DOWNLOADhTHEhTesthBankhforhNRhAcquiringhMedicalhLanguageh2ndhEditionhJones
AcquiringhMedicalhLanguage,h2eh(Jones)hCh
apterh2
IntroductionhtohHealthhRecord
s
1) Whathishthehimportancehofhhealthhrecords?
A) Theyhcontainhinformationhcrucialhtohpatienthcare.
B) Theyhcontainhroadmapshtohahpatient'shhealthhhistory.
C) Theyhprovidehahclearerhpicturehofhthehbesthroutehtohtakehinhfuturehtreatmenthofhthehpatient.
D) Allhofhthese.
E) Nonehofhthese.
Answer:h D
Explanation:h Healthhrecordshcontainhinformationhcrucialhtohpatienthcare,harehroadmapshtohahpatie
nt'shhealthhhistory,handhprovidehahclearerhpicturehofhthehbesthroutehtohtakehinhfuturehtreatmenthofhth
ehpatient.
Difficulty:h1hEasy
Topic:hTypeshofhHealthhRecordshBloom
's:h Remember
LearninghOutcome:h 02.02hAccessibilit
y:hKeyboardhNavigationhEsthTime:h 0-
1hminute
2) Thehfirsthparthofhmosthmedicalhnoteshthathincludeshsuchhinformationhashmedicalhhistory,hduratio
nhandhqualityhofhthehproblem,handhanyhexacerbatinghorhrelievinghfactorshforhthathproblemhishknown
hashthe part.
A) subjective.
B) objective.
C) assessment.
D) plan.
E) nonehofhthese.
Answer:h A
Explanation:h Thehfirsthparthofhmosthmedicalhnoteshthathincludeshsuchhinformationhashmedicalhh
istory,hdurationhandhqualityhofhthehproblem,handhanyhexacerbatinghorhrelievinghfactorshforhthathp
roblemhishknownhashthehsubjectivehparthofhthehnote.
Difficulty:h1hEasy
Topic:hThehSOAPhMethodh
Bloom's:h RememberhLearn
inghOutcome:h 02.01
Accessibility:hKeyboardhNavigationhEs
thTime:h 0-1hminute
1
Copyrighth2019h©hMcGraw-
HillhEducation.hAllhrightshreserved.hNohreproductionhorhdistributionhwithouththehpriorhwrittenhconsenthofhMcGra
w-HillhEducation.
mynursytest.store
,DOWNLOADhTHEhTesthBankhforhNRhAcquiringhMedicalhLanguageh2ndhEditionhJones
3) Informationhsuchhashthehpatient'shphysicalhexam,hanyhlaboratoryhfindings,handhimaginghstudiesh
performedhduringhthehvisithwouldhbehcontainedhinhwhichhparthofhthehdiagnostichprocess?
A) Subjective
B) Objective
C) Assessment
D) Plan
E) Nonehofhthese
Answer:h B
Explanation:h Informationhsuchhashthehpatient'shphysicalhexam,hanyhlaboratoryhfindings,handhimag
inghstudieshperformedhduringhthehvisithwouldhbehcontainedhinhthehobjectivehparthofhthehdiagnostic
hprocess.
Difficulty:h1hEasy
Topic:hThehSOAPhMethodh
Bloom's:h RememberhLearn
inghOutcome:h 02.01
Accessibility:hKeyboardhNavigationhEs
thTime:h 0-1hminute
4) Afterhahhealthhcarehproviderhhashgatheredhinformationhfromhthehpatienthandhperformedhanyhnec
essaryhinvestigations,hthehhealthhcarehproviderhthenhformulatesha(n)
,hwhichhcouldhbehahdiagnosis,hidentificationhofhthehproblem,horhahdifferentialhdiagnosis.
A) subjective
B) objective
C) assessment
D) plan
E) nonehofhthese
Answer:h C
Explanation:hAfterhahhealthhcarehproviderhhashgatheredhinformationhfromhthehpatienthandhper
formedhanyhnecessaryhinvestigationsh(forhexample:hphysicalhexams,hlaboratoryhstudies,horhim
aginghstudies),hthehhealthhcarehproviderhthenhformulateshanhassessment,hwhichhcouldhbehahdia
gnosis,hidentificationhofhthehproblem,horhahdifferentialhdiagnosis.
Difficulty:h1hEasy
Topic:hThehSOAPhMethodh
Bloom's:h RememberhLearn
inghOutcome:h 02.01
Accessibility:hKeyboardhNavigationhEs
thTime:h 0-1hminute
2
Copyrighth2019h©hMcGraw-
HillhEducation.hAllhrightshreserved.hNohreproductionhorhdistributionhwithouththehpriorhwrittenhconsenthofhMcGra
w-HillhEducation.
mynursytest.store
,DOWNLOADhTHEhTesthBankhforhNRhAcquiringhMedicalhLanguageh2ndhEditionhJones
5) Thehcoursehofhactionhconsistenthwithhahhealthhcarehprovider'shassessmenthishknownhasha(n):
A) subjective.
B) objective.
C) assessment.
D) plan.
E) nonehofhthese.
Answer:h D
Explanation:hThehcoursehofhactionhconsistenthwithhahhealthhcarehprovider'shassessmenthishknownh
ashahplan.
Difficulty:h1hEasy
Topic:hThehSOAPhMethodh
Bloom's:h RememberhLearn
inghOutcome:h 02.01
Accessibility:hKeyboardhNavigationhEs
thTime:h 0-1hminute
6) WhichhofhthehfollowinghishFALSEhabouththehSOAPhmethod?
A) Diagnostichworkhinhmedicinehishveryhsimilarhtohthehinvestigativehworkhofhahdetective;hthushthe
hSOAPhmethodhbegins hwithhanhanalysis handhendshwithhcollectinghdatahtohconfirmhthehdiagnosis.
B) Mosthmedicalhnoteshsharehahconsistenthpatternhinhtheirhorganizationhandhlayouththathreflectshtheh
SOAPhthoughthprocess.
C) SOAPhishanhacronymhthathstandshforhSubjective,hObjective,hAssessment,handhPlan.
D) SOAPhreflectshahgeneralhthoughthprocesshusedhbyhmosthmedicalhprofessionals.
E) ThehSOAPhmethodhishrepeatedhinheveryhhealthhcarehvisithacrosshallhdisciplineshofhmedicine.
Answer:h A
Explanation:hDiagnostichworkhinhmedicinehbeginshwithhdatahcollectionhandhconcludeshwithhanhanaly
sis.
Difficulty:h1hEasy
Topic:hThehSOAPhMethodh
Bloom's:h RememberhLearn
inghOutcome:h 02.01
Accessibility:hKeyboardhNavigationhEs
thTime:h 0-1hminute
3
Copyrighth2019h©hMcGraw-
HillhEducation.hAllhrightshreserved.hNohreproductionhorhdistributionhwithouththehpriorhwrittenhconsenthofhMcGra
w-HillhEducation.
mynursytest.store
, DOWNLOADhTHEhTesthBankhforhNRhAcquiringhMedicalhLanguageh2ndhEditionhJones
7) Thehstoryhofhthehpatient'shproblemhishknownhas:
A) chiefhcomplaint.
B) familyhhistory.
C) historyhofhpresenthillness.
D) reviewhofhhistory.
E) socialhhistory.
Answer:h C
Explanation:h Thehstoryhofhthehpatient'shproblemhishknownhashthehhistoryhofhpresenthillness.hDifficult
y:h1hEasy
Topic:hTypeshofhHealthhRecordshBloom
's:h Remember
LearninghOutcome:h 02.03hAccessibilit
y:hKeyboardhNavigationhEsthTime:h 0-
1hminute
8) Ahreviewhofhsystemshis:
A) ahdescriptionhofhindividualhbodyhsystemshinhorderhtohdiscoverhanyhsymptomshnothdirectly
hrelatedhtohthehmainhproblem.
B) ahrecordhofhhabitshlikehsmoking,hdrinking,hdrughabuse,handhsexualhpracticeshthathcanhimpacth
health.
C) anyhsignificanthillnesseshthathrunhinhthehpatient'shfamily.
D) otherhsignificanthpasthillnesses,hlikehhighhbloodhpressure,hasthma,horhdiabetes.
E) thehstoryhofhthehpatient'shproblem.
Answer:h A
Explanation:h Ahreviewhofhsystemshishahdescriptionhofhindividualhbodyhsystemshinhorderhtohdiscove
rhanyhsymptomshnothdirectlyhrelatedhtohthehmainhproblem.
Difficulty:h1hEasy
Topic:hTypeshofhHealthhRecordshBloom
's:h Remember
LearninghOutcome:h 02.03hAccessibilit
y:hKeyboardhNavigationhEsthTime:h 0-
1hminute
4
Copyrighth2019h©hMcGraw-
HillhEducation.hAllhrightshreserved.hNohreproductionhorhdistributionhwithouththehpriorhwrittenhconsenthofhMcGra
w-HillhEducation.
mynursytest.store
AcquiringhMedicalhLanguage,h2eh(Jones)hCh
apterh2
IntroductionhtohHealthhRecord
s
1) Whathishthehimportancehofhhealthhrecords?
A) Theyhcontainhinformationhcrucialhtohpatienthcare.
B) Theyhcontainhroadmapshtohahpatient'shhealthhhistory.
C) Theyhprovidehahclearerhpicturehofhthehbesthroutehtohtakehinhfuturehtreatmenthofhthehpatient.
D) Allhofhthese.
E) Nonehofhthese.
Answer:h D
Explanation:h Healthhrecordshcontainhinformationhcrucialhtohpatienthcare,harehroadmapshtohahpatie
nt'shhealthhhistory,handhprovidehahclearerhpicturehofhthehbesthroutehtohtakehinhfuturehtreatmenthofhth
ehpatient.
Difficulty:h1hEasy
Topic:hTypeshofhHealthhRecordshBloom
's:h Remember
LearninghOutcome:h 02.02hAccessibilit
y:hKeyboardhNavigationhEsthTime:h 0-
1hminute
2) Thehfirsthparthofhmosthmedicalhnoteshthathincludeshsuchhinformationhashmedicalhhistory,hduratio
nhandhqualityhofhthehproblem,handhanyhexacerbatinghorhrelievinghfactorshforhthathproblemhishknown
hashthe part.
A) subjective.
B) objective.
C) assessment.
D) plan.
E) nonehofhthese.
Answer:h A
Explanation:h Thehfirsthparthofhmosthmedicalhnoteshthathincludeshsuchhinformationhashmedicalhh
istory,hdurationhandhqualityhofhthehproblem,handhanyhexacerbatinghorhrelievinghfactorshforhthathp
roblemhishknownhashthehsubjectivehparthofhthehnote.
Difficulty:h1hEasy
Topic:hThehSOAPhMethodh
Bloom's:h RememberhLearn
inghOutcome:h 02.01
Accessibility:hKeyboardhNavigationhEs
thTime:h 0-1hminute
1
Copyrighth2019h©hMcGraw-
HillhEducation.hAllhrightshreserved.hNohreproductionhorhdistributionhwithouththehpriorhwrittenhconsenthofhMcGra
w-HillhEducation.
mynursytest.store
,DOWNLOADhTHEhTesthBankhforhNRhAcquiringhMedicalhLanguageh2ndhEditionhJones
3) Informationhsuchhashthehpatient'shphysicalhexam,hanyhlaboratoryhfindings,handhimaginghstudiesh
performedhduringhthehvisithwouldhbehcontainedhinhwhichhparthofhthehdiagnostichprocess?
A) Subjective
B) Objective
C) Assessment
D) Plan
E) Nonehofhthese
Answer:h B
Explanation:h Informationhsuchhashthehpatient'shphysicalhexam,hanyhlaboratoryhfindings,handhimag
inghstudieshperformedhduringhthehvisithwouldhbehcontainedhinhthehobjectivehparthofhthehdiagnostic
hprocess.
Difficulty:h1hEasy
Topic:hThehSOAPhMethodh
Bloom's:h RememberhLearn
inghOutcome:h 02.01
Accessibility:hKeyboardhNavigationhEs
thTime:h 0-1hminute
4) Afterhahhealthhcarehproviderhhashgatheredhinformationhfromhthehpatienthandhperformedhanyhnec
essaryhinvestigations,hthehhealthhcarehproviderhthenhformulatesha(n)
,hwhichhcouldhbehahdiagnosis,hidentificationhofhthehproblem,horhahdifferentialhdiagnosis.
A) subjective
B) objective
C) assessment
D) plan
E) nonehofhthese
Answer:h C
Explanation:hAfterhahhealthhcarehproviderhhashgatheredhinformationhfromhthehpatienthandhper
formedhanyhnecessaryhinvestigationsh(forhexample:hphysicalhexams,hlaboratoryhstudies,horhim
aginghstudies),hthehhealthhcarehproviderhthenhformulateshanhassessment,hwhichhcouldhbehahdia
gnosis,hidentificationhofhthehproblem,horhahdifferentialhdiagnosis.
Difficulty:h1hEasy
Topic:hThehSOAPhMethodh
Bloom's:h RememberhLearn
inghOutcome:h 02.01
Accessibility:hKeyboardhNavigationhEs
thTime:h 0-1hminute
2
Copyrighth2019h©hMcGraw-
HillhEducation.hAllhrightshreserved.hNohreproductionhorhdistributionhwithouththehpriorhwrittenhconsenthofhMcGra
w-HillhEducation.
mynursytest.store
,DOWNLOADhTHEhTesthBankhforhNRhAcquiringhMedicalhLanguageh2ndhEditionhJones
5) Thehcoursehofhactionhconsistenthwithhahhealthhcarehprovider'shassessmenthishknownhasha(n):
A) subjective.
B) objective.
C) assessment.
D) plan.
E) nonehofhthese.
Answer:h D
Explanation:hThehcoursehofhactionhconsistenthwithhahhealthhcarehprovider'shassessmenthishknownh
ashahplan.
Difficulty:h1hEasy
Topic:hThehSOAPhMethodh
Bloom's:h RememberhLearn
inghOutcome:h 02.01
Accessibility:hKeyboardhNavigationhEs
thTime:h 0-1hminute
6) WhichhofhthehfollowinghishFALSEhabouththehSOAPhmethod?
A) Diagnostichworkhinhmedicinehishveryhsimilarhtohthehinvestigativehworkhofhahdetective;hthushthe
hSOAPhmethodhbegins hwithhanhanalysis handhendshwithhcollectinghdatahtohconfirmhthehdiagnosis.
B) Mosthmedicalhnoteshsharehahconsistenthpatternhinhtheirhorganizationhandhlayouththathreflectshtheh
SOAPhthoughthprocess.
C) SOAPhishanhacronymhthathstandshforhSubjective,hObjective,hAssessment,handhPlan.
D) SOAPhreflectshahgeneralhthoughthprocesshusedhbyhmosthmedicalhprofessionals.
E) ThehSOAPhmethodhishrepeatedhinheveryhhealthhcarehvisithacrosshallhdisciplineshofhmedicine.
Answer:h A
Explanation:hDiagnostichworkhinhmedicinehbeginshwithhdatahcollectionhandhconcludeshwithhanhanaly
sis.
Difficulty:h1hEasy
Topic:hThehSOAPhMethodh
Bloom's:h RememberhLearn
inghOutcome:h 02.01
Accessibility:hKeyboardhNavigationhEs
thTime:h 0-1hminute
3
Copyrighth2019h©hMcGraw-
HillhEducation.hAllhrightshreserved.hNohreproductionhorhdistributionhwithouththehpriorhwrittenhconsenthofhMcGra
w-HillhEducation.
mynursytest.store
, DOWNLOADhTHEhTesthBankhforhNRhAcquiringhMedicalhLanguageh2ndhEditionhJones
7) Thehstoryhofhthehpatient'shproblemhishknownhas:
A) chiefhcomplaint.
B) familyhhistory.
C) historyhofhpresenthillness.
D) reviewhofhhistory.
E) socialhhistory.
Answer:h C
Explanation:h Thehstoryhofhthehpatient'shproblemhishknownhashthehhistoryhofhpresenthillness.hDifficult
y:h1hEasy
Topic:hTypeshofhHealthhRecordshBloom
's:h Remember
LearninghOutcome:h 02.03hAccessibilit
y:hKeyboardhNavigationhEsthTime:h 0-
1hminute
8) Ahreviewhofhsystemshis:
A) ahdescriptionhofhindividualhbodyhsystemshinhorderhtohdiscoverhanyhsymptomshnothdirectly
hrelatedhtohthehmainhproblem.
B) ahrecordhofhhabitshlikehsmoking,hdrinking,hdrughabuse,handhsexualhpracticeshthathcanhimpacth
health.
C) anyhsignificanthillnesseshthathrunhinhthehpatient'shfamily.
D) otherhsignificanthpasthillnesses,hlikehhighhbloodhpressure,hasthma,horhdiabetes.
E) thehstoryhofhthehpatient'shproblem.
Answer:h A
Explanation:h Ahreviewhofhsystemshishahdescriptionhofhindividualhbodyhsystemshinhorderhtohdiscove
rhanyhsymptomshnothdirectlyhrelatedhtohthehmainhproblem.
Difficulty:h1hEasy
Topic:hTypeshofhHealthhRecordshBloom
's:h Remember
LearninghOutcome:h 02.03hAccessibilit
y:hKeyboardhNavigationhEsthTime:h 0-
1hminute
4
Copyrighth2019h©hMcGraw-
HillhEducation.hAllhrightshreserved.hNohreproductionhorhdistributionhwithouththehpriorhwrittenhconsenthofhMcGra
w-HillhEducation.
mynursytest.store
