Question 1

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

Accepted Answer

The answer of The physician's diagnosis or impression of the...

Question 2

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

Accepted Answer

A)  Physician's examination 
B)  Physician's diagnosis 
C)  Patient's chief complaint 
D)  Test results 
E)  Patient education 
A)  Physician's examination 
B)  Physician's diagnosis 
C)  Patient's chief complaint 
D)  Test results 
E)  Patient education

Question 3

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 lead 
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 lead

Question 4

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

Accepted Answer

The answer of A physical or psychological dependence on a...

Question 5

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

Accepted Answer

social and

Question 6

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 7

"White coat syndrome" is _______ related to seeing a physician.

Accepted Answer

The answer of "White coat syndrome" is _______ related to...

Question 8

The question "What would you do if you had chest pain?" represents which of the following methods of patient data collection?

Accepted Answer

A)  Asking closed-ended questions 
B)  Asking open-ended questions 
C)  Asking hypothetical questions 
D)  Challenging the patient 
E)  Asking leading questions 
A)  Asking closed-ended questions 
B)  Asking open-ended questions 
C)  Asking hypothetical questions 
D)  Challenging the patient 
E)  Asking leading questions

Question 9

In an effort to make a patient feel at ease, you should never____.

Accepted Answer

A)  use icebreakers 
B)  fail to maintain eye contact 
C)  call a patient "honey" or "sweetie" 
D)  ensure privacy 
E)  appear relaxed 
A)  use icebreakers 
B)  fail to maintain eye contact 
C)  call a patient "honey" or "sweetie" 
D)  ensure privacy 
E)  appear relaxed

Question 10

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)  probing 
A)  clarification 
B)  verbalization 
C)  reflection 
D)  hypothesizing 
E)  probing

Question 11

Which of the following applies to HIPAA requirements?

Accepted Answer

A)  Patients should know the long-term costs of treatment choices. 
B)  Patients should know the identity of people involved in care. 
C)  Patients should be informed of available resources for resolving disputes. 
D)  Healthcare facilities must inform patients, in writing, about disclosure of identifiable health information. 
E)  To the extent permitted by law, patients may refuse treatment. 
A)  Patients should know the long-term costs of treatment choices. 
B)  Patients should know the identity of people involved in care. 
C)  Patients should be informed of available resources for resolving disputes. 
D)  Healthcare facilities must inform patients, in writing, about disclosure of identifiable health information. 
E)  To the extent permitted by law, patients may refuse treatment.

Question 12

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

Accepted Answer

A)  Chief complaint 
B)  History of present illness 
C)  Past medical history 
D)  Review of systems 
E)  Social and occupational history 
A)  Chief complaint 
B)  History of present illness 
C)  Past medical history 
D)  Review of systems 
E)  Social and occupational history

Question 13

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 14

The physician's diagnosis or impression of the patient's problem is the ____.

Accepted Answer

A)  subjective data 
B)  assessment 
C)  objective data 
D)  plan of action 
E)  problem list 
A)  subjective data 
B)  assessment 
C)  objective data 
D)  plan of action 
E)  problem list

Question 15

Asking the patient "Can you tell me more about your symptoms?" is which method of collecting patient data?

Accepted Answer

A)  Asking closed-ended questions 
B)  Asking open-ended questions 
C)  Asking hypothetical questions 
D)  Encouraging patient to take the lead 
E)  Asking leading questions 
A)  Asking closed-ended questions 
B)  Asking open-ended questions 
C)  Asking hypothetical questions 
D)  Encouraging patient to take the lead 
E)  Asking leading questions

Question 16

Which of the following are common effects of LSD?

Accepted Answer

A)  Slowed thinking, slowed reflexes, slowed respiration, loss of anxiety 
B)  Grandiose feelings, hallucinations, mystical experiences, flashbacks 
C)  Decreased level of consciousness, detachment, drowsiness, impaired judgment 
D)  Altered mental status, confusion, paranoia, 
E)  Hyperactivity followed by exhaustion, insomnia, loss of appetite 
A)  Slowed thinking, slowed reflexes, slowed respiration, loss of anxiety 
B)  Grandiose feelings, hallucinations, mystical experiences, flashbacks 
C)  Decreased level of consciousness, detachment, drowsiness, impaired judgment 
D)  Altered mental status, confusion, paranoia, 
E)  Hyperactivity followed by exhaustion, insomnia, loss of appetite

Question 17

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

Accepted Answer

A)  Challenging the patient 
B)  Asking hypothetical questions 
C)  Encouraging the patient to take the lead 
D)  Asking open-ended questions 
E)  Focusing on the patient 
A)  Challenging the patient 
B)  Asking hypothetical questions 
C)  Encouraging the patient to take the lead 
D)  Asking open-ended questions 
E)  Focusing on the patient

Question 18

Which of the following does not apply to HIPAA requirements?

Accepted Answer

A)  Patient consent is required to disclose protected information. 
B)  Health-care facilities must provide patients with a written notice of their privacy practices. 
C)  The medical assistant should be informed of available resources for resolving disputes. 
D)  Health-care facilities must inform patients, in writing, about disclosure of identifiable health information. 
E)  The patient's written authorization is required for disclosures not permitted by a hospital's privacy notice. 
A)  Patient consent is required to disclose protected information. 
B)  Health-care facilities must provide patients with a written notice of their privacy practices. 
C)  The medical assistant should be informed of available resources for resolving disputes. 
D)  Health-care facilities must inform patients, in writing, about disclosure of identifiable health information. 
E)  The patient's written authorization is required for disclosures not permitted by a hospital's privacy notice.

Question 19

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

Accepted Answer

problem-or

Question 20

Which of the following statements applies to HIPAA requirements?

Accepted Answer

A)  Long-term costs of treatment choices must be explained to patients. 
B)  A privacy notice must be prominently posted within the hospital. 
C)  Patients should know the identity of people involved in care. 
D)  Patients should be informed of available resources for resolving disputes. 
E)  Reasonable continuity of care should be provided to patients. 
A)  Long-term costs of treatment choices must be explained to patients. 
B)  A privacy notice must be prominently posted within the hospital. 
C)  Patients should know the identity of people involved in care. 
D)  Patients should be informed of available resources for resolving disputes. 
E)  Reasonable continuity of care should be provided to patients.

Exam 36: Patient Interview and History

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

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

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

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

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

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

"White coat syndrome" is _______ related to seeing a physician.

The question "What would you do if you had chest pain?" represents which of the following methods of patient data collection?

In an effort to make a patient feel at ease, you should never____.

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 ____.

Which of the following applies to HIPAA requirements?

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

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

The physician's diagnosis or impression of the patient's problem is the ____.

Asking the patient "Can you tell me more about your symptoms?" is which method of collecting patient data?

Which of the following are common effects of LSD?

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

Which of the following does not apply to HIPAA requirements?

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

Which of the following statements applies to HIPAA requirements?

Introduction to Medical Assisting

Healthcare and the Healthcare Team

Professionalism and Success

Interpersonal Communication

Legal and Ethical Issues

Basic Safety and Infection Control

Patient Reception

Office Equipment and Supplies

Examination and Treatment Areas

Written and Electronic Documents

Medical Records and Documentation

Electronic Health Records

Telephone Techniques

Patient Education

Managing Medical Records

Schedule Management

Insurance and Billing

Diagnostic Coding

Procedure Coding

Patient Billing and Collection

Financial Management Key

Organization of the Body

The Integumentary System

The Skeletal System

The Muscular System

The Cardiovascular System

The Blood

The Lymphatic and Immune Systems

The Respiratory System

The Nervous System

The Urinary System

The Reproductive System

The Digestive System

The Endocrine System

Special Senses

Vital Signs and Measurements

Assisting With a General Physical Examination

Assisting in Reproductive and Urinary Specialties

Assisting in Pediatrics

Assisting in Geriatrics

Assisting in Other Medical Specialties

Assisting With Eye and Ear Care

Assisting With Minor Surgery

Orientation to the Lab

Electrocardiography and Pulmonary Function Testing

Microbiology and Disease

Processing and Testing Urine and Stool Specimens

Collecting, Processing, and Testing Blood Specimens

Diagnostic Imaging

Principles of Pharmacology

Dosage Calculation

Medication Administration

Physical Therapy and Rehabilitation

Nutrition and Health

Practice Management

Emergency Preparedness

Preparing for the World of Work

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