Digital Review & Assignment 7

A  Document all body systems individually

B  Document at least 5 systems individually

C  Document at least 9 systems individually

D  Document at least 10 systems individually

A  Night sweats

B  Diarrhea and vomiting

C  Extended migraine headache

D  Loss of appetite

A  Three

B  Four

C  One

D  Two

A  Constitutional

B  Respiratory

C  Musculoskeletal

D  Gastrointestinal

A  Respiratory

B  Constitutional

C  Musculoskeletal

D  Gastrointestinal

A  To document all negative symptoms

B  To identify any signs and symptoms that the patient may be experiencing

C  To list all official body systems

D  To assess constitutional symptoms

A  It is important

B  It can lead to better patient care, treatment initiatives, and physician or specialty referrals

C  It is important only for legal purposes

D  It is important for billing purposes only

A  All of the reasons listed apply

B  Only the extent of history obtained

C  Only the complexity of medical decision making

D  Only the examinations performed

A  Two

B  Four

C  One

D  Three

A  To bill the patient for services rendered

B  To keep a record of the patient’s health status over time

C  To obtain demographic information about the patient

D  To provide background information for medical decision-making

A  Detailed history

B  Comprehensive history

C  Problem-focused history

D  Expanded problem-focused history

A  A review of the patient’s financial status

B  A review of the patient’s insurance coverage

C  A series of questions addressing each of the body systems to uncover any signs and symptoms that the patient may be experiencing or has experienced

D  A review of the patient’s medical records from previous visits

A  A brief HPI encompasses one to three elements and may involve a single problem without any complicating factors or symptoms, while an extended HPI includes four or more elements and is appropriate for complex or confusing symptoms, prolonged development, and when a patient’s history is obtained from someone other than the patient themselves.

B  A brief HPI and an extended HPI are the same thing.

C  A brief HPI is appropriate for complex or confusing symptoms, while an extended HPI includes one to three elements

D  A brief HPI includes four or more elements, while an extended HPI encompasses one to three elements.

A  A notation of all negative symptoms

B  A series of questions addressing each of the body systems

C  A history of present illness

D  A review of symptoms

A  Expanded problem-focused history

B  Problem-focused history

C  Detailed history

D  Comprehensive history