A resident in a skilled nursing facility for a short term rehabilitation following a hip replacement says to the nurse, "I don't want to have you draw any more blood for those useless tests." When the nurse fails to convince the patient to have the blood drawn, the most appropriate documentation would be:

A. Reinforces application of the nursing process: True. The Problem-Oriented Medical Record (POMR) is designed to organize patient data based on specific problems, which aligns well with the nursing process. It emphasizes problem-solving and critical thinking in the context of patient care.

B. Formats documentation into chronological order: This is not entirely accurate for POMR. POMR organizes data by problems, not necessarily in strict chronological order. Information is clustered around specific problems, making it easier to identify relevant data quickly.

C. Promotes the problem-solving approach: Yes, this is correct. POMR emphasizes identifying and solving individual patient problems, encouraging a systematic and problem-oriented approach to patient care.

D. Makes tracking trends in patient care easy: This can be true, especially when it comes to tracking the progress of specific problems over time. POMR allows healthcare providers to see the evolution of each problem, making it easier to track trends related to individual issues.

E. Allows for easy auditing of patient records to evaluate staff performance: POMR does facilitate easier auditing since each problem is documented separately, allowing for clear assessment of how each problem is being managed. This can be valuable for evaluating staff performance.

A. Administering pain medication: Administering medication typically requires a healthcare provider's order. Nurses can administer medications, but this action is not independent; it relies on a prescription.

B. Teaching a patient how to change their dressing before they are discharged: This is an independent nursing action. Nurses are educated and trained to provide patient education. Teaching patients about wound care and dressing changes falls under their scope of practice and doesn't require a physician's order.

C. Changing a patient's diet from pureed to regular: Changing a patient's diet usually involves dietary guidelines set by a healthcare provider. Nurses can implement these dietary changes based on the provider's orders but cannot independently change a patient's diet without an order from a healthcare provider.

D. Giving a back rub: Providing comfort measures like a back rub is an independent nursing action. It falls under the domain of holistic nursing care and doesn't require a specific physician's order. Nurses often use such measures to promote relaxation and alleviate discomfort.

E. Repositioning a patient in bed: This is an independent nursing action. Regular repositioning is crucial for preventing pressure ulcers and maintaining a patient's comfort. Nurses assess the patient's mobility and reposition them as needed without requiring specific orders each time.