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TaLkInG
Medical Records
100
When you are interviewing a patient, the use of closed questions is indicated when you are
What is looking for a one-word or short answer
100
The tone of voice, speed of speech, and sighing on the part of the patient while speaking are all examples of
What is verbal communication
100
In dealing with patients with limited understanding, medical assistants should
What is give explanations slowly, and explain as they go along
100
Growth and development process involving physical, social, and emotional functioning
What is Maturation
100
Notes on the POMR are charted using the SOAP method. “SOAP” stands for
What is subjective, objective, assessment, plan
200
Which of the following is an example of a closed question? “Tell me about your children.” “Are you an only child.” “Fully describe your pain.” “What are your plans for the future.”
What is “Are you an only child.”
200
Which of the following statements is most likely to result in compliance by the patient? “Put on this examination gown.” “Sit on the edge of the examination table. The doctor will be right in.” “I’m sorry, but you will have to wait for the doctor.” Please remove your clothing from the waist up and put this gown on with the opening in the back. I will then call the doctor.”
What is Please remove your clothing from the waist up and put this gown on with the opening in the back. I will then call the doctor.”
200
When dealing with sight-impaired patients, the medical assistant should
What is give explanations slowly, and explain as they go along
200
Care involves all the health needs of the patient
What is Holistic
200
The documents in problem-oriented medical records are
What is organized according to the patient’s particular problems
300
During the interview, the medical assistant questions the patient as follows: “Describe your pain for me. What has been going on with you since you were last here? How has your appetite been? How have you been sleeping?” All these are examples of
What is open-ended questions
300
Factors that increase the effectiveness of communication include all the following EXCEPT: willingness to understand the message ability to understand the message overcoming cultural differences avoiding eye contact with every patient
What is avoiding eye contact with every patient
300
Handling patients’ complaints promptly can...?
What is can prevent lawsuits can keep a good relationship with patients will meet guidelines set forth by Medicare
300
Lawsuit (is a what?)
What is Litigation
300
The documents in source-oriented medical records are
What is grouped by the type of services that were provided
400
Being a good communicator means that the medical assistant will
What is be effective in sending and receiving messages
400
Which of the following is NOT true about aging? vision and hearing decline. sense of smell decreases. you need to shout when speaking with the elderly patient. you need to avoid lengthy explanations about treatments.
What is you need to shout when speaking with the elderly patient
400
An effective relationship that considers both physical and emotional needs
What is Rapport
400
The purpose of medical records is to provide evidence of
What is Patient assessment intervention and communication
400
Documents stored in the medical record are store how?
What is are stored in chronological order (most recent first)
500
The use of arm gestures, facial expressions, and turning one’s head are all examples of
What is nonverbal communication
500
A developmentally delayed patient should be treated...how?
What is should be treated based on level of maturation
500
Physical and mental impairment is....
What is Disability
500
POMR stands for
What is problem-oriented medical record
500
The medical record is owned by
What is the physician
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