Rewrite the following statements using the appropriate language for nursing documentation. Patient denies drug use but patient is lying about that because she has obvious signs of drug abuse - marks from heroin injections are visible along both arms.

Rewrite the following statements using the appropriate language for nursing documentation. Patient denies drug use but patient is lying about that because she has obvious signs of drug abuse - marks from heroin injections are visible along both arms.

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter7: Cpt Coding

Section: Chapter Questions

Problem 22R

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Rewrite the following statements using the appropriate language for nursing documentation. The patient was instructed to ask the nurse for assistance out of bed to the bathroom. The patient willfully disobeyed and got up by herself anyway – she is obviously not concerned about the risk of falling.
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A nurse is administering a pain medication to a patient. In addition to checking his identification bracelet, the nurse cor-rectly verifies his identity by: a. Asking the patient his nameb. Reading the patient’s name on the sign over the bedc. Asking the patient’s roommate to verify his named. Asking, “Are you Mr. Brown?”
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