NSE 13A/B Study Guide - Quiz Guide: Intimate Partner Violence, Elder Abuse, Pelvic Pain

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Documentation and sbar: define documentation and describe the legal guidelines for reporting and recording, and how these relate to the health history. 21. 5% of nursing practice time spent to documentation so it needs to be done well: practice documentation using a variety of methods such as electronic, narrative, soap(ie), and. Sbar, according to cno standards. n soap: subjective, objective, assessment, plan ( implementation, evaluation) n sbar: situation, background, assessment, recommendation: identify the elements of, and practice, verbal report using sbar tool. Sbar: situation, background, assessment, recommendation- used to organize assessment data for verbal communication among hcps. Potential risks consists of doing the procedure on the wrong side of the pt, and administering the incorrect amt of medications. Interpersonal violence assessment: define the types of interpersonal violence. Intimate partner violence physical, sexual, psychological or financial violence committed by spouse or former partner. Sexual violence/ assault : forced sexual activity without or with physical injury, use of weapons, threats, endangering life.

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