566-DW2 Writing Assignment: The Interview

The Interview
Author`s Name
Institution Affiliation
What does it mean to document accurately and appropriately?
For nurses, it is integral to maintain records of patients so that the documents can be handed over to doctors or other medical professionals on time. If it does not happen, then the healthcare expert may not be able to determine the illness of the patient, and thus proper treatment will not be provided.
What are the documenting guidelines? When is it appropriate to use abbreviations?
The two documenting guidelines are that nurses should prepare and maintain separate files of all patients, and their data or documents can be arranged alphabetically or can be placed in cabinets attached to their beds. It is appropriate to use abbreviations when a document or file has to be handed over to a senior medical professional.
What is the difference between subjective and objective data?
Subjective data is a set of information that comes directly from a patient, such as feelings, concerns, and perceptions. Objective data is measurable and observable that is collected through diagnostic testing, physical examination, and observation.
What does it mean to demonstrate clinical reasoning skills?
The process of clinical reasoning is integral to make wise decisions about the health and wellbeing of patients (Davis, 2015). It encourages a nurse or another medical professional to use their own clinical reasoning skills in order to improve patient outcomes.
How can you use clinical reasoning to plan the organization of a comprehensive exam?
I will use my clinical reasoning skills to plan effective care for every single patient, and for the organization of a comprehensive exam, I will take both easy and complex clinical tasks into consideration.
How will you document variations of normal and abnormal assessment findings?
I want to document variations of both normal and abnormal assessment findings separately. Maybe, I will use two different files per patient, with one containing data on normal assessment findings and the second containing information on abnormal assessment findings.
What factors influence appropriate tools and tests necessary for a comprehensive assessment?
The quality of medical equipment, lack of time, interruptions, the culture of the ward, and lack of influence on patients are some of the factors that may influence appropriate tests...