Certified Nursing Assistant (CNA) Practice Exam

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The (blank) record, or chart, is a legal document that can be used in a court of law as evidence in a litigation claim.

  1. Legal

  2. Medical

  3. Official

  4. Healthcare

The correct answer is: Medical

The correct answer is "medical" because a medical record is specifically designed to document a patient's health history, treatment plans, medications, and other crucial information related to medical care. It serves as a legal document that can be presented in court to support or refute claims made in litigation cases regarding patient care and treatment outcomes. Medical records must be kept accurate and up to date, as they play a vital role in ensuring continuity of care and in legal situations where patient care is called into question. While the terms "legal," "official," and "healthcare" could imply various forms of documentation, they do not specifically capture the context or the standard definition associated with patient care documentation in a legal setting as precisely as "medical" does.