Which of the following should a medical assistant note in a patient's electronic health record?
The patient reports the receptionist was rude to them.
The patient states that there is an error on their bill.
The patient states their insurance might be changing soon.
The patient reports they recently developed a strawberry allergy.
The Correct Answer is D
A. The patient reports the receptionist was rude to them. This is not relevant to the patient’s medical care and should not be documented in the health record.
B. The patient states that there is an error on their bill. Billing issues are not related to the clinical care of the patient and should not be documented in the health record.
C. The patient states their insurance might be changing soon. This is administrative information and does not pertain to the clinical aspect of the patient’s care.
D. The patient reports they recently developed a strawberry allergy. This is relevant medical information that could affect the patient’s treatment and should be documented in the health record.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Authentication: Authentication verifies user identities but does not act as a barrier between networks and the internet.
B. Audit trail: An audit trail tracks changes and access to records but does not act as a barrier.
C. Firewall: A firewall acts as a barrier between the network and the internet, helping to protect sensitive data and ensure HIPAA security.
D. Virus protection software: Virus protection software helps protect against malware but does not specifically act as a barrier between networks and the internet.
Correct Answer is D
Explanation
A. Begin audiometer testing on the highest frequency and lower gradually: Audiometer testing should begin at lower frequencies and gradually increase to ensure a thorough evaluation of hearing.
B. Begin audiometer testing using both ears: Audiometer testing is usually done one ear at a time to accurately assess hearing in each ear.
C. Use the Ishihara test to measure the patient's field of vision: The Ishihara test is used for color vision testing, not for measuring the field of vision.
D. Document any squinting during the Snellen test: Squinting during the Snellen test can indicate vision problems and should be documented as it may affect the accuracy of the vision assessment.
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