Exam 36: Patient Interview and History

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The method of collecting data that allows you to determine the patient's knowledge of the situation is asking ________ questions.

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Which of the following is appropriate for conducting a successful interview?

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The practitioner's diagnosis or impression of the patient's problem is documented in the _______ section of the SOAP format chart notes.

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Information is arranged according to who provided the information in _______ or source-oriented medical records.

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John is a 15-year-old patient who plays on his high school basketball team. He says he is proud to be on the team's "first string." His mother brought him to the office because he is experiencing hearing loss and has frequent spasms in his legs. Which of the following are possible causes of these symptoms?

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The practitioner's diagnosis or impression of the patient's condition is the ____.

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Which of the following are other names for cocaine?

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When using the PQRST interview technique, the S stands for _________.

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Which of these patient behaviors is a classic symptom of depression?

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Which of the following offers the patient little freedom to explain his answers and requires only yes-or-no answers?

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Irene is a 26-year-old patient who is in the office for her annual physical examination. While you are interviewing her, she says she is feeling wonderful. She tells you she has been having mystical experiences and seems unusually aware of things around her. Which of the following drugs has she probably taken?

(Multiple Choice)
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The Joint Commission (TJC) and the ______________ (ISMP) are two organizations whose mission includes promotion of patient safety by publishing the official "Do Not Use" list of abbreviations in an effort to reduce medical errors.

(Short Answer)
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The information in the patient's chart is ____.

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Which of the following methods of collecting patient data requires more than a yes-or-no answer and encourages the patient to explain the situation?

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Which method of data collection does the question "What do you think is going on with you?" represent?

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Using SOAP charting, where would you document measurable information?

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