Exam 21: Patient Assessment

The grandmother of a young patient reports that the child has had a temperature of 101.6 $\degree$ for 2 days. This information would be documented in the __________ part of a SOAPE chart note.

Which of the following includes childhood diseases?

If the medical assistant is caring for an aging patient who has difficulty hearing, he or she should ignore the patient and direct the interaction toward a family member.

Gathering details about a patient's use of over-the-counter medications is very important during a patient interview.

Give a minimum of four rules that must be followed when documenting in a patient's paper record.

__________ care considers the patient as a whole including the physical, emotional, social, economic, and spiritual needs of the person.

Lois Anderson was recently diagnosed with a functional disorder of the colon. Which of the following is true about her condition?

A detailed description of the anatomic location of a wound would be documented in the __________ area of a SOAPE format.

Mrs. Elizabeth Stewart was recently diagnosed with diabetes mellitus type 2. She refuses to meet with a dietician because, she states, "The tests must be wrong. No one in my family has diabetes." Which defense mechanism is she displaying?

Define open-ended and closed questions and statements and provide an example of each.

Which of the following is most important when conducting a patient interview?

Which of the following involves repeating or paraphrasing the patient's comments?

You are conducting an interview with a new patient who appears very anxious. Summarize four ways of using therapeutic nonverbal language to enhance the quality of the patient interaction.

The physician's decision to refer a patient to a dietician is documented under the assessment category of SOAP records.

Value systems are learned beliefs and behaviors that can affect therapeutic relationships.

Information that you gather from a patient interview is considered

Which of the following questions or statements would encourage the patient to continue to communicate?

Developing patient __________ means the medical assistant has developed a positive relationship with the patient.

Which of the following is considered a safeguard mandated by HIPAA?

Abnormalities in the cardiovascular system that are discovered during an ROS include