Which of the following documents is usually found only in the problem-oriented medical record?

Medical history
Hospital reports
Problem list
Diagnostic reports
Progress notes


Problem list

Rationale: Because problem-oriented medical records are based on the complaint or illness bringing the patient into the office, the problem list would only be found in this type of record. The others listed would be found typically in source-oriented medical records.

Health Professions

You might also like to view...

You are the first emergency personnel on the scene of an overturned tanker truck. The driver is in the cab and appears motionless. It also appears that a liquid is leaking from the rear-valve assembly of the tanker. After properly positioning your ambulance, your immediate priority should be to:

A) attempt to determine what chemical is contained in the tanker. B) take manual inline spinal stabilization. C) evacuate people from cars near the tanker. D) perform the primary assessment on the truck driver.

Health Professions

A female patient suffered a straddle injury (genitalia trauma) while trying to balance on top of a chain-link fence, after she fell with a leg on each side of the fence. At this time, you would:

A) Apply an ice pack wrapped in a towel to the genital area B) Gently put sterile gauze dressings into the opening of the vaginal canal to stop the bleeding C) Place a moist compress, such as a moist sanitary pad, over the injury to control the bleeding D) Clean the area with sterile saline and apply direct pressure with a gloved hand while monitoring for ongoing bleeding

Health Professions

Which of the following are things that critical thinkers do?

A. Look at things from a rational and practical perspective B. Ask essential questions to get to the heart of the matter C. Differentiate among facts, opinions, and personal feelings D. Exercise caution in drawing conclusions E. All of the above

Health Professions

Which of the following tasks may be completed in the Practice View screen?

A. View vital signs graphs B. Set up and edit patients C. View face sheets information D. Set default pharmacy

Health Professions