In the nursing process, where is planning documented in the electronic health record (EHR)?

• A. Diagnosis
• B. Outcomes
• C. Planning
• D. Interventions

Answer: (C)

The plan of care is documented in the planning area of the EHR. This section is where you translate the chosen nursing diagnoses into a concrete course of action by laying out the measurable outcomes you want to achieve and the nursing interventions you will implement to reach those goals. In other words, planning is the place in the record where the entire care plan is written, guiding what will be done and how success will be measured. The diagnosis is established earlier, while outcomes and interventions are components that live within the plan rather than the location where the plan itself is recorded.