Exam 21: Patient Assessment

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Which of the following is an open-ended question or statement?

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C

The best method of ensuring that the patient understands a patient education intervention is to have the patient repeat back the details learned.

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TRUE

Which of the following involves stating an observation or recognition of a patient's feeling?

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C

Giving advice when it is requested by a patient is an effective way of displaying concern.

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The size and shape of a wound would be included in the objective area of the progress notes of SOAPE documentation.

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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?

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The __________ component of the medical history contains details about the patient's insurance, address, and date of birth.

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Therapeutic interactions with children include all of the following except

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__________ are subjective reports given by patients about how they feel with a particular health problem.

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

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Research on the significance of body language indicates that 50% of the message received by patients is interpreted from the caregiver's nonverbal language.

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The __________ in POMR charts lists the patient's diagnoses in chronologic order.

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

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Which medical record system has a standard format that makes it easy to read and audit?

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

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When writing progress (SOAP) notes, in which section would the provider's preliminary diagnosis of the cause of the patient's chief complaint be placed?

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The SOMR begins with a list of the patient's health problems.

(True/False)
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Which of the following includes childhood diseases?

(Multiple Choice)
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Which of the following is a closed question or statement?

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Which of the following includes the patient's dietary habits, smoking history, and alcohol consumption?

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