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Med 159 Rev.chapt 36

QuestionAnswer
Which of the following is NOT the role of the medical assistant in communicating with patients? Advising
Which of the following is an example of an open ended question? Can you describe your pain?
What takes place during the introduction of a patient interview? The identities of the MA and patient are shared.
Which of the following is a primary symptom of anxiety? Irrational fear
Which of the following is a primary symptom of depression? Persistent sadness
When entering information on a patient's chart, what information must be included? Your signed name and credentials
An example of a closed ended question is: Have you eaten food today?
What forms of communication, other than verbal, can the medical assistant and the hearing impaired patient utilize? Nonverbal clues and body language
Why should you use open-ended questions when interviewing patients? It allows the patient to explain the situation in his or her own words.
What should you do if a patient refuses to answer your questions? State that you respect his wishes and the physician will be with him soon.
What should you do if you suspect child abuse or neglect? Report it to the physician.
What are the symptoms of psychological abuse? Severe dehydration or underweight
Which of the following contains a record of all procedures, surgeries, follow-up care, and additional notes the physician makes regarding the patient’s case? Operative report
Which of the following is a primary symptom of physical abuse? Patient has bruises shaped in unusual patterns
Which of the following is the best abbreviation for cubic centimeter? mL
When caring for a patient with a hearing impairment, which guideline should the medical assistant observe with regard to the Patient's Bill of Rights? The patient should receive every consideration of his or her privacy.
What is a sign of substance abuse in an adolescent? The patient has pinpoint pupils.
Why is it important to observe a child's nonverbal behavior in an interview? The child may be a victim of abuse or neglect.
Which of the following might make it more difficult to interview an elderly patient? Mental disabilities Physical disabilities Elder abuse and neglect
What should you do if during your interview with the child, you develop a suspicion of physical and psychological abuse? Report your suspicions to the physician.
As you begin the interview, you are aware that one of the most important skills you will use from the moment of introduction will be: being an effective, attentive, active listener.
All of the following are acceptable and effective methods for collecting patient data EXCEPT: asking leading questions.
Conciseness Precise
Confidentiality HIPAA
Chronological order In order of occurrence
Completeness Thorough
Clarity Clear without bias
Client's words Statements
Personal Data Obtained from the administrative sheet and includes the patient's name, birth date, and other basic information
Family History Includes information about the health of the patient's family members
Past Medical History Includes any and all health problems, both present and past, including major illnesses and surgery
Review of Systems Systematic review of each of the body systems, which includes questions and an exam by the practitioner
Social and Occupational History Includes information such as marital status, sexual behaviors and orientation, occupations, hobbies, and the use of chemical substances
Chief Complaint Reason the patient came to visit the practitioner
Effective listening Hearing, thinking about, and responding to what the patient has said
Summarizing to form a general picture Paraphrasing the patient's statements back to the patient to ensure correct data is recorded
Using a broad knowledge base Being able to formulate questions that will elicit the most meaningful information about the patient
Being aware of nonverbal clues and body language Examples include patient's tone of voice, facial expression, and body movements
Wash your hands. step 1
Assemble the necessary materials. Review the medical history form and plan your interview. step 2
Invite the patient to a private exam room and correctly identify the patient by introducing yourself and asking his or her name and date of birth. step 3
Explain the medical history form while maintaining eye contact. Make the patient feel at ease. step 4
Using language that the patient can understand, ask appropriate questions related to the medical history form. step 5
Accurately document the patient's responses. step 6
Thank the patient for his or her participation in the interview. Offer to answer any questions step 7
Sign or initial the medical history form and file it in the patient's chart. step 8
Created by: PRILEN8176
 

 



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