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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Related Questions
Correct Answer is B
Explanation
A. Right to change insurance companies during treatment: This is not part of the Patient's Bill of Rights. Changing insurance companies is subject to policy terms and regulations, not patient rights.
B. Right to refuse treatment: This is correct. The Patient’s Bill of Rights includes the right for patients to refuse treatment, even if that treatment is recommended by their healthcare provider.
C. Right to a timely visit: While timeliness is important, the Patient’s Bill of Rights does not specifically guarantee a timely visit.
D. Right to a specialist outside their network at no cost: This is not guaranteed under the Patient's Bill of Rights. Specialist visits, especially out-of-network, are typically governed by insurance coverage rules.
Correct Answer is A
Explanation
A. Support group: A support group can provide emotional support, information, and shared experiences relevant to managing a new medical diagnosis.
B. Department of Social Services: While the Department of Social Services may assist with various needs, such as financial or housing assistance, it is not specifically focused on the emotional and informational support for a new diagnosis.
C. Food bank: A food bank is primarily for food distribution and would not directly address the challenges of managing a new medical diagnosis.
D. Local department of health: Although the local department of health may provide resources or referrals, a support group would be more focused on the emotional and practical aspects of dealing with a new diagnosis.
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