Subjective Data Chart Exam With Correct Answers.

Subjective Data Chart Exam With
Correct Answers.
which of the following are subjective parts of the EMR?
history of present illness
chief complaint
review of systems
past medical, family, social history
all of the above - ANSWER- all of the above

subjective data is described as "personal opinions, perceptions, assumptions,
interpretations, beliefs, etc" T or F - ANSWER- true

the ROS section of the EMR contains exam findings T or F - ANSWER- false

past medical, family, social history section of the EMR contains the patients chief
complaint T or F - ANSWER- false

who are all the possible sources of the HPI, ROS, and past medical, family, and social
history?
lab tachs
patients
family and friends
lawyers
existing patient health records
EMS personnel - ANSWER- patients
family and friends
existing patient health records
EMS personnel

which element of the HPI describes the character of the chief complaint?
palliative/provocative
quality
region/radiation
severity
timing
associated symptoms
context - ANSWER- quality

which element of the HPI describes the situation/scenario at the onset of the chief
complaint?
palliative/provocative
quality