PATIENT CARE WITH QUESTIONS
AND ANSWERS WRITTEN
CORRECTLY
Chief complaint - correct answer <<<<<💕💕💕✔✔(CC) is the reason the person came to the visit
History of present illness - correct answer <<<<<💕💕💕✔✔detailed information about the chief
complaint, including when the problem started and what the patient has done treat the problem.
Past medical history - correct answer <<<<<💕💕💕✔✔includes all health problems both present
and past, including major illnesses and surgery.
Social and occupational history - correct answer <<<<<💕💕💕✔✔marital status, sexual behaviors
and orientation, occupations, hobbies, and use of chemical substances- all help to determine patient's
risk of diseases.
C's in Charting - Client's words - correct answer <<<<<💕💕💕✔✔patient's own phrasing must be
recorded exactly
Clarity - correct answer <<<<<💕💕💕✔✔use precise medical terminology
Completeness - correct answer <<<<<💕💕💕✔✔the chart must contain all pertinent information
Conciseness - correct answer <<<<<💕💕💕✔✔abbreviations use when possible, helps to save
time and space
, Chronological order - correct answer <<<<<💕💕💕✔✔date all entries
Confidentiality - correct answer <<<<<💕💕💕✔✔protect the patient's privacy.
Questions to ask when making a pain assessment - correct answer <<<<<💕💕💕✔✔When did the
pain start; Where is the pain; How often do you feel the pain; Does anything you do kessen the pain;
Describe the pain
You suspect a patient is being abused - correct answer <<<<<💕💕💕✔✔He/She has bruises all
over their body. The explanation given regarding those bruises is weak.
patient's medical record should have these documentations in each patient's medical record: - correct
answer <<<<<💕💕💕✔✔Patient registration form; Patient medical history; Physical exam results;
Lab and test results; copies of RX's and refill request; DX and treatment plan; progress note, phone calls,
consent forms
Narrative style charting - correct answer <<<<<💕💕💕✔✔When physicians dictate notes about
patient care, then have those notes transcribed and placed in the patient's files
SOAP note - correct answer <<<<<💕💕💕✔✔is an acronym that stands for subjective, objective,
assessment, and plan.
Problem-oriented medical record charting - correct answer <<<<<💕💕💕✔✔POMR, is a method
of tracking the patient's problems during the time they are receiving medical care
Normal ranges for the average healthy adult vital signs - Blood Pressure - correct answer
<<<<<💕💕💕✔✔normal BP is less than 120 (Diastolic) and less than 80 (systolic)
Breathing - correct answer <<<<<💕💕💕✔✔12 - 18 breaths per minute
AND ANSWERS WRITTEN
CORRECTLY
Chief complaint - correct answer <<<<<💕💕💕✔✔(CC) is the reason the person came to the visit
History of present illness - correct answer <<<<<💕💕💕✔✔detailed information about the chief
complaint, including when the problem started and what the patient has done treat the problem.
Past medical history - correct answer <<<<<💕💕💕✔✔includes all health problems both present
and past, including major illnesses and surgery.
Social and occupational history - correct answer <<<<<💕💕💕✔✔marital status, sexual behaviors
and orientation, occupations, hobbies, and use of chemical substances- all help to determine patient's
risk of diseases.
C's in Charting - Client's words - correct answer <<<<<💕💕💕✔✔patient's own phrasing must be
recorded exactly
Clarity - correct answer <<<<<💕💕💕✔✔use precise medical terminology
Completeness - correct answer <<<<<💕💕💕✔✔the chart must contain all pertinent information
Conciseness - correct answer <<<<<💕💕💕✔✔abbreviations use when possible, helps to save
time and space
, Chronological order - correct answer <<<<<💕💕💕✔✔date all entries
Confidentiality - correct answer <<<<<💕💕💕✔✔protect the patient's privacy.
Questions to ask when making a pain assessment - correct answer <<<<<💕💕💕✔✔When did the
pain start; Where is the pain; How often do you feel the pain; Does anything you do kessen the pain;
Describe the pain
You suspect a patient is being abused - correct answer <<<<<💕💕💕✔✔He/She has bruises all
over their body. The explanation given regarding those bruises is weak.
patient's medical record should have these documentations in each patient's medical record: - correct
answer <<<<<💕💕💕✔✔Patient registration form; Patient medical history; Physical exam results;
Lab and test results; copies of RX's and refill request; DX and treatment plan; progress note, phone calls,
consent forms
Narrative style charting - correct answer <<<<<💕💕💕✔✔When physicians dictate notes about
patient care, then have those notes transcribed and placed in the patient's files
SOAP note - correct answer <<<<<💕💕💕✔✔is an acronym that stands for subjective, objective,
assessment, and plan.
Problem-oriented medical record charting - correct answer <<<<<💕💕💕✔✔POMR, is a method
of tracking the patient's problems during the time they are receiving medical care
Normal ranges for the average healthy adult vital signs - Blood Pressure - correct answer
<<<<<💕💕💕✔✔normal BP is less than 120 (Diastolic) and less than 80 (systolic)
Breathing - correct answer <<<<<💕💕💕✔✔12 - 18 breaths per minute
