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Author Question: When documenting what a patient said in the medical record, use: a. past tense (e.g., She stated ... (Read 72 times)

vicky

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on: Jun 27, 2018
When documenting what a patient said in the medical record, use:
 
  a. past tense (e.g., She stated that she was hungry for days).
  b. quotation marks (e.g., I was hungry for days).
  c. a summary of your idea of what was being said (e.g., I believe the patient was hungry).
  d. it is not necessary to document what the patients says.

Question 2

What should be avoided when documenting in a medical record?
 
  a. Spelling out abbreviations
  b. Using abbreviations
  c. Using approved abbreviations
  d. Using a 0 before a period in a report of measurement


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sultansheikh

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Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: b

Answer to Question 2

Answer: b


vicky

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Reply 2 on: Jun 27, 2018
Gracias!

vickybb89

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Reply 3 on: Yesterday
:D TYSM

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