N222 FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS
methods |of |documentation |- |CORRECT |ANSWER✔✔--Source-oriented |records
-Problem-oriented |medical |records
-PIE |charting |(problem, |intervention, |evaluation)
-Focus |charting
-Charting |by |exception; |provides |quick |access |to |abnormal |findings
-Case |management |model
-Computerized |documentation/Electronic |health |records |(EHRs)
-SBAR/ISBAR
source |oriented |records |- |CORRECT |ANSWER✔✔-each |health |care |group |keeps |data |on |its |
own |separate |form
-progress/narrative |notes
-observation |of |patients, |patient |complaints, |patient |teaching, |etc.
problem |oriented |medical |records |(SOAP/SOAPIE) |- |CORRECT |ANSWER✔✔-S: |Subjective |data
O: |objective |data
A: |assessment
P: |Plan
I: |Intervention |
E: |Evaluation
-organized |around |a |patients |problem; |health |care |professions |work |together |to |identify |list |of
|problems |then |collaborate |to |establish |plan |of |care
CORRECT ANSWERS
methods |of |documentation |- |CORRECT |ANSWER✔✔--Source-oriented |records
-Problem-oriented |medical |records
-PIE |charting |(problem, |intervention, |evaluation)
-Focus |charting
-Charting |by |exception; |provides |quick |access |to |abnormal |findings
-Case |management |model
-Computerized |documentation/Electronic |health |records |(EHRs)
-SBAR/ISBAR
source |oriented |records |- |CORRECT |ANSWER✔✔-each |health |care |group |keeps |data |on |its |
own |separate |form
-progress/narrative |notes
-observation |of |patients, |patient |complaints, |patient |teaching, |etc.
problem |oriented |medical |records |(SOAP/SOAPIE) |- |CORRECT |ANSWER✔✔-S: |Subjective |data
O: |objective |data
A: |assessment
P: |Plan
I: |Intervention |
E: |Evaluation
-organized |around |a |patients |problem; |health |care |professions |work |together |to |identify |list |of
|problems |then |collaborate |to |establish |plan |of |care
