.This type of charting is an example of which of the following?

A) Computerized documentation
B) Focus charting
C) SOAP charting
D) Charting by exception

Charting By Exception

A documentation system in which only significant findings or exceptions to norms are recorded.

Flow Sheets

Documents used in healthcare and engineering to record and track dynamic processes, showing trends of patient data over time or the sequence of operations in a process.

Abnormal Findings

Observations made during diagnostic processes that indicate deviation from normal health states, potentially signaling the presence of disease or disorders.

  • Differentiate and identify various documentation methodologies like narrative charting, problem-oriented recording, SOAP, PIE, and focus charting, and understand their roles in nursing.
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Gulnora MulloevaMay 25, 2024
Final Answer :
D
Explanation :
Charting by exception is a system in which only significant or abnormal findings are documented, freeing up more time for the nurse to provide direct care to the patient. This type of charting also allows for quicker identification of any potential problems or changes in the patient's condition. The nurse's focus on the flow sheets and abnormal assessment findings for each client suggests that they are using charting by exception.