Deck 36: The Medical History and Patient Screening

Question 1

The process of obtaining information from patients to determine who will be the most beneficial to handle their needs is called:

A) reviewing
B) screening
C) interrogating
D) diagnosing

Answer 1

screening

Question 2

A ____ provides a pictorial breakdown of a patient's family health history.

A) tonometer
B) genogram
C) familiosphere
D) radiograph

Answer 2

genogram

Question 3

Which of the following practices helps to establish a nonthreatening,relaxed atmosphere for a screening?

A) greeting the patient by a pet name
B) identifying yourself only by your position
C) demanding that the patient share personal information about symptoms
D) explaining what you would like to do

Answer 3

explaining what you would like to do

Question 4

The screening and interview commonly take place in the:

A) reception area
B) office laboratory
C) practice manager's office
D) examination room

Question 5

When performing in-person screenings,you should ask patients if they are taking:

A) prescription medications
B) over-the-counter (OTC)medication
C) herbal remedies
D) any type of medication,prescribed or otherwise

Question 6

During the screening,you should:

A) do most of the talking yourself
B) watch the patient's body language
C) allow the conversation to go off course if it is pleasant to do so
D) ask questions that require only yes or no answers

Question 7

Match each term with its definition.
More intense form of screening that developed during wartime and involved the sorting and assessment of soldiers' injuries

A)phone screening
B)in-person screening
C)emergent
D)triage
E)chief complaint (CC)
F)complete health history
G)patient approval
H)biases
I)open-ended
J)summary

Question 8

Match each term with its definition.
First step taken between medical assistants and patients to make their experience at the office beneficial

A)phone screening
B)in-person screening
C)emergent
D)triage
E)chief complaint (CC)
F)complete health history
G)patient approval
H)biases
I)open-ended
J)summary

Question 9

Match each term with its definition.
Patient's main health concern

A)phone screening
B)in-person screening
C)emergent
D)triage
E)chief complaint (CC)
F)complete health history
G)patient approval
H)biases
I)open-ended
J)summary

Question 10

Match each term with its definition.
Great aid in diagnosing a patient's condition

A)phone screening
B)in-person screening
C)emergent
D)triage
E)chief complaint (CC)
F)complete health history
G)patient approval
H)biases
I)open-ended
J)summary

Question 11

Match each term with its definition.
Beliefs and behaviors that tend to influence how we view others

A)phone screening
B)in-person screening
C)emergent
D)triage
E)chief complaint (CC)
F)complete health history
G)patient approval
H)biases
I)open-ended
J)summary

Question 12

When patients do not complete the health history form,you should:

A) tactfully ask if they would like assistance filling out the form
B) tell them that the provider cannot treat them unless they complete the form
C) do nothing and let the provider handle it
D) try to fill out the form on your own,based on what you know about the patient

Question 13

The purpose of the screening is to help patients focus on their:

A) chief complaint
B) financial concerns
C) family health history
D) past medication use

Question 14

The ____ decides what is done by the medical assistant during the in-person screening.

A) practice manager
B) patient
C) provider
D) medical assistant

Question 15

Which of these statements about pain is correct?

A) Pain is objective.
B) Pain is observable.
C) Pain is subjective.
D) Pain has only physical causes.

Question 16

When performing an in-person screening,you should:

A) sit face-to-face with the patient
B) stand while the patient sits
C) sit while the patient stands
D) both stand

Question 17

After the health history,baseline measurements,and vital signs are done,you should do all but which of the following?

A) Thank the patient for his or her cooperation.
B) Indicate to the patient what will happen next.
C) Ask if the patient has any questions.
D) Perform the review of systems.

Question 18

When patients return for follow-up visits,the face-to-face screening should focus on determining:

A) how they have felt since the last office visit
B) the status of any outstanding balances on their accounts
C) the cause of their symptoms
D) when they should return for another follow-up

Question 19

Your goals during the in-person screening include identifying all but which of the following?

A) Why the patient is seeking health care.
B) What the patient sees as the main problem.
C) The types of medication the patient should take to treat his or her condition.
D) Any secondary concerns that the patient may have.

Question 20

When taking down a patient's chief complaint,you should:

A) include as much medical terminology as possible
B) record it in the patient's own words
C) record it in your own words
D) include your opinion of the diagnosis in the medical record

Question 21

Match each term with its definition.
This can be challenging due to the fact that patients may experience a comparable condition or surgical procedure,but their response may vary considerably

A)pain assessment
B)documentation
C)physical exam
D)misdiagnosis
E)patient portal
F)kiosk
G)SOAP

Question 22

Match each aspect of a patient's chief complaint with its description.
Describes the characteristic of the symptom

A)location
B)radiation
C)quality
D)severity
E)associated symptoms
F)aggravating factors
G)alleviating factors
H)setting and timing

Question 23

Match each term with its definition.
Generally performed before extensive care is provided to new patients

A)pain assessment
B)documentation
C)physical exam
D)misdiagnosis
E)patient portal
F)kiosk
G)SOAP

Question 24

Match each term with its definition.
Must be obtained before involving another person in the discussion of a patient's private health information

A)phone screening
B)in-person screening
C)emergent
D)triage
E)chief complaint (CC)
F)complete health history
G)patient approval
H)biases
I)open-ended
J)summary

Question 25

Match each aspect of a patient's chief complaint with its description.
Describes when the symptoms started and what the patient was doing at the time

A)location
B)radiation
C)quality
D)severity
E)associated symptoms
F)aggravating factors
G)alleviating factors
H)setting and timing

Question 26

Match each aspect of a patient's chief complaint with its description.
Describes other minor symptoms in addition to the chief complaint

A)location
B)radiation
C)quality
D)severity
E)associated symptoms
F)aggravating factors
G)alleviating factors
H)setting and timing

Question 27

Match each term with its definition.
Method for recording data regarding a patient's office visit

A)pain assessment
B)documentation
C)physical exam
D)misdiagnosis
E)patient portal
F)kiosk
G)SOAP

Question 28

Match each term with its definition.
Type of question that demands more than a yes or no answer

A)phone screening
B)in-person screening
C)emergent
D)triage
E)chief complaint (CC)
F)complete health history
G)patient approval
H)biases
I)open-ended
J)summary

Question 29

Match each term with its definition.
Absence of pertinent information in a patient's health history could result in this

A)pain assessment
B)documentation
C)physical exam
D)misdiagnosis
E)patient portal
F)kiosk
G)SOAP

Question 30

Match each term with its definition.
Identifies the person responsible for providing the screening

A)pain assessment
B)documentation
C)physical exam
D)misdiagnosis
E)patient portal
F)kiosk
G)SOAP

Question 31

Match each term with its definition.
Allows a patient to complete a health history form on a computer before coming into the office

A)pain assessment
B)documentation
C)physical exam
D)misdiagnosis
E)patient portal
F)kiosk
G)SOAP

Question 32

Match each aspect of a patient's chief complaint with its description.
Describes what makes the symptoms better

A)location
B)radiation
C)quality
D)severity
E)associated symptoms
F)aggravating factors
G)alleviating factors
H)setting and timing

Question 33

Match each term with its definition.
Occurs in some form every time a patient calls the medical facility

A)phone screening
B)in-person screening
C)emergent
D)triage
E)chief complaint (CC)
F)complete health history
G)patient approval
H)biases
I)open-ended
J)summary

Question 34

Match each aspect of a patient's chief complaint with its description.
Describes what makes symptoms worse

A)location
B)radiation
C)quality
D)severity
E)associated symptoms
F)aggravating factors
G)alleviating factors
H)setting and timing

Question 35

Match each term with its definition.
Patients with these types of conditions should be given first priority

A)phone screening
B)in-person screening
C)emergent
D)triage
E)chief complaint (CC)
F)complete health history
G)patient approval
H)biases
I)open-ended
J)summary

Question 36

Match each aspect of a patient's chief complaint with its description.
Describes the pain associated with the symptom

A)location
B)radiation
C)quality
D)severity
E)associated symptoms
F)aggravating factors
G)alleviating factors
H)setting and timing

Question 37

Match each term with its definition.
Screening portion of the interview should end with this

A)phone screening
B)in-person screening
C)emergent
D)triage
E)chief complaint (CC)
F)complete health history
G)patient approval
H)biases
I)open-ended
J)summary

Question 38

Match each aspect of a patient's chief complaint with its description.
Describes where the symptom is found

A)location
B)radiation
C)quality
D)severity
E)associated symptoms
F)aggravating factors
G)alleviating factors
H)setting and timing

Question 39

Match each term with its definition.
Allows a patient to complete a health history form on a computer in the medical office

A)pain assessment
B)documentation
C)physical exam
D)misdiagnosis
E)patient portal
F)kiosk
G)SOAP

Question 40

Match each aspect of a patient's chief complaint with its description.
Describes the area the symptom covers

A)location
B)radiation
C)quality
D)severity
E)associated symptoms
F)aggravating factors
G)alleviating factors
H)setting and timing

Question 41

​A review of symptoms (ROS)is an orderly and systematic check of each of the body systems is recorded and is performed by:

A) ​the medical assistant
B) ​the provider
C) ​the practice manager
D) ​completing a health history form

Question 42

​To follow HIPAA privacy standards,be sure to get the patient's approval to involve another person in the discussion of his or her private health information.Which of the following statements is true regarding permission?

A) Asking the patient's communication preferences will suffice for permission granted.
B) The patient's daughter tells you she is authorized to receive PHI regarding her mother.
C) The provider asks you to contact the patient's daughter to discuss a procedure her mother should have.
D) Document the permission;without documentation,it is considered "not permitted."

Question 43

Match the question to the type: open-ended or closed-ended.Note: Answers may be used more than once.
"Would you like to have a blanket to keep warm?"

A)​open-ended question
B)​closed-ended question

Question 44

​When performing the skill of patient screening,it is so important that you have a good knowledge base of:

A) ​medical terminology
B) ​anatomy and physiology
C) ​medication
D) ​all of the above

Question 45

​Match the following terms to its definition/description.
​The injured were separated into groups according to the seriousness of their needs

A)​biases
B)​clinical diagnosis
C)​objective
D)​over-the-counter
E)​patronizing
F)​prioritizing
G)​remedies
H)​symptoms

Question 46

​Match the following terms to its definition/description.
​Information or symptoms that can be observed (that are perceptible to other people),such as swelling,bruising,vital signs,and physical examination findings

A)​biases
B)​clinical diagnosis
C)​objective
D)​over-the-counter
E)​patronizing
F)​prioritizing
G)​remedies
H)​symptoms

Question 47

​Match the following terms to its definition/description.
​ For example,a work-in patient whose chief complaint is severe muscle spasms of the back may also express concern because of occasional irregular heartbeats and an increasing need to take antacids for indigestion

A)​biases
B)​clinical diagnosis
C)​objective
D)​over-the-counter
E)​patronizing
F)​prioritizing
G)​remedies
H)​symptoms

Question 48

​Match the following terms to its definition/description.
​Calling patients by pet names or terms of endearment (e.g. ,Honey,Hon,and Dear)may be interpreted as this

A)​biases
B)​clinical diagnosis
C)​objective
D)​over-the-counter
E)​patronizing
F)​prioritizing
G)​remedies
H)​symptoms

Question 49

Match the question to the type: open-ended or closed-ended.Note: Answers may be used more than once.
"Do you have pain now?"

A)​open-ended question
B)​closed-ended question

Question 50

​Match the following terms to its definition/description.
​All patients must be treated with respect without the influence of how we treat others;evaluating them based on their race,religion,sexual orientation,cultural or ethnic origin,or socioeconomic or educational status

A)​biases
B)​clinical diagnosis
C)​objective
D)​over-the-counter
E)​patronizing
F)​prioritizing
G)​remedies
H)​symptoms

Question 51

Match the question to the type: open-ended or closed-ended.Note: Answers may be used more than once.
​"How would you describe your pain?"

A)​open-ended question
B)​closed-ended question

Question 52

Match the question to the type: open-ended or closed-ended.Note: Answers may be used more than once.
​"Have you had your flu shot this year?"

A)​open-ended question
B)​closed-ended question

Question 53

Match the question to the type: open-ended or closed-ended.Note: Answers may be used more than once.
"What questions do you have for the doctor concerning your symptoms?"

A)​open-ended question
B)​closed-ended question

Question 54

​Match the following terms to its definition/description.
​Medications,vitamins and herbal supplements,or home remedies

A)​biases
B)​clinical diagnosis
C)​objective
D)​over-the-counter
E)​patronizing
F)​prioritizing
G)​remedies
H)​symptoms

Question 55

​Match the following terms to its definition/description.
​Using the information obtained from the health history,physical exam,ROS,and any laboratory tests completed can help the provider determine this

A)​biases
B)​clinical diagnosis
C)​objective
D)​over-the-counter
E)​patronizing
F)​prioritizing
G)​remedies
H)​symptoms

Question 56

​Match the following terms to its definition/description.
​Anything that relieves or cures a disease

A)​biases
B)​clinical diagnosis
C)​objective
D)​over-the-counter
E)​patronizing
F)​prioritizing
G)​remedies
H)​symptoms

Question 57

​Match the feedback techniques to obtain patient information to its description.
​Paraphrasing and restating both the feelings and words

A)​reflection
B)​restatement
C)​clarification

Question 58

Match the question to the type: open-ended or closed-ended.Note: Answers may be used more than once.
"When did the symptoms begin and how long have you had them?"

A)​open-ended question
B)​closed-ended question

Question 59

​Match the feedback techniques to obtain patient information to its description.
​Briefly repeat the exact information

A)​reflection
B)​restatement
C)​clarification

Question 60

​Match the feedback techniques to obtain patient information to its description.
​Stating back to the speaker the essential meaning,as understood by you

A)​reflection
B)​restatement
C)​clarification

Question 61

​Why is it important to obtain a work history for the patient?

A) ​Certain occupations may contribute to industrial diseases by exposure to harmful chemicals such as asbestos,coal,and pesticides.
B) ​Noise level from certain factories can also be problematic.
C) ​Questioning the patient about the hazardous occupation and how long he or she was employed in that occupation can help in determining illnesses that may have been associated from this or could result in the future.
D) ​All of the above

Question 62

​Because pain is subjective,it is whatever the experiencing person says it is and exists whenever the experiencing person says it does.Match the type of pain with its description.
​Sudden onset

A)​acute
B)​chronic malignant
C)​chronic nonmalignant

Question 63

Match the question to the type: open-ended or closed-ended.Note: Answers may be used more than once.
"What type of reaction did you have to the medication?"

A)​open-ended question
B)​closed-ended question

Question 64

​A patient's lifestyle can have a huge impact on the prevention or creation of certain diseases or conditions.Which of the following will appear in the social history tab?

A) ​use of illegal drugs
B) ​alcohol usage
C) ​smoking status (tobacco usage)
D) ​all of the above

Question 65

​Because pain is subjective,it is whatever the experiencing person says it is and exists whenever the experiencing person says it does.Match the type of pain with its description.
Lasting longer than 6 months
​

A)​acute
B)​chronic malignant
C)​chronic nonmalignant

Question 66

​The medical assistant is often involved in patient education,which can include supplying information about:

A) ​diseases and disorders
B) ​explaining diagnostic tests
C) ​providing instruction in health care procedures
D) ​all of the above

Question 67

Match the question to the type: open-ended or closed-ended.Note: Answers may be used more than once.
"Would you like to discuss that with the doctor?"

A)​open-ended question
B)​closed-ended question

Question 68

​Always question the patient about any allergies to drugs,including OTC and herbal supplements,food,or environmental factors because true allergic reactions can be very serious,even life threatening.If the patient indicates he or she does not have any allergies:

A) ​skip this portion of the form
B) ​document in the patient demographics section
C) ​enter "No known drug allergies" (NKDA)on the form
D) ​do an allergy screening in the EHR tab

Question 69

​Never give a patient information that is:

A) ​used as a referral for community resources
B) ​beyond your scope of practice
C) ​published by the CDC
D) provided by a patient education outside source,such as Krames StayWell

Question 70

​Because pain is subjective,it is whatever the experiencing person says it is and exists whenever the experiencing person says it does.Match the type of pain with its description.
Lasting longer than 6 months,but the cause is unidentifiable

A)​acute
B)​chronic malignant
C)​chronic nonmalignant