DOWNLOADgTHEgTestgBankgforgNRgAcquiringgMedicalgLanguageg2ndgEditiongJone
s
AcquiringgMedicalgLanguage,g2eg(Jones)gCh
apterg2
IntroductiongtogHealthgRecord
s
1) Whatgisgthegimportancegofghealthgrecords?
A) Theygcontainginformationgcrucialgtogpatientgcare.
B) Theygcontaingroadmapsgtogagpatient'sghealthghistory.
C) Theygprovidegagclearergpicturegofgthegbestgroutegtogtakegingfuturegtreatmentgofgthegpatient.
D) Allgofgthese.
E) Nonegofgthese.
Answer:g g D
Explanation:g Healthgrecordsgcontainginformationgcrucialgtogpatientgcare,garegroadmapsgtogagpati
ent'sghealthghistory,gandgprovidegagclearergpicturegofgthegbestgroutegtogtakegingfuturegtreatmentgof
gthegpatient.
Difficulty:g1gEasy
Topic:g TypesgofgHealthgRecordsgBloo
m's:g Remember
LearninggOutcome:g 02.02gAccessibilit
y:g KeyboardgNavigationgEstgTime:g 0-
1gminute
2) Thegfirstgpartgofgmostgmedicalgnotesgthatgincludesgsuchginformationgasgmedicalghistory,gdurati
ongandgqualitygofgthegproblem,gandganygexacerbatinggorgrelievinggfactorsgforgthatgproblemgisgkno
wngasgtheg part.
A) subjective.
B) objective.
C) assessment.
D) plan.
E) nonegofgthese.
Answer:g g A
Explanation:g Thegfirstgpartgofgmostgmedicalgnotesgthatgincludesgsuchginformationgasgmedicalghis
tory,gdurationgandgqualitygofgthegproblem,gandganygexacerbatinggorgrelievinggfactorsgforgthatgprob
lemgisgknowngasgthegsubjectivegpartgofgthegnote.
Difficulty:g1gEasy
Topic:g ThegSOAPgMethod
gBloom's:g RemembergLear
ninggOutcome:g 02.01
Accessibility:g KeyboardgNavigationgE
stgTime:g 0-1gminute
1
Copyrightg2019g©gMcGraw-
HillgEducation.gAllgrightsgreserved.gNogreproductiongorgdistributiongwithoutgthegpriorgwrittengconsentgofgMcGr
aw-HillgEducation.
mynursytest.store
,DOWNLOADgTHEgTestgBankgforgNRgAcquiringgMedicalgLanguageg2ndgEditiongJone
s
3) Informationgsuchgasgthegpatient'sgphysicalgexam,ganyglaboratorygfindings,gandgimaginggstudie
sgperformedgduringgthegvisitgwouldgbegcontainedgingwhichgpartgofgthegdiagnosticgprocess?
A) Subjective
B) Objective
C) Assessment
D) Plan
E) Nonegofgthese
Answer:g g B
Explanation:g Informationgsuchgasgthegpatient'sgphysicalgexam,ganyglaboratorygfindings,gandgima
ginggstudiesgperformedgduringgthegvisitgwouldgbegcontainedgingthegobjectivegpartgofgthegdiagnosti
cgprocess.
Difficulty:g1gEasy
Topic:g ThegSOAPgMethod
gBloom's:g RemembergLear
ninggOutcome:g 02.01
Accessibility:g KeyboardgNavigationgE
stgTime:g 0-1gminute
4) Aftergaghealthgcaregproviderghasggatheredginformationgfromgthegpatientgandgperformedganygne
cessaryginvestigations,gtheghealthgcaregprovidergthengformulatesga(n)g
,gwhichgcouldgbegagdiagnosis,gidentificationgofgthegproblem,gorgagdifferentialgdiagnosis.
A) subjective
B) objective
C) assessment
D) plan
E) nonegofgthese
Answer:g g C
Explanation:g Aftergaghealthgcaregproviderghasggatheredginformationgfromgthegpatientgandgperfor
medganygnecessaryginvestigationsg(forgexample:gphysicalgexams,glaboratorygstudies,gorgimaginggs
tudies),gtheghealthgcaregprovidergthengformulatesgangassessment,gwhichgcouldgbegagdiagnosis,gide
ntificationgofgthegproblem,gorgagdifferentialgdiagnosis.
Difficulty:g1gEasy
Topic:g ThegSOAPgMethod
gBloom's:g RemembergLear
ninggOutcome:g 02.01
Accessibility:g KeyboardgNavigationgE
stgTime:g 0-1gminute
2
Copyrightg2019g©gMcGraw-
HillgEducation.gAllgrightsgreserved.gNogreproductiongorgdistributiongwithoutgthegpriorgwrittengconsentgofgMcGr
aw-HillgEducation.
mynursytest.store
,DOWNLOADgTHEgTestgBankgforgNRgAcquiringgMedicalgLanguageg2ndgEditiongJone
s
5) Thegcoursegofgactiongconsistentgwithgaghealthgcaregprovider'sgassessmentgisgknowngasga(n):
A) subjective.
B) objective.
C) assessment.
D) plan.
E) nonegofgthese.
Answer:g g D
Explanation:g Thegcoursegofgactiongconsistentgwithgaghealthgcaregprovider'sgassessmentgisgknow
ngasgagplan.
Difficulty:g1gEasy
Topic:g ThegSOAPgMethod
gBloom's:g RemembergLear
ninggOutcome:g 02.01
Accessibility:g KeyboardgNavigationgE
stgTime:g 0-1gminute
6) WhichgofgthegfollowinggisgFALSEgaboutgthegSOAPgmethod?
A) Diagnosticgworkgingmedicinegisgverygsimilargtogtheginvestigativegworkgofgagdetective;gthusgth
egSOAPgmethodgbeginsgwithganganalysisgandgendsgwithgcollectinggdatagtogconfirmgthegdiagnosi
s.
B) Mostgmedicalgnotesgsharegagconsistentgpatterngingtheirgorganizationgandglayoutgthatgreflectsgth
egSOAPgthoughtgprocess.
C) SOAPgisgangacronymgthatgstandsgforgSubjective,gObjective,gAssessment,gandgPlan.
D) SOAPgreflectsgaggeneralgthoughtgprocessgusedgbygmostgmedicalgprofessionals.
E) ThegSOAPgmethodgisgrepeatedgingeveryghealthgcaregvisitgacrossgallgdisciplinesgofgmedicine.
Answer:g g A
Explanation:g Diagnosticgworkgingmedicinegbeginsgwithgdatagcollectiongandgconcludesgwithgangan
alysis.
Difficulty:g1gEasy
Topic:g ThegSOAPgMethod
gBloom's:g RemembergLear
ninggOutcome:g 02.01
Accessibility:g KeyboardgNavigationgE
stgTime:g 0-1gminute
3
Copyrightg2019g©gMcGraw-
HillgEducation.gAllgrightsgreserved.gNogreproductiongorgdistributiongwithoutgthegpriorgwrittengconsentgofgMcGr
aw-HillgEducation.
mynursytest.store
, DOWNLOADgTHEgTestgBankgforgNRgAcquiringgMedicalgLanguageg2ndgEditiongJone
s
7) Thegstorygofgthegpatient'sgproblemgisgknowngas:
A) chiefgcomplaint.
B) familyghistory.
C) historygofgpresentgillness.
D) reviewgofghistory.
E) socialghistory.
Answer:g g C
Explanation:g Thegstorygofgthegpatient'sgproblemgisgknowngasgtheghistorygofgpresentgillness.gDiffi
culty:g1gEasy
Topic:g TypesgofgHealthgRecordsgBloo
m's:g Remember
LearninggOutcome:g 02.03gAccessibilit
y:g KeyboardgNavigationgEstgTime:g 0-
1gminute
8) Agreviewgofgsystemsgis:
A) agdescriptiongofgindividualgbodygsystemsgingordergtogdiscoverganygsymptomsgnotgdirectl
ygrelatedgtogthegmaingproblem.
B) agrecordgofghabitsglikegsmoking,gdrinking,gdruggabuse,gandgsexualgpracticesgthatgcangimpa
ctghealth.
C) anygsignificantgillnessesgthatgrungingthegpatient'sgfamily.
D) othergsignificantgpastgillnesses,glikeghighgbloodgpressure,gasthma,gorgdiabetes.
E) thegstorygofgthegpatient'sgproblem.
Answer:g g A
Explanation:g Agreviewgofgsystemsgisgagdescriptiongofgindividualgbodygsystemsgingordergtogdisco
verganygsymptomsgnotgdirectlygrelatedgtogthegmaingproblem.
Difficulty:g1gEasy
Topic:g TypesgofgHealthgRecordsgBloo
m's:g Remember
LearninggOutcome:g 02.03gAccessibilit
y:g KeyboardgNavigationgEstgTime:g 0-
1gminute
4
Copyrightg2019g©gMcGraw-
HillgEducation.gAllgrightsgreserved.gNogreproductiongorgdistributiongwithoutgthegpriorgwrittengconsentgofgMcGr
aw-HillgEducation.
mynursytest.store
s
AcquiringgMedicalgLanguage,g2eg(Jones)gCh
apterg2
IntroductiongtogHealthgRecord
s
1) Whatgisgthegimportancegofghealthgrecords?
A) Theygcontainginformationgcrucialgtogpatientgcare.
B) Theygcontaingroadmapsgtogagpatient'sghealthghistory.
C) Theygprovidegagclearergpicturegofgthegbestgroutegtogtakegingfuturegtreatmentgofgthegpatient.
D) Allgofgthese.
E) Nonegofgthese.
Answer:g g D
Explanation:g Healthgrecordsgcontainginformationgcrucialgtogpatientgcare,garegroadmapsgtogagpati
ent'sghealthghistory,gandgprovidegagclearergpicturegofgthegbestgroutegtogtakegingfuturegtreatmentgof
gthegpatient.
Difficulty:g1gEasy
Topic:g TypesgofgHealthgRecordsgBloo
m's:g Remember
LearninggOutcome:g 02.02gAccessibilit
y:g KeyboardgNavigationgEstgTime:g 0-
1gminute
2) Thegfirstgpartgofgmostgmedicalgnotesgthatgincludesgsuchginformationgasgmedicalghistory,gdurati
ongandgqualitygofgthegproblem,gandganygexacerbatinggorgrelievinggfactorsgforgthatgproblemgisgkno
wngasgtheg part.
A) subjective.
B) objective.
C) assessment.
D) plan.
E) nonegofgthese.
Answer:g g A
Explanation:g Thegfirstgpartgofgmostgmedicalgnotesgthatgincludesgsuchginformationgasgmedicalghis
tory,gdurationgandgqualitygofgthegproblem,gandganygexacerbatinggorgrelievinggfactorsgforgthatgprob
lemgisgknowngasgthegsubjectivegpartgofgthegnote.
Difficulty:g1gEasy
Topic:g ThegSOAPgMethod
gBloom's:g RemembergLear
ninggOutcome:g 02.01
Accessibility:g KeyboardgNavigationgE
stgTime:g 0-1gminute
1
Copyrightg2019g©gMcGraw-
HillgEducation.gAllgrightsgreserved.gNogreproductiongorgdistributiongwithoutgthegpriorgwrittengconsentgofgMcGr
aw-HillgEducation.
mynursytest.store
,DOWNLOADgTHEgTestgBankgforgNRgAcquiringgMedicalgLanguageg2ndgEditiongJone
s
3) Informationgsuchgasgthegpatient'sgphysicalgexam,ganyglaboratorygfindings,gandgimaginggstudie
sgperformedgduringgthegvisitgwouldgbegcontainedgingwhichgpartgofgthegdiagnosticgprocess?
A) Subjective
B) Objective
C) Assessment
D) Plan
E) Nonegofgthese
Answer:g g B
Explanation:g Informationgsuchgasgthegpatient'sgphysicalgexam,ganyglaboratorygfindings,gandgima
ginggstudiesgperformedgduringgthegvisitgwouldgbegcontainedgingthegobjectivegpartgofgthegdiagnosti
cgprocess.
Difficulty:g1gEasy
Topic:g ThegSOAPgMethod
gBloom's:g RemembergLear
ninggOutcome:g 02.01
Accessibility:g KeyboardgNavigationgE
stgTime:g 0-1gminute
4) Aftergaghealthgcaregproviderghasggatheredginformationgfromgthegpatientgandgperformedganygne
cessaryginvestigations,gtheghealthgcaregprovidergthengformulatesga(n)g
,gwhichgcouldgbegagdiagnosis,gidentificationgofgthegproblem,gorgagdifferentialgdiagnosis.
A) subjective
B) objective
C) assessment
D) plan
E) nonegofgthese
Answer:g g C
Explanation:g Aftergaghealthgcaregproviderghasggatheredginformationgfromgthegpatientgandgperfor
medganygnecessaryginvestigationsg(forgexample:gphysicalgexams,glaboratorygstudies,gorgimaginggs
tudies),gtheghealthgcaregprovidergthengformulatesgangassessment,gwhichgcouldgbegagdiagnosis,gide
ntificationgofgthegproblem,gorgagdifferentialgdiagnosis.
Difficulty:g1gEasy
Topic:g ThegSOAPgMethod
gBloom's:g RemembergLear
ninggOutcome:g 02.01
Accessibility:g KeyboardgNavigationgE
stgTime:g 0-1gminute
2
Copyrightg2019g©gMcGraw-
HillgEducation.gAllgrightsgreserved.gNogreproductiongorgdistributiongwithoutgthegpriorgwrittengconsentgofgMcGr
aw-HillgEducation.
mynursytest.store
,DOWNLOADgTHEgTestgBankgforgNRgAcquiringgMedicalgLanguageg2ndgEditiongJone
s
5) Thegcoursegofgactiongconsistentgwithgaghealthgcaregprovider'sgassessmentgisgknowngasga(n):
A) subjective.
B) objective.
C) assessment.
D) plan.
E) nonegofgthese.
Answer:g g D
Explanation:g Thegcoursegofgactiongconsistentgwithgaghealthgcaregprovider'sgassessmentgisgknow
ngasgagplan.
Difficulty:g1gEasy
Topic:g ThegSOAPgMethod
gBloom's:g RemembergLear
ninggOutcome:g 02.01
Accessibility:g KeyboardgNavigationgE
stgTime:g 0-1gminute
6) WhichgofgthegfollowinggisgFALSEgaboutgthegSOAPgmethod?
A) Diagnosticgworkgingmedicinegisgverygsimilargtogtheginvestigativegworkgofgagdetective;gthusgth
egSOAPgmethodgbeginsgwithganganalysisgandgendsgwithgcollectinggdatagtogconfirmgthegdiagnosi
s.
B) Mostgmedicalgnotesgsharegagconsistentgpatterngingtheirgorganizationgandglayoutgthatgreflectsgth
egSOAPgthoughtgprocess.
C) SOAPgisgangacronymgthatgstandsgforgSubjective,gObjective,gAssessment,gandgPlan.
D) SOAPgreflectsgaggeneralgthoughtgprocessgusedgbygmostgmedicalgprofessionals.
E) ThegSOAPgmethodgisgrepeatedgingeveryghealthgcaregvisitgacrossgallgdisciplinesgofgmedicine.
Answer:g g A
Explanation:g Diagnosticgworkgingmedicinegbeginsgwithgdatagcollectiongandgconcludesgwithgangan
alysis.
Difficulty:g1gEasy
Topic:g ThegSOAPgMethod
gBloom's:g RemembergLear
ninggOutcome:g 02.01
Accessibility:g KeyboardgNavigationgE
stgTime:g 0-1gminute
3
Copyrightg2019g©gMcGraw-
HillgEducation.gAllgrightsgreserved.gNogreproductiongorgdistributiongwithoutgthegpriorgwrittengconsentgofgMcGr
aw-HillgEducation.
mynursytest.store
, DOWNLOADgTHEgTestgBankgforgNRgAcquiringgMedicalgLanguageg2ndgEditiongJone
s
7) Thegstorygofgthegpatient'sgproblemgisgknowngas:
A) chiefgcomplaint.
B) familyghistory.
C) historygofgpresentgillness.
D) reviewgofghistory.
E) socialghistory.
Answer:g g C
Explanation:g Thegstorygofgthegpatient'sgproblemgisgknowngasgtheghistorygofgpresentgillness.gDiffi
culty:g1gEasy
Topic:g TypesgofgHealthgRecordsgBloo
m's:g Remember
LearninggOutcome:g 02.03gAccessibilit
y:g KeyboardgNavigationgEstgTime:g 0-
1gminute
8) Agreviewgofgsystemsgis:
A) agdescriptiongofgindividualgbodygsystemsgingordergtogdiscoverganygsymptomsgnotgdirectl
ygrelatedgtogthegmaingproblem.
B) agrecordgofghabitsglikegsmoking,gdrinking,gdruggabuse,gandgsexualgpracticesgthatgcangimpa
ctghealth.
C) anygsignificantgillnessesgthatgrungingthegpatient'sgfamily.
D) othergsignificantgpastgillnesses,glikeghighgbloodgpressure,gasthma,gorgdiabetes.
E) thegstorygofgthegpatient'sgproblem.
Answer:g g A
Explanation:g Agreviewgofgsystemsgisgagdescriptiongofgindividualgbodygsystemsgingordergtogdisco
verganygsymptomsgnotgdirectlygrelatedgtogthegmaingproblem.
Difficulty:g1gEasy
Topic:g TypesgofgHealthgRecordsgBloo
m's:g Remember
LearninggOutcome:g 02.03gAccessibilit
y:g KeyboardgNavigationgEstgTime:g 0-
1gminute
4
Copyrightg2019g©gMcGraw-
HillgEducation.gAllgrightsgreserved.gNogreproductiongorgdistributiongwithoutgthegpriorgwrittengconsentgofgMcGr
aw-HillgEducation.
mynursytest.store
