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Patient Documentation Unit Review

Authored by Jessica Henry

Physical Ed

11th - 12th Grade

Used 36+ times

Patient Documentation Unit Review
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40 questions

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1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

If the patient has difficulty with English, the MA should

make appointment then make sure interpreter is present
make appt after contacting interpreter
speak loudly so pt will understand
suggest the pt find a provider that speaks their language

2.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A helpful question to ask a returning patient is (think follow up care)

are you feeling bad today?
didn't you get better with the treatment from the last visit?
have you noticed any changes since your last visit?
do you realize you gained 6lbs since your last visit?

3.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

When a pt reports not feeling well, the MA should respond by doing what?

mark CC as "pt not feeling well"
ask helpful questions to help pt express specific details
pin down symptoms by guessing what the problem could be
let the provider work with the pt

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Source-oriented Medical Records (SOMR) are

chronologic notes beginning with most recent visit

have four major components

are the best for finding information quickly

are best when many providers see the same pt

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Name, address, telephone numbers, birth date, social security number, insurance information, and person to contact in ER is known as

Demographic data

CCR or patient information

Social history

none of the above

6.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Chief complaint is

is abbreviated CC and contains Subjective data

is a statement of objective findings made by the MA

is objective data stated by the patient

is all the complaints about the medical office from patients

7.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Interviewing patients for medical history requires:

special credentials such as CCMA or RMA
cross-cultural interviewing and communication skills
computer skills in medical note taking
a major portion of receptionist time and energy

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