Exam 36: Patient Interview and History

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The thoughts, feelings, and perception of a patient are _______ data when you document using the SOAP format.

(Short Answer)
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In response to your questions about social activities, Venira says she and her boyfriend have been dating for two years now, and they are very happy together. Something about her expression makes you think there might be more to the story, however. After a moment, she adds that her boyfriend, a high school football star, has been getting more and more aggressive and recently hit her during an argument. Which of the following might be the cause of this change in his behavior?

(Multiple Choice)
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Where on the health history form do you find the reason the patient came to visit the practitioner?

(Multiple Choice)
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When you observe signs of _______ in a patient, you should make every effort to help her relax and release or reduce these feelings.

(Short Answer)
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Where on the health history form do you document information taken from the administrative sheet?

(Multiple Choice)
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Which method for maintaining notes on a patient chart uses a combination of SOMR and POMR?

(Multiple Choice)
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Which of the following would you place in the "A" section when using SOAP charting?

(Multiple Choice)
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The ____ section of the health history form gives the practitioner information about exposure to hazardous substances, sexual practices, and chemical use habits.

(Multiple Choice)
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Patient interviews should be conducted in ________ and without interruptions.

(Short Answer)
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The question "Are you sure about that? It doesn't make sense to me." represents which method of collecting patient data?

(Multiple Choice)
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Which of the following offers the patient little freedom to explain his answers and requires only yes-or-no answers?

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Which of the following is characteristic of depression?

(Multiple Choice)
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"You seem to be making progress, don't you agree?" is an example of which method of collecting patient data?

(Multiple Choice)
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At the end of an interview, you should ________ the information the patient provided and repeat it back to him for verification.

(Short Answer)
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Restating what the patient said is an example of _______ the patient's responses.

(Short Answer)
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An increased heart rate and confusion are effects of which of the following?

(Multiple Choice)
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The physician decides that that the patient needs blood and urine tests. She will document this under the _______ of action section in the SOAP format.

(Short Answer)
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Which of the following methods of collecting patient data requires more than a yes-or-no answer and encourages the patient to explain the situation?

(Multiple Choice)
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Maintaining eye contact is a characteristic of which of these methods of data collection?

(Multiple Choice)
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Which method of data collection does the question "What do you think is going on with you?" represent?

(Multiple Choice)
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