Which statement about Charting by Exception (CBE) is true ?

Choice A reason: Charting by Exception (CBE) does not eliminate the need for assessments; in fact, it requires standardized, comprehensive physical assessments to be performed. The nurse must still evaluate the patient thoroughly to determine if the findings align with the established "normal" criteria defined by the facility's protocols. Choice B reason: The fundamental principle of CBE is that the healthcare provider only documents findings that fall outside the norm. It utilizes pre-printed flow sheets with integrated standard-of-care criteria. If a system or assessment finding meets these standards, it is marked as "normal," and detailed narrative notes are only written for "exceptions" or abnormal findings. Choice C reason: CBE is designed specifically to avoid documenting every detail of routine care. Traditional narrative charting often includes redundant information about normal activities of daily living. CBE aims to reduce charting time and "paperwork" by focusing exclusively on significant changes or deviations from the expected clinical path. Choice D reason: CBE can sometimes be less effective at capturing subtle, trending changes because it relies on a binary "normal/abnormal" threshold. If a patient's condition is slowly deteriorating but still remains within the broad definition of "normal" for that shift, the subtle decline might not be narratively captured as it would in a chronological narrative note.