Author Question: Which of the four distinct components of the problem-oriented record serves to help index ... (Read 113 times)

ssal · **on:** Jun 27, 2018

Which of the four distinct components of the problem-oriented record serves to help index
documentation throughout the record?
A. database C. initial plan
B. problem list D. progress notes

Question 2

Laws that are implemented as guidelines written by administrative agencies, such as CMS, are called __________.
a. policies
b. procedures
c. regulations
d. statutes

ladyjames123 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B In a POMR, the database contains the history and physical; the problem list includes titles,
numbers, and dates of problems, and serves as a table of contents of the record; the initial
plan describes diagnostic, therapeutic, and patient education plans; and the progress notes
document the progress of the patient throughout the episode of care, summarized in a discharge
summary or transfer note at the end of the stay.

Answer to Question 2

c