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Question
mary works in a maternity unit. what written statements made by mary do not follow the rules of documentation? select all that apply. client states, “my headache is a 7 out of 10 on the pain scale.” 0900, pain medication administered client does not handle pain well. client used the restroom at 0830. client is feeling bad.
In medical documentation, statements should be objective and specific. "Client does not handle pain well" and "Client is feeling bad" are subjective. The first two and the fourth statements are objective - reporting client - stated pain level, time of medication administration, and time of restroom use respectively.
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Client does not handle pain well.
Client is feeling bad.