Patient chief complaint - Study guides, Class notes & Summaries

EMT FISDAP READINESS EXAM 4 Questions & Answers-In contrast to the assessment of a trauma patient, assessment of a medical patient: almost exclusively focuses on physical signs that indicate the patient is experiencing a problem. is focused on the nature of illness, the patient's chief complaint, and his or her symptoms. requires a thorough head-to-toe exam that involves a detailed assessment of all body systems. is not as complex for the EMT because most patients typically present ...

Exam 1: NUR253/ NUR 253 (Latest 2024/ 2025 Update) Mental Health Nursing | Complete Guide with Questions and Verified Answers| 100% Correct| Grade A – Galen Q: Important not to stereotype older adults and expect them to be physically and mentally deficient Q: the nurse needs to evaluate physical limitations, like - older adults Answer: sensory, motor, or medical. Q: MSE mental status examination Answer: fundamental to the psychiatric- mental health nursing...

DD Form 689 Individual sick call slip that initiates the sick call process Used for patient who requests or receives medical/dental evaluation or treatment at an Army Medical Treatment Facility (MTF) used as a means of communication between medical personnel and the patient's commander SF 600 Chronological Record of Medical Care form used to document the chronological record of the patient's treatment Should include: - Date and time of visit - Medical Treatment Facilit...

Debbie O Connor-COPD Shadow Health Questions and Answers Latest (100% VERIFIED) History of Present Illness • Finding: Asked about additional symptoms • Finding: Reports fatigue and weakness (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the a...

JIBC PARA 1250 | 120 Questions with 100% Correct Answers | Latest Update | Verified Elements of paramedic practice - Identify problems. Set patient care priorities. Develop a prehospital care plan. Execute the plan. Evaluating overall scene safety and stability is the ______________ step of responding to an emergency call. - first On most calls, the two most important pieces of patient history information that you need to obtain are - the patient's name and chief complaint Pulling toget...

HEALTH ASSESSMENT HESI VERSION 2 EXAM COMPLETE GUIDE QUESTIONS WITH VERIFIED ANSWERS A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation of this client's concerns should the nurse enter? A. Presents with a hacking non-productive cough of 6 weeks dur...

• Question 1 Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. The most likely diagnosis for this condition is: Selected Answer: Placenta previa Answers: Placental abruption Severe preeclampsia Placenta previa None of the above Adela is a 38 y/o overweight female who presents...

Medical Billing and Coding Certificate Exam Already Passed Chief Complaint (element 1 of history) History of present illness, Review symptom, Past, Family, and Social history History Levels (Element 2 of history) and Examination Levels (Element 3 of History) Problem focused, expanded problem focused, detailed, Comprehensive Medical Decision Making Complexity Levels (element 4 of history) Straightforward, Low, Moderate, High straightforward Minimal diagnosis Minimal...

what is the primary function of a medical scribe? - create the medical note what is the preferred format for the creation of the medical note? - subjective, objective, assessment, plan (soap) "present time" pt details are summarized by using what format - OPQRST all current procedural terminology (CPT) codes must be justified by what appropiate coding mechanisms - international classification of disease (ICD) what patient history is outlined in the PMHx - medical history what scribing i...

National Coverage Determination (NCD) - Which of the following Medicare policies determines if a particular item or service is covered by Medicare? Adjudication - Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Encounter Form - A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information Admitting clerk - A patient comes to the hospital for an inpatient procedure. Which of the following hospi...