MEAS 238 CHAPTER 36 ACCURATE
100%
restatement - ANSWERrepeating what a patient says in your own words back to the
patient
mirroring - ANSWERrestating what the patient says almost exactly as the patient
says it
clients words - ANSWERmust be recorded exactly. The doctor may uncover clues to
use in diagnosing the patient's condition. Place quotation marks to indicate what the
patient said.
clarity - ANSWERclearness in writing and precise descriptions
completeness - ANSWERis required for on all forms used in the patients records
conciseness - ANSWERcan save time and space when you are recording
information ; the use of no necessary words
chronological order - ANSWERthe order in which events happen in time
confidentiality - ANSWERis essential to protect the patients privacy
verbalizing - ANSWERStating what you believe the patient is suggesting by his
response
clarification - ANSWERasking questions that provide an increase understanding of a
problem
reflection - ANSWERwhen a thought, an idea, or an opinion is formed as a result of
deeper thought
substance abuse - ANSWERto use of a substance, even an over the counter drug, in
a way that is not medically approved
addiction - ANSWERrefers to a physical or psychological dependence on a
substance
subjective data - ANSWERinformation about the patients condition that includes
thoughts, feelings, and perceptions, including a chief complaint
100%
restatement - ANSWERrepeating what a patient says in your own words back to the
patient
mirroring - ANSWERrestating what the patient says almost exactly as the patient
says it
clients words - ANSWERmust be recorded exactly. The doctor may uncover clues to
use in diagnosing the patient's condition. Place quotation marks to indicate what the
patient said.
clarity - ANSWERclearness in writing and precise descriptions
completeness - ANSWERis required for on all forms used in the patients records
conciseness - ANSWERcan save time and space when you are recording
information ; the use of no necessary words
chronological order - ANSWERthe order in which events happen in time
confidentiality - ANSWERis essential to protect the patients privacy
verbalizing - ANSWERStating what you believe the patient is suggesting by his
response
clarification - ANSWERasking questions that provide an increase understanding of a
problem
reflection - ANSWERwhen a thought, an idea, or an opinion is formed as a result of
deeper thought
substance abuse - ANSWERto use of a substance, even an over the counter drug, in
a way that is not medically approved
addiction - ANSWERrefers to a physical or psychological dependence on a
substance
subjective data - ANSWERinformation about the patients condition that includes
thoughts, feelings, and perceptions, including a chief complaint
