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Question
a newly licensed nurse is orienting to a facilitys documentation system. the facility requires staff to only document variations from an expected set of findings when performing a physical assessment. the nurse should identify this system as which of the following documentation methods? charting by exception subjective, objective, assessment, plan format problem, intervention, evaluation model data, action, response charting
Charting by exception involves documenting only deviations from the expected normal findings during a physical assessment. The other options - SOAP (Subjective, objective, assessment, plan), PIE (Problem, intervention, evaluation), and DAR (Data, action, response) - have different focuses and do not specifically center on documenting just variations from the expected.
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A. Charting by exception