Exam 21: Patient Assessment

Subjective data include the patient's report of injuries and resultant pain level.

While you are taking the medical history of a new patient, the patient mentions having occasional headaches that are quite painful. What is the best way for you to proceed with the interview?

Which of the following processes involved in active listening seeks to summarize or simplify the sender's thoughts and feelings or to resolve any confusion in the message?

Progress notes in the POMR include the use of SOAPE documentation.

Your office manager asks whether you know anything about defense mechanisms that patients might display if they are anxious. Summarize four defense mechanisms and provide an example of each.

During the __________ phase of the interview, medical assistants should introduce themselves and state the purpose of the interview.

Which of the following is a good example of an open-ended question?

The medical assistant must consistently request __________ from the patient to determine the patient's understanding of the message.

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

Which of the following includes insurance information?

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

Documenting that the patient reports a headache of 3 days' duration is part of the objective data in the POMR record.

Which of the following explains a sign of disease?

During patient assessment, which of the following is an example of a subjective finding?

Detail how to make a correction in a patient's paper record.

When a verbal message matches the sender's nonverbal body language, the message is considered __________.

Objective data include which of the following?

The initial diagnosis made by the physician after completion of the physical examination is the differential diagnosis.

Information that you gather from a patient interview is considered

When conducting a patient interview, the medical assistant should sit behind a desk with arms crossed and wait for the patient to establish eye contact.