Question 1

Where on the health history form do you document information taken from the administrative sheet?

Accepted Answer

A)   Personal data
B)   Chief complaint
C)   History of present illness
D)   Social and occupational history
E)   Family historyF) A) and B)
G) A) and C)

Question 2

Effective ________ means hearing what the patient says, thinking about it, and responding appropriately.

Accepted Answer

The answer of Effective ________ means hearing what the patient...

Question 3

The use of alcohol, tobacco, recreational drugs, or other chemical substances is documented in the _______ history.

Accepted Answer

social and...

Question 4

Which of the following information would you place in the "S" section when using SOAP charting?

Accepted Answer

A)   Physician's examination
B)   Physician's diagnosis
C)   Patient's perceptions
D)   Test results
E)   Patient educationF) A) and D)
G) B) and E)

Question 5

Patient interviews should be conducted in ________ and without interruptions.

Accepted Answer

The answer of Patient interviews should be conducted in ________...

Question 6

The history of ________ illness includes detailed information about the chief complaint, including when the problem started and what the patient has done to treat the problem.

Accepted Answer

The answer of The history of ________ illness includes detailed...

Question 7

Which of the following is charted as subjective data?

Accepted Answer

A)   Test results
B)   Practitioner's examination
C)   Patient's chief complaint
D)   Vital signs
E)   Plan of actionF) None of the above
G) A) and E)

Question 8

Most patient charts are arranged with the entries in reverse _______ order.

Accepted Answer

The answer of Most patient charts are arranged with the...

Question 9

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

Accepted Answer

A)   Physician's examination
B)   Physician's diagnosis
C)   Patient's perceptions
D)   Test results
E)   Patient educationF) A) and B)
G) A) and C)

Question 10

When an office uses _______ medical records, the records are accessible at any time and combine SOMR and POMR methods.

Accepted Answer

The answer of When an office uses _______ medical records,...

Question 11

The method of collecting patient data that requires more than a yes-or-no answer is asking _________ questions.

Accepted Answer

open-ended...

Question 12

The practitioner decides that the patient needs blood and urine tests. The practitioner will document this in the medical record under the _______ of action section in the SOAP format.

Accepted Answer

The answer of The practitioner decides that the patient needs...

Question 13

The ________ is the reason the patient came to visit the practitioner. It should be short and specific and should cover subjective and/or objective data.

Accepted Answer

The answer of The ________ is the reason the patient...

Question 14

Angel dust is also known as ____.

Accepted Answer

A)   LSD
B)   cocaine
C)   PCP
D)   opium
E)   heroinF) D) and E)
G) A) and B)

Question 15

Many offices use a variation of the _______ note to document routine follow-ups of established patients with ongoing conditions such as hypertension or arthritis.

Accepted Answer

The answer of Many offices use a variation of the...

Question 16

Which of the following approaches allows you to determine the patient's knowledge of the situation and whether it is accurate?

Accepted Answer

A)   Agreeing with the patient
B)   Asking questions that require yes-or-no answers
C)   Asking hypothetical questions
D)   Probing for more information
E)   Challenging the patientF) C) and D)
G) A) and D)

Question 17

The question "Where would you like to begin?" represents which method of data collection?

Accepted Answer

A)   Asking open-ended questions
B)   Asking hypothetical questions
C)   Mirroring the patient's responses
D)   Encouraging the patient to evaluate his situation
E)   Encouraging the patient to take the leadF) A) and B)
G) C) and D)

Question 18

The Joint Commission (TJC) issued a "Do Not Use" list of ________, acronyms, and symbols that should not be used in an effort to reduce medical errors.

Accepted Answer

The answer of The Joint Commission (TJC) issued a "Do...

Question 19

When you assume an open and relaxed body posture, you are demonstrating which data collection method?

Accepted Answer

A)   Asking open-ended questions
B)   Focusing on the patient
C)   Asking hypothetical questions
D)   Encouraging the patient to evaluate his situation
E)   Agreeing with the patientF) A) and C)
G) A) and E)

Question 20

Asking the patient "What do you think about this?" allows the patient to evaluate the situation and form an opinion. This is an example of ____.

Accepted Answer

A)   clarification
B)   verbalization
C)   reflection
D)   hypothesizing
E)   probingF) A) and B)
G) All of the above

Exam 36: Patient Interview and History

Patient interviews should be conducted in ________ and without interruptions.

Correct AnswerverifiedShow Answer

Which of the following approaches allows you to determine the patient's knowledge of the situation and whether it is accurate?

Correct AnswerverifiedShow Answer

Effective ________ means hearing what the patient says, thinking about it, and responding appropriately.

Correct AnswerverifiedShow Answer

Which of the following information would you place in the "S" section when using SOAP charting?

Correct AnswerverifiedShow Answer

The question "Where would you like to begin?" represents which method of data collection?

Correct AnswerverifiedShow Answer

The ________ is the reason the patient came to visit the practitioner. It should be short and specific and should cover subjective and/or objective data.

Correct AnswerverifiedShow Answer

When an office uses _______ medical records, the records are accessible at any time and combine SOMR and POMR methods.

Correct AnswerverifiedShow Answer

When you assume an open and relaxed body posture, you are demonstrating which data collection method?

Correct AnswerverifiedShow Answer

The history of ________ illness includes detailed information about the chief complaint, including when the problem started and what the patient has done to treat the problem.

Correct AnswerverifiedShow Answer

Where on the health history form do you document information taken from the administrative sheet?

Correct AnswerverifiedShow Answer

The Joint Commission (TJC) issued a "Do Not Use" list of ________, acronyms, and symbols that should not be used in an effort to reduce medical errors.

Correct AnswerverifiedShow Answer

Angel dust is also known as ____.

Correct AnswerverifiedShow Answer

Asking the patient "What do you think about this?" allows the patient to evaluate the situation and form an opinion. This is an example of ____.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Most patient charts are arranged with the entries in reverse _______ order.

Correct AnswerverifiedShow Answer

Many offices use a variation of the _______ note to document routine follow-ups of established patients with ongoing conditions such as hypertension or arthritis.

Correct AnswerverifiedShow Answer

The method of collecting patient data that requires more than a yes-or-no answer is asking _________ questions.

Correct Answerverifiedopen-ended...View AnswerShow Answer

The use of alcohol, tobacco, recreational drugs, or other chemical substances is documented in the _______ history.

Correct Answerverifiedsocial and...View AnswerShow Answer

Which of the following is charted as subjective data?

Correct AnswerverifiedShow Answer

The practitioner decides that the patient needs blood and urine tests. The practitioner will document this in the medical record under the _______ of action section in the SOAP format.

Correct AnswerverifiedShow Answer

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open-ended...
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social and...
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