ANSWERS
Which of the following is an example of subjective data that may be collected
during a health assessment?
a. Height and weight
b. A patient's recall of his or her past health conditions
c. Results from an abdominal CT scan
d. Complete blood count
b. A patient's recall of his or her past health conditions
1. Which of the following is true regarding the data taken in a health history?
a. Most health history data are objective and measurable.
b. Objective data are error-free, quantifiable data.
c. Subjective data, being inherently less accurate, are of less value than objective
data.
d. A successful individualized plan of care must incorporate subjective data.
d. A successful individualized plan of care must incorporate subjective data.
What do Coulehan and Block define as "listening to the total communication . . .
and letting the patient know that you are really hearing"?
a. Cultural competence
b. Patience
c. Empathy
d. Top-tier communication
c. Empathy
SOAP stands for:
a. standard operating and admitting procedures.
b. sanitation, observation, auscultation, palpation.
c. surgeons, officials, administrators, patients.
d. subjective, objective, assessment, plan,
d. subjective, objective, assessment, plan,
Which of the following is recorded in documentation as direct patient quotes?
a. The chief complaint and follow-up responses
b. The chief complaint only
c. Nothing; everything is written in precise medical terminology
d. The objective information
b. The chief complaint only
, What is a genogram?
a. A genetic test performed in a doctor's office
b. A visual representation or chart of a patient's family history
c. A biometric monitor worn during a physical exam
d. A computer report correlating information from the patient's history, exam, and
diagnostic tests
b. A visual representation or chart of a patient's family history
A patient is examined according to __________, and documentation is recorded
according to __________.
a. PQRST, CLIENT OUTCOMES
b. body region, system
c. subjective data, objective data
d. the institution's system, the physician's system
b. body region, system
1. Which of the following is the last component of gathering objective data?
a. Review of systems
b. Physical examination
c. Assessment
d. Diagnostic tests
d. Diagnostic tests
Which of the following is true of a problem list that is created during the final
assessment?
a. It outlines the educational needs of the patient.
b. It includes additional findings that are directly related to the history of present
illness.
c. It may include other issues that are not true diagnoses.
d. Items on the problem list typically cannot be treated.
c. It may include other issues that are not true diagnoses.
1. In the "Plan" section, the text singles out which component of the plan as
critical for legal reasons?
a. Education
b. Nonpharmacological interventions
c. "Rule outs"
d. Follow-up
a. Education