Advantages of the problem-oriented medical record (POMR) are that this method of documentation: (Select all that apply.)

reinforces application of the nursing process.

formats documentation into chronological order.

promotes the problem-solving approach

makes tracking trends in patient care easy.

allows for easy auditing of patient records to evaluate staff performance

Answer and Explanation

Correct Answer : A,C,D,E

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.

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Correct Answer is ["A","D"]

Explanation

A. Spoken words: Verbal communication primarily involves the use of spoken words to convey messages.

B. Body language: While body language is a crucial aspect of communication, it is non-verbal communication. Non-verbal communication includes gestures, facial expressions, posture, and eye contact.

C. Gesture: Gestures are also part of non-verbal communication, involving movements of hands or other body parts to express thoughts or feelings.

D. Intonation: Intonation refers to the rising and falling pitch patterns in speech. It conveys nuances of meaning and emotions, enhancing the spoken words. Intonation is a verbal aspect of communication.

A. Bleeding from a chin laceration B. complain of severe chest pain C. has a fever of 102 degrees D. complains of a productive cough

Correct Answer is B

Explanation

A. Bleeding from a chin laceration: This is a significant concern, but it's generally not immediately life-threatening. The bleeding can be controlled, and it's not likely to lead to a rapid decline in the patient's condition.

B. Complain of severe chest pain: This is a critical symptom as it could indicate a heart attack or other serious cardiac issue. Chest pain could be a sign of a lack of blood flow to the heart, which can lead to severe complications if not addressed urgently.

C. Has a fever of 102 degrees: While a fever indicates an infection or inflammation in the body, a fever of 102 degrees Fahrenheit, by itself, is not an immediate life-threatening situation. It suggests an underlying issue that needs medical attention but might not be as urgent as severe chest pain.

D. Complains of a productive cough: While a productive cough (bringing up phlegm or mucus) could indicate a respiratory infection, it's generally not as urgent as severe chest pain. Respiratory issues can become serious, especially in vulnerable populations, but they often progress over a longer timeframe compared to the rapid onset of a heart attack, for example.

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Advantages of the problem-oriented medical record (POMR) are that this method of documentation: (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Verbal communication includes

Correct Answer is ["A","D"]

Explanation

An emergency room nurse will give first priority to the patent with the most critical need, which is the patient who

Correct Answer is B

Explanation

The major goal of the admission interview (usually performed by the RN) is to:

Preparing a patient for a diagnostic test, and telling the patient what to expect during and after the test, is considered:

Which is an example of objective data?

To conduct a physical examination of a patient, which examination technique is used?

One of the highest priorities of nursing care is:

A patient is nauseated and vomited. She has a red rash on the face and neck, which she says is itchy. She complains of a headache and feels very irritable. Which piece of data is objective?

A resident in a nursing home complains of constipation. The nurse checks the patient record and notes that he has not had a bowel movement in three days. She/he then performs a digital rectal exam and feels hard stool. Which part of the nursing process is this?

A student nurse can begin to develop critical thinking skills by means of: