In which of the following sections of the progress note should a medical assistant document a patient's chief complaint?
Subjective
Objective
Review of systems
Assessment
The Correct Answer is A
A. Subjective: The chief complaint is a patient-reported symptom or concern and is documented in the subjective section of the progress note. This section includes the patient’s personal perspective and descriptions of their symptoms.
B. Objective: The objective section includes measurable or observable data, such as vital signs and physical examination findings, not the patient’s chief complaint.
C. Review of systems: The review of systems is a systematic approach to obtaining information about the functioning of various body systems but is not specifically where the chief complaint is documented.
D. Assessment: The assessment section contains the provider’s diagnostic impressions and conclusions about the patient’s condition, rather than the chief complaint.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The total amount of payments received matches the day's deposit.: To ensure the day's receipts are balanced, the total amount of payments collected should match the total amount deposited into the bank.
B. All transactions have been written on the day sheet. While documenting transactions on the day sheet is important, it alone does not confirm if the receipts are balanced without verifying the total amounts.
C. The check register has been verified. The check register should be verified as part of the process, but it alone does not confirm if the receipts are balanced without matching the deposit total.
D. The ledger cards have been zeroed out. Zeroing out ledger cards is part of account management but does not specifically confirm if the day's receipts match the deposit.
Correct Answer is C
Explanation
A. Share personal experience with the patient: Sharing personal experiences is not appropriate and does not provide professional support or resources.
B. Refer the patient to another provider: While referral might be necessary, it’s important to first provide immediate support and resources, such as community organizations.
C. Provide a list of relevant community organizations: Providing a list of community organizations that offer support and resources for victims of partner violence is a helpful and appropriate action.
D. Counsel the patient on the situation: Counseling should be provided by a trained mental health professional; the medical assistant should provide support by referring the patient to appropriate resources.
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