Digital Review & Assignment 7

A  Document at least 9 systems individually

B  Document at least 5 systems individually

C  Document at least 10 systems individually

D  Document all body systems individually

A  Loss of appetite

B  Night sweats

C  Diarrhea and vomiting

D  Extended migraine headache

A  One

B  Two

C  Four

D  Three

A  Respiratory

B  Gastrointestinal

C  Musculoskeletal

D  Constitutional

A  Constitutional

B  Gastrointestinal

C  Musculoskeletal

D  Respiratory

A  To document all negative symptoms

B  To assess constitutional symptoms

C  To list all official body systems

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

A  It is important for billing purposes only

B  It is important

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

D  It is important only for legal purposes

A  Only the examinations performed

B  Only the complexity of medical decision making

C  All of the reasons listed apply

D  Only the extent of history obtained

A  One

B  Two

C  Three

D  Four

A  To provide background information for medical decision-making

B  To bill the patient for services rendered

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

D  To obtain demographic information about the patient

A  Comprehensive history

B  Detailed 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 medical records from previous visits

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 insurance coverage

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

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

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

D  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.

A  A notation of all negative symptoms

B  A series of questions addressing each of the body systems

C  A review of symptoms

D  A history of present illness

A  Problem-focused history

B  Detailed history

C  Comprehensive history

D  Expanded problem-focused history