Exam 36: Patient Interview and History

Jill Hanson is a 16-year-old patient who has come to the office complaining of lower abdominal pain. As you interview her, you notice that she seems to have difficulty concentrating on the conversation. She constantly looks toward the closed door of the exam room, and she asks you several times whether the doctor is "nice." Which of the following would you suspect as the reason for Jill's behavior?

____ are used extensively by large clinics and practices and includes the database, problem list, treatment plan, and progress notes.

"Where would you like to begin?" is an example of which method of collecting patient data?

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

Which of the following commonly abused drugs are amphetamines/stimulants?

Which of the following does not apply to HIPAA requirements?

The use of _______ by continuing to ask questions after the patient appears to have finished giving information is an ineffective means of data collection because the patient may feel you are invading her privacy.

You must have a broad ________ base to be able to ask questions that will elicit the most meaningful information about the patient.

Classic symptoms of ________ are profound sadness and fatigue.

Which section of the health history form includes questions about and examination (by the practitioner) of all body functions?

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

Data that is readily apparent and measurable is _______ data.

A physical or psychological dependence on a substance is called a(n) ________.

Conditions or problems are identified by a number throughout the record until the problem is resolved in _______ medical records.

Which of the following is an ineffective way to make a patient feel at ease and should never be used?

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

Which section of the health history form includes information about the health of the patient's family?

When the patient shows signs of _______, every effort should be made to help the patient relax and release or reduce these feelings.

Which of the following statements applies to HIPAA requirements?

Taking larger-than-prescribed doses of a medication is an example of _______.