Exam 21: Patient Assessment

The physician's initial impression of the patient's presenting problem is called the __________.

A patient's lifestyle factors would be included in the family history section of the medical history.

Helen Conrad, age 54, was recently diagnosed with epilepsy. She is very upset about the news. A therapeutic interaction might be

__________ data include the patient's blood pressure, TPR, and weight.

The medical assistant is responsible for performing the systems review.

What is the best way to obtain specific information about a patient when taking the medical history?

Which of the following factors is likely to have the most influence on the accuracy and completeness of the information obtained from the patient during the medical history?

When SOAPE documentation is used, the __________ documentation provides feedback on the results of treatment.

Issues of privacy are important to adolescent patients.

The physician's initial impression of what is wrong with the patient is called the __________ diagnosis.

The medical assistant is responsible for documenting all of the following information except the

When communicating with a sick child, it is important to direct all questions toward the child's parent.

Which of the following are learned behaviors that are greatly influenced by our family and cultural backgrounds?

Which of the following sections of the medical record includes the physical examination findings?

When you begin working in the healthcare environment, it will be important that you follow HIPAA regulations about patient confidentiality. Summarize four important factors to consider when complying with HIPAA.

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

Sally Tipoke, age 17, is scheduled for her first Pap test today. She appears anxious and scared. Choose the medical assistant's most appropriate statement.

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

Which of the following components of the medical history provide a guide to the patient's general health?

It is important for the medical assistant to keep arms and legs crossed during an interview to communicate authority to the patient.