ANSWERS
When reading a medical record, you see the following notation:
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Patient states, "I have had a cold for about a week, and now I am
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having difficulty breathing." This is an example of
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A. a past health history
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B. A review of systems
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C. A functional assessment
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D. A reason for seeking care - CORRECT ANSWERS ✔✔d. a reason
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for seeking care
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You have reason to question the reliability of the information
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being provided by a patient. One way to verify the reliability
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within the context of the interview is to:
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a. rephrase the same questions later in the interview
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b. review the patient's past medical records
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c. call the person identified as the emergency contact to verify
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the data provided
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d. provide the patient with a printed history to complete and then
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compare the data provided - CORRECT ANSWERS ✔✔a. rephrase
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the same questions later in the interview
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,The statement "reason for seeking care" has replaced "chief
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complaint." This change is significant because: |\ |\ |\ |\ |\
a. the "chief complaint" is really a diagnostic statement
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b. the newer term allows another individual to supply the
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necessary information |\
c. the newer term incorporates wellness needs
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d. the "reason for seeking care" can incorporate the history of
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the present illness - CORRECT ANSWERS ✔✔c. the newer term
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incorporates wellness needs |\ |\
During an initial interview, the examiner says "Mrs. J., tell me
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what you do when your headaches occur?" This is an example of
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which type of information?
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a. the patient's perception of the problem
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b. aggravating or relieving factors
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c. the frequency of the problem
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d. the severity of the problem - CORRECT ANSWERS ✔✔b.
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aggravating or relieving factors |\ |\ |\
Which is an appropriate recording of a patient's reason for
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seeking health care? |\ |\
a. angina pectoris, duration 2 hours
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b. substernal pain radiating to left axilla, 1 hour duration
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c. "grabbing" chest pain for 2 hours
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,d. pleurisy, 2 days' duration - CORRECT ANSWERS ✔✔c.
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"grabbing chest pain for 2 hours
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gathering health history is recording patient's subjective data
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A genogram is used for which reasons?
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a. past history
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b. past health history, specifically hospitalizations
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c. family history
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d. the 8 characteristics of presenting symptoms - CORRECT
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ANSWERS ✔✔c. family history |\ |\ |\
What is the best description of "review of systems" as part of the
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health history?
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a. the evaluation of the past and present health state of each
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body system |\
b. a documentation of the problem as described by the patient
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c. the recording of the objective findings of the practitioner
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d. a statement that describes the overall health state of the
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patient - CORRECT ANSWERS ✔✔a. the evaluation of the past
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and present health state of each body system
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Which finding is considered to be subjective?
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, a. temperature of 101.2 degrees F
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b. pulse rate of 96 beats/min
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c. measured weight loss of 20 pounds since previous
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measurement
d. pain lasting 2 hours - CORRECT ANSWERS ✔✔d. pain lasting 2
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hours
which statement best describes the purpose of a health history?
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a. to provide an opportunity for interaction between the patient
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and examiner
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b. to provide a form for obtaining the patient's biographic
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information
c. to document the normal and abnormal findings of a physical
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assessment
d. to provide a database of subjective information about the
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patient's past and present health - CORRECT ANSWERS ✔✔d. to
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provide a database of the subjective information about the
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patient's past and present health |\ |\ |\ |\
While assessing a man for allergies, he states he is allergic to
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penicillin. Which response is best? |\ |\ |\ |\
a. "are you allergic to any other drugs"
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b. "how often have you received penicillin?"
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c. "I'll write you allergy on you chart so you won't receive any"
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