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Where on the health history form do you find the reason the patient came to visit the practitioner?


A) Personal data
B) Chief complaint
C) History of present illness
D) Past medical history
E) Family history

F) A) and D)
G) C) and E)

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Jill Hanson is a 16-year-old patient who has come to the office complaining of lower abdominal pain. As you interview her, you notice that she seems to have difficulty concentrating on the conversation. She constantly looks toward the closed door of the exam room, and she asks you several times whether the doctor is "nice." Which of the following would you suspect as the reason for Jill's behavior?


A) Depression
B) Physical abuse
C) Substance abuse
D) Aggression
E) Anxiety

F) A) and E)
G) A) and C)

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Which section of the health history form includes questions about and examination (by the practitioner) of all body functions?


A) Chief complaint
B) History of present illness
C) Past medical history
D) Review of systems
E) Social and occupational history

F) C) and D)
G) A) and B)

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Which section of the health history form includes information about the health of the patient's family?


A) Personal data
B) Past medical history
C) Family history
D) Social and occupational history
E) Review of Systems

F) A) and E)
G) A) and B)

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Classic symptoms of ________ are profound sadness and fatigue.

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Which of the following information would you place in the "P" section when using SOAP charting?


A) Physician's examination
B) Physician's diagnosis
C) Patient's chief complaint
D) Test results
E) Patient education

F) All of the above
G) C) and E)

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____ are used extensively by large clinics and practices and includes the database, problem list, treatment plan, and progress notes.


A) Conventional (source-oriented medical records)
B) Problem-oriented medical records
C) Computerized medical records
D) SOAP records
E) Patient-oriented medical records

F) C) and E)
G) B) and E)

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At the end of an interview, you should ________ the information the patient provided and repeat it back to him for verification.

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Which of the following does not apply to HIPAA requirements?


A) Patient consent is required to disclose protected information.
B) Health-care facilities must provide patients with a written notice of their privacy practices.
C) The medical assistant should be informed of available resources for resolving disputes.
D) Health-care facilities must inform patients, in writing, about disclosure of identifiable health information.
E) The patient's written authorization is required for disclosures not permitted by a hospital's privacy notice.

F) B) and C)
G) C) and E)

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Conditions or problems are identified by a number throughout the record until the problem is resolved in _______ medical records.

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problem-or...

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Taking larger-than-prescribed doses of a medication is an example of _______.

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Which of the following commonly abused drugs are amphetamines/stimulants?


A) Phenobarbital and amobarbital
B) Valium, Ativan, and Librium
C) Dexedrine, Benzedrine, and methamphetamine
D) Butisol and secobarbital
E) Anadrol and Depo-testosterone

F) All of the above
G) A) and E)

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The use of _______ by continuing to ask questions after the patient appears to have finished giving information is an ineffective means of data collection because the patient may feel you are invading her privacy.

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When the patient shows signs of _______, every effort should be made to help the patient relax and release or reduce these feelings.

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Which of the following statements applies to HIPAA requirements?


A) Long-term costs of treatment choices must be explained to patients.
B) A privacy notice must be prominently posted within the hospital.
C) Patients should know the identity of people involved in care.
D) Patients should be informed of available resources for resolving disputes.
E) Reasonable continuity of care should be provided to patients.

F) B) and E)
G) None of the above

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Which of the following is an ineffective way to make a patient feel at ease and should never be used?


A) Use icebreakers
B) Fail to maintain eye contact
C) Call a patient "honey" or "sweetie"
D) Ensure privacy
E) Appear relaxed

F) All of the above
G) B) and D)

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Data that is readily apparent and measurable is _______ data.

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You must have a broad ________ base to be able to ask questions that will elicit the most meaningful information about the patient.

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A physical or psychological dependence on a substance is called a(n) ________.

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"Where would you like to begin?" is an example of which method of collecting patient data?


A) Challenging the patient
B) Asking hypothetical questions
C) Encouraging the patient to take the lead
D) Asking open-ended questions
E) Focusing on the patient

F) C) and E)
G) C) and D)

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