Problem Oriented Medical Record (POMR) method of documentation includes which of the following sections? (Select all that apply.)

1. Database
2. Care plan
3. Evaluations
4. Problem list
5. Interventions
6. Progress notes


ANS: 1, 2, 4, 6
The POMR has the following major sections: database, problem list, care plan, and progress notes. Interventions and evaluations are documentation sections related to PIE (Problem, Inter-ventions, and Evaluation) charting.

Nursing

You might also like to view...

A client scheduled for a magnetic resonance imaging (MRI) of the shoulder expresses concern over radiation exposure. The nurse should provide which information to the client?

1. "The amount of radiation is no more than when you have a dental x-ray." 2. "You will not be exposed to any radiation." 3. "Drinking a lot of water after the procedure helps to flush it out of the body." 4. "Most of your body will be covered with a lead apron."

Nursing

From a full-strength hydrogen peroxide solution, how would you prepare 240 mL of two-thirds strength hydrogen peroxide solution for a wound irrigation using normal saline as the diluent?

1. 80 mL of hydrogen peroxide and 160 mL of normal saline 2. 160 mL of hydrogen peroxide and 240 mL of normal saline 3. 160 mL of hydrogen peroxide and 80 mL of normal saline 4. 80 mL of hydrogen peroxide and 240 mL of normal saline

Nursing

A client has a yellow tone to the skin. The nurse realizes that which of the following cells are responsible for the yellow tone of the skin?

1. Carotenoids 2. Langerhans' cells 3. Melanocytes 4. Merkel cells

Nursing

When teaching a female client to perform breast self-examination, the nurse instructs the client to:

a. Press the pads of the fingers firmly to compress breast tissue against the rib cage. b. Lie in front of a mirror and observe for dimpling of the skin. c. Lift the fingers from the chest wall during palpation to better define the breast tissue. d. Apply gentle pressure to each breast while moving the fingers according to a designated pattern across the breast.

Nursing