be done before hitting the Send button! 6. Students or graduates are not bound by a strict ethical code and legal responsibility to hold all information in confidence. a. True b. False 7. Describe source-oriented records. What is a traditional part of a source-oriented record? 8. List two advantages and three disadvantages of source-oriented charting. 9. What is a problem-oriented medical record (POMR) or problem-oriented record (POR)? What are the four components of POMR? 10. List two advantages and two disadvantages of POMR charting, 11. What is the SOAP format that is used in charting and progress notes? What is meant by the acronyms SOAPIE and SOAPIER? 12. Explain how charting by exception (CBE) works, and explain why some nurses are uncomfortable with this method. What are the three elements of CBE? 13. List four advantages and one disadvantage of case management, e Security Rule of the n. surance Portability and Accountability Act (HIPAA) of 1996. 2. Name four suggestions for ensuring confidentiality and security of computerized records. 3. What is the PIE system of charting? 4. How does focus charting work? What are its advantages? 5. Refer to Box 15-2 in the text. Review the pros and cons of computer documentation. Do you agree with this information? 6. What are the requirements for documentation in a long-term care facility? 7. What is a variance? Explain how the nurse will document a variance in the client's record. CASE STUDIES 1. While charting, you notice that you have made an error. You did not write the correct oral temperature down. It should have been 98 degrees orally instead of 101 degrees orally. a. What is the correct method to fix this error? b. Identify an incorrect method for fixing errors in client records. Why is this method incorrect? 2. The nurse has been caring for Michael Branson, a 47-year-old male who was admitted for the treatment of alcohol withdrawal and is experiencing delirium tremens. It has been 2 days since Mr. Branson's last intake of alcohol. The client has an infusing IV, is in a room kept dark and quiet reduce stimuli, and has been moni- tored closely. The client has been having auditory and visual hallucinations throughout the day, which are re- duced following sedative administration. When hallucinations are minimized, the client is alert and oriented to person, place, time, and date. During periods of hallucinations, the client becomes agitated and his blood pres- sure, pulse, and respiratory rate increase. When preparing the change-of-shift report for this client, what kind of specific data would you want to report to the oncoming nurse assigned to Mr. Branson's care