45. A community health nurse is teaching a lay health worker about documenting patient assessments during home visits. What is the technical standard for documentation?
A.
Use shorthand and abbreviations freely
B.
Document clearly, concisely, objectively, and accurately, adhering to legal and ethical guidelines and maintaining patient confidentiality
✓
C.
Write notes on scrap paper
D.
Only document positive findings
📖 Additional Information
Use shorthand and abbreviations freely
Document clearly, concisely, objectively, and accurately, adhering to legal and ethical guidelines and maintaining patient confidentiality
