Science of Advanced Practice Nursing
(Sixth Edition) by Dunphy | All Chapters
Latest 2026/2027 Edition | Exam-Ready
Verified Answers
E&M codes are ____________ - ANSWER-evaluation and management (E&M)
Key Parts of the HPI -- OLDCART - ANSWER-Onset Location Duration Characteristics Aggravating Factors
Relieving Factors Treatment
OLDCART - ANSWER-Onset -- When did this problem start?
How did it start?
Location -- Where exactly are the symptoms experienced?
Duration --Are the symptoms constant, fluctuating, getting better or worse? Has it changed over time?
Characteristics -- How are the symptoms experienced? Dull ache, sharp pain, heat, or electrical? For an
injury, exactly how did the injury occur (the mechanism of injury)?
Aggravating factors -- What makes the symptoms worse?
Relieving factors -- What makes the symptoms better? Can a specific location be identified, or is the
problem more generalized?
Has the symptom moved?
Treatment -- What have you done so far to try to help the problem?
, The overall level of Medical Decision-Making (MDM) in E&M is determined by which 3 areas? - ANSWER-
1. Number of diagnoses or management options:
Minimal
Limited
Multiple
Extensive
2. Amount and/or complexity of data to be reviewed:
Minimal
Limited
Multiple
Extensive
3. Risk of complications and/or morbidity or mortality
Minimal
Low
Moderate
Extensive
4 = OVERALL RATING/Level of Complexity of Medical Decision-Making:
STRAIGHTFORWARD,
LOW COMPLEXITY,
MODERATE COMPLEXITY,
HIGH COMPLEXITY
The three elements needed to determine the level of complexity of a Visit include risk, data, and _____.