MATCHING Match each term with the correct definition The

Last updated: 2/28/2023

MATCHING Match each term with the correct definition The exchange of information The method nurses use to plan and deliver nursing care its five steps are assessment nursing diagnosis planning implementa tion and evaluation 1 2 6 7 9 10 11 12 A B FILL IN THE BLANKS 13 Health team members share information about U A report that the nurse gives at the end of the shift to the oncom ing shift change of shift report The legal account of a person s condition and response to treat ment and care A written guide about the person s nursing care A health problem that can be treated by nursing measures The written account of care and observations charting Things a person tells you about that you cannot observe through your senses symptoms C Setting priorities and goals The oral account of care and observations Using the senses of sight hearing touch and smell to collect information An electronic version of a person s medical record 14 Agency policies about medical records address A B C D E F 15 If you have access to charts you have an A End of shift report B Recording C Medical record D Nursing process E Communication F Objective data G Nursing diagnosis H Subjective data I Reporting J Planning K Electronic health record L Nursing care plan 16 Which medical record forms relate to your work A B C D E 17 The is completed when the person is admitted to the agency It has the person s identifying information 18 The flow sheets and graphic sheets are used to record 19 In long term care summaries of care describe