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8 Cards in this Set

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  • Back
When reading a medical record you see the following notation: Patient staes, "I have had a cold for about a week, and now I am having difficulty breathing." This is an example of:
a reason for seeking care.
You have reason to question the reliability of the information being provided by a patient. One way to verify the reliability within the context of the interview is to:
rephrase the same question later in the interview.
The statement "Reason for seeking care" has replace the "chief complaint." This change is significant because:
the newer term incorporates wellness needs.
During an initial interview, the examiner askes, "Mrs. J., tell me what you do when you headaches occur." With this question, the examiner is seeking information about:
aggravating or relieving factors.
When recording a patient's perspective/report of pain descriptor:
place the terms in "".
A genogram is useful in showing information concisely. It is used speifically for:
family history
Select the best description of "reviw of systems" as part of the health history.
the evaluation of the past and present health state of each body system.
Functional assessment measures how a person manages day-to-day activities. The impact of disease on the daily activities of older adults is referred to as:
disease burden.