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MEAS 109 chapter 36
chapter 36
| Question | Answer |
|---|---|
| Restatement | Repeating what the patient says in your own words. |
| Subjective data | Thoughts, feelings, and perceptions, including the chief complaint. |
| Objective data | Readily apparent and measurable information, such as test results |
| Verbalizing | Stating what you believe the patient is suggesting by the patient's response. |
| The patient medical chart must be complete and accurate to be a good defense in case of: | legal action. |
| Chief complaint | subjective statement made by the patient describing the patient's most significant symptoms or signs of illness.. |
| Mirroring | Restating what the patient says. |
| Reflection | Encouraging the patient to provide additional information. |
| The Health Insurance Portability and Accountability Act (HIPAA) was first enforced in: | April 2003 |
| If you use improper language skills, or appear to have sloppy body language, you may give the patient the perception that you are not: | educated. intelligent. |
| Looking at the patient, paying attention, and providing feedback are components of: | active listening. |
| The patient history provides information for: | research. insurance claims. reportable diseases |
| To conduct a successful interview, you must be aware of: | nonverbal communication. |
| There are ______ steps to help a medical assistant conduct a successful interview. | 8 |
| the medical assistance should review patient medical record: | before the interview |
| If HIPAA is not followed, individual healthcare workers can be subject to fines up to: | $250,000 and 10 years in jail |
| Depression in middle age is often triggered by: | life events |
| What is the rationale for filing progress notes in chronological order? | To ensure that the most current patient information is reviewed |
| The review of systems is completed by the: | Doctor |
| Effective Listening | Listening to what the patients has to say to try and get an overall view of the patient's situation. |
| Nonverbal Communication | The patient's tone of voice, facial expressions, and body language. |
| Broad Knowledge Base | Having the Knowledge to ask questions that will draw out the most meaningful information about the patient's symptoms. |
| Summarizing | Formulating the general picture and repeating it back to the patient to ensure information is correct. |
| History of Present Illness | the section in the health history form that provides the history of a recent Chief Complaint such as sore throat that happened the days before |
| Past Medical History | The section in the health history form that provides all health problems both present and past, including major illnesses and surgery. |
| Social and Occupational History | The section in the health history form that provides information like marital status, sexual behaviors and orientation, occupations and hobbies, etc. |
| Open-ended Questions | require more than a yes/no answer, can you tell me more about symptoms. |
| Leading Questions | you seem to be making progress, don't you agree? |
| Depression | difficulty falling asleep, loss of appetite, loss of energy. |
| Computerized Medical Records | combination of SOMR and POMR |
| Hypothetical Questions | determine patient knowledge of situation and accuracy " what would you do if you had chest pain." |
| Probing | ineffective way to collect patient information. |
Created by:
mwaciba