Related to Problem Oriented Medical Record (POMR) documentation, which

Related to Problem Oriented Medical Record (POMR) documentation, which of the following statements made by a nurse reflects the greatest need for additional instruction on the proper management of a resolved client problem?

1. “His surgery corrected the mobility problem, so I drew a line through it and dated it.”
2. “The client’s problem list has several resolved problems on it; should I take them off?”
3. “The client no longer has anxiety issues so I highlighted that problem on his prob-lem list.”
4. “He doesn’t experience any dizziness now that we have his medication regulated, so I’ve erased that from his problem list.”

ANSWER

ANS: 4
New problems are added as they are identified. When a problem has been resolved, record the date and highlight it or draw a line through the problem and its number. Erasure is not an ac-ceptable method of showing that a problem has been resolved.