Questions and CORRECT Answers
Important information about a patient's medical history and present condition is found in the -
CORRECT ANSWER - Patient's health record
In addition to being essential documents for patient care management, patient records are used
for - CORRECT ANSWER - providing patient education
The role the medical assistant plays in patient education is to explain - CORRECT
ANSWER - Management of the patient's condition as outline by the practitioner
A patient's illness and the reason for a visit to the medical office are found in the - CORRECT
ANSWER - patient medical history
the purpose of having a patient sign an informed consent from is to ensure that the. - CORRECT
ANSWER - patient understands the treatment offered and the possible outcomes
The first document found in a patient's financial record is the - CORRECT ANSWER -
Patient registration from
The most appropriate way to terminate an initial interview with the patient is - CORRECT
ANSWER - "is there anything else you would like the doctor to know"
The best place to interview a patient is - CORRECT ANSWER - in a private room
An example of a patient sign is - CORRECT ANSWER - a rash
An example of a patient symptom is - CORRECT ANSWER - pain
, Objective or external factors that can be seen or felt by the practitioner or measured by an
instrument are called - CORRECT ANSWER - Signs
Subjective or internal conditions felt by the patient are - CORRECT ANSWER -
symptoms
The type of documentation that provides an orderly series of steps for dealing with any medical
case is - CORRECT ANSWER - SOAP
The S section of SOAP documentation is - CORRECT ANSWER - Subjective: data that
comes directly from the patient
The O section of SOAP documentation is - CORRECT ANSWER - Objective: data that
comes from examination results and from the physician
the A section of SOAP documentation includes - CORRECT ANSWER - Assessment: The
diagnosis of impression of a patient's problem
The P section of SOAP documentation is - CORRECT ANSWER - The plan of action
Which of the following is necessary to release a patient's record to the patient's insurance
company - CORRECT ANSWER - patient's written consent
When is it appropriate to send the original documents in a patient's health record? - CORRECT
ANSWER - when the record is subpoenaed for a court case
When do most states consider children to be adults with the right privacy? - CORRECT
ANSWER - 18
The appropriate way to delete information on a medical record is to _. - CORRECT
ANSWER - draw a line through the original information so it is still legible