Informatics and healthcare technology · practice question

The RN using the electronic health record is being evaluated for technology-supported nursing care and privacy and cybersecurity. Assessment data include the electronic health record shows two clients with similar names on the same unit. Which documentation should the nurse record to best support safe care and communication?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026informatics-healthcare-technology

"Client fine; no changes noted."Copied yesterday's note without updating current assessment data.Objective assessment findings, nursing actions taken, client response, and provider notification when indicated.Subjective opinions only without measurable findings.

Answer and explanation

Correct answer

C. Objective assessment findings, nursing actions taken, client response, and provider notification when indicated.

Why

Safe documentation is specific, objective, and reflects assessment, intervention, response, and escalation when needed.

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