CommunicationQuestion 36 of 1700

Why do health care workers say, "If it wasn’t documented, it wasn’t done"?

  1. Care that is not charted must be repeated
  2. Charting is legal proof that care was done
  3. Only charted care is paid for by the family
  4. Staff may not give care before they chart it
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Correct answer: Charting is legal proof that care was done

In court, the record is what proves the care was completed.

Source: Nursing Assistant (Reuter), 1.5: Documenting and Reporting

Practice communication

Questions last reviewed: 18 October 2026