A document or electronic file used to record a client's history, assessment, treatment, and results of therapy is a(n)____.

Question

A document or electronic file used to record a client's history, assessment, treatment, and results of therapy is a(n)____. ​

Quizplus · Accepted Answer

A medical record is a comprehensive document or electronic file that includes a client's history, assessment, diagnosis, treatment, and results of therapy. It is an important tool for healthcare professionals to track a client's progress, coordinate their care, and ensure continuity of treatment. An informal record is not a professional document and may not be comprehensive or accurate, while a diagnosis refers specifically to a medical or mental health condition and a nutrition care plan focuses only on a client's dietary needs.

A Document or Electronic File Used to Record a Client's