Oregon Certified Nursing Assistant State Practice Exam

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Why is careful charting important?

  1. The NA does not want to get in trouble.

  2. The resident must be able to read the chart.

  3. The family will want to take the chart home regularly to study it.

  4. It is the only way to guarantee clear and complete communication among the care team.

The correct answer is: It is the only way to guarantee clear and complete communication among the care team.

Careful charting is crucial because it ensures clear and complete communication among all members of the healthcare team. Accurate and thorough documentation provides a reliable account of a patient’s condition, the care provided, and the outcomes of that care. This information is essential for coordinating treatment, tracking progress, and making informed decisions about ongoing care. When a chart is well-maintained, it allows other healthcare professionals to quickly understand a patient's history and current status, which can be vital in emergencies or during transitions of care. Good documentation also helps uphold standards of care and accountability within the healthcare setting, ultimately supporting better patient outcomes.