Clinical notes togeth - Study guides, Class notes & Summaries

NR 509 FINAL EXAM 2024 NEWEST EXAM WITH 100 QUESTIONS WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED 1. A 44-year-old female mathematician presents to clinic c. This patient was with a complaint of a mass in the right breast. Her part- in compliance with ner noticed this mass 2 days ago, and the patient feels guilty because she has only had one mammogram and does not engage in breast self-examination (BSE) on any regular basis. She has no family history of the U.S. Preventive Se...

Source-Oriented Health Record CORRECT ANSWER Documents organized into sections according to the provider's and departments that provide treatment (lab together, rad. together, clinical notes together) Problem-Oriented Health Record CORRECT ANSWER Divided into four parts: database, problem list, initial plan, progress notes (SOAP) SOAP what does S stand for? CORRECT ANSWER Subjective (patient's point of view) SOAP what does O stand for? CORRECT ANSWER Objective (what the practitioner f...

1. A 44-year-old female mathematician presents to clin- ic with a complaint of a mass in the right breast. Her partner noticed this mass 2 days ago, and the patient feels guilty because she has only had one mammogram and does not engage in breast self-ex- amination (BSE) on any regular basis. She has no family history of breast cancer, and her prior mam- mogram was ordered as a routine screening test at c. This patient was in compliance with the U.S. Pre- ventive Services Task Force (USP- STF)...