Copyrightu2019u©uMcGraw-
HilluEducation.uAllurightsureserved.uNoureproductionuorudistributionuwithoututheuprioru
writtenuconsentuofuMcGraw-HilluEducation.u
AcquiringuMedicaluLanguage,u2eu(Jones)u
Chapteru2uuuIntroductionutouHealthuRecordsu
u
1)uWhatuisutheuimportanceuofuhealthurecords?u
A)uTheyucontainuinformationucrucialutoupatientucare.u
B)uTheyucontainuroadmapsutouaupatient'suhealthuhistory.u
C)uTheyuprovideuauclearerupictureuofutheubesturouteutoutakeuinufutureutreatmentuofutheupatien
t.u
D)uAlluofuthese.u
E)uNoneuofuthese.u
u
Answer:uuDu
Explanation:uuHealthurecordsucontainuinformationucrucialutoupatientucare,uareuroadmapsutouau
patient'suhealthuhistory,uanduprovideuauclearerupictureuofutheubesturouteutoutakeuinufutureutre
atmentu
ofutheupatient.u
Difficulty:u1uEasyu
Topic:uuTypesuofuHealthuRecordsu
Bloom's:uuRememberu
LearninguOutcome:uu02.02u
Accessibility:uuKeyboarduNavigationu
EstuTime:uu0-1uminuteu
u
2)uTheufirstupartuofumostumedicalunotesuthatuincludesusuchuinformationuasumedicaluhistory,u
durationuanduqualityuofutheuproblem,uanduanyuexacerbatinguorurelievingufactorsuforuthatuprob
lemuisu
knownuasutheu________upart.u
A)usubjective.u
B)uobjective.u
C)uassessment.u
D)uplan.u
E)unoneuofuthese.u
u
Answer:uuAu
Explanation:uuTheufirstupartuofumostumedicalunotesuthatuincludesusuchuinformationuasumedica
lu
history,udurationuanduqualityuofutheuproblem,uanduanyuexacerbatinguorurelievingufactorsuforut
hatu
problemuisuknownuasutheusubjectiveupartuofutheunote.u
Difficulty:u1uEasyu
Topic:uuTheuSOAPuMethodu
Bloom's:uuRememberu
,LearninguOutcome:uu02.01u
Accessibility:uuKeyboarduNavigationu
EstuTime:uu0-1uminuteu
u
u
DOWNLOADuTHEuTestuBankuforuNRuAcquiringuMedicaluLanguageu2nduEdition
uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuJones
mynursytest.store
2u
Copyrightu2019u©uMcGraw-
HilluEducation.uAllurightsureserved.uNoureproductionuorudistributionuwithoututheuprioru
writtenuconsentuofuMcGraw-HilluEducation.u
3)uInformationusuchuasutheupatient'suphysicaluexam,uanyulaboratoryufindings,uanduimagingust
udiesu
performeduduringutheuvisituwouldubeucontaineduinuwhichupartuofutheudiagnosticuprocess?u
A)uSubjectiveu
B)uObjectiveu
C)uAssessmentu
D)uPlanu
E)uNoneuofutheseu
u
Answer:uuBu
Explanation:uuInformationusuchuasutheupatient'suphysicaluexam,uanyulaboratoryufindings,uandu
imagingustudiesuperformeduduringutheuvisituwouldubeucontaineduinutheuobjectiveupartuofutheu
diagnosticuprocess.u
Difficulty:u1uEasyu
Topic:uuTheuSOAPuMethodu
Bloom's:uuRememberu
LearninguOutcome:uu02.01u
Accessibility:uuKeyboarduNavigationu
EstuTime:uu0-1uminuteu
u
4)uAfteruauhealthucareuprovideruhasugathereduinformationufromutheupatientuanduperformedua
nyu
necessaryuinvestigations,utheuhealthucareuprovideruthenuformulatesua(n)u________,uwhichucoul
dubeu
audiagnosis,uidentificationuofutheuproblem,uoruaudifferentialudiagnosis.u
A)usubjectiveu
B)uobjectiveu
C)uassessmentu
D)uplanu
E)unoneuofutheseu
u
Answer:uuCu
Explanation:uuAfteruauhealthucareuprovideruhasugathereduinformationufromutheupatientuandu
performeduanyunecessaryuinvestigationsu(foruexample:uphysicaluexams,ulaboratoryustudies,uo
,ru
imagingustudies),utheuhealthucareuprovideruthenuformulatesuanuassessment,uwhichucouldubeua
u
diagnosis,uidentificationuofutheuproblem,uoruaudifferentialudiagnosis.u
Difficulty:u1uEasyu
Topic:uuTheuSOAPuMethodu
Bloom's:uuRememberu
LearninguOutcome:uu02.01u
Accessibility:uuKeyboarduNavigationu
EstuTime:uu0-1uminuteu
u
u
DOWNLOADuTHEuTestuBankuforuNRuAcquiringuMedicaluLanguageu2nduEdition
uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuJones
mynursytest.store
3u
Copyrightu2019u©uMcGraw-
HilluEducation.uAllurightsureserved.uNoureproductionuorudistributionuwithoututheuprioru
writtenuconsentuofuMcGraw-HilluEducation.u
5)uTheucourseuofuactionuconsistentuwithuauhealthucareuprovider'suassessmentuisuknownuasua(
n):u
A)usubjective.u
B)uobjective.u
C)uassessment.u
D)uplan.u
E)unoneuofuthese.u
u
Answer:uuDu
Explanation:uuTheucourseuofuactionuconsistentuwithuauhealthucareuprovider'suassessmentuisuk
nownu
asuauplan.u
Difficulty:u1uEasyu
Topic:uuTheuSOAPuMethodu
Bloom's:uuRememberu
LearninguOutcome:uu02.01u
Accessibility:uuKeyboarduNavigationu
EstuTime:uu0-1uminuteu
u
6)uWhichuofutheufollowinguisuFALSEuaboututheuSOAPumethod?u
A)uDiagnosticuworkuinumedicineuisuveryusimilarutoutheuinvestigativeuworkuofuaudetective;uthus
utheu
SOAPumethodubeginsuwithuanuanalysisuanduendsuwithucollectingudatautouconfirmutheudiagnosi
s.u
B)uMostumedicalunotesushareuauconsistentupatternuinutheiruorganizationuandulayoututhaturefle
ctsutheu
SOAPuthoughtuprocess.u
, C)uSOAPuisuanuacronymuthatustandsuforuSubjective,uObjective,uAssessment,uanduPlan.u
D)uSOAPureflectsuaugeneraluthoughtuprocessuusedubyumostumedicaluprofessionals.u
E)uTheuSOAPumethoduisurepeateduinueveryuhealthucareuvisituacrossualludisciplinesuofumedicine
.u
u
Answer:uuAu
Explanation:uuDiagnosticuworkuinumedicineubeginsuwithudataucollectionuanduconcludesuwithua
nu
analysis.u
Difficulty:u1uEasyu
Topic:uuTheuSOAPuMethodu
Bloom's:uuRememberu
LearninguOutcome:uu02.01u
Accessibility:uuKeyboarduNavigationu
EstuTime:uu0-1uminuteu
u
u
DOWNLOADuTHEuTestuBankuforuNRuAcquiringuMedicaluLanguageu2nduEdition
uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuJones
mynursytest.store
4u
Copyrightu2019u©uMcGraw-
HilluEducation.uAllurightsureserved.uNoureproductionuorudistributionuwithoututheuprioru
writtenuconsentuofuMcGraw-HilluEducation.u
7)uTheustoryuofutheupatient'suproblemuisuknownuas:u
A)uchiefucomplaint.u
B)ufamilyuhistory.u
C)uhistoryuofupresentuillness.u
D)ureviewuofuhistory.u
E)usocialuhistory.u
u
Answer:uuCu
Explanation:uuTheustoryuofutheupatient'suproblemuisuknownuasutheuhistoryuofupresentuillness.u
Difficulty:u1uEasyu
Topic:uuTypesuofuHealthuRecordsu
Bloom's:uuRememberu
LearninguOutcome:uu02.03u
Accessibility:uuKeyboarduNavigationu
EstuTime:uu0-1uminuteu
u
8)uAureviewuofusystemsuis:u
A)uaudescriptionuofuindividualubodyusystemsuinuorderutoudiscoveruanyusymptomsunotudirectly
u
relatedutoutheumainuproblem.u
B)uaurecorduofuhabitsulikeusmoking,udrinking,udruguabuse,uandusexualupracticesuthatucanuimpa
ctu
health.u