Ms. S reports that she is concerned about her loss of appetite. During the history, you learn that her last child recently moved out of her house to go to college. Rather than infer the cause of Ms. S's loss of appetite, it would be better to
A)defer or omit her comments.
B)have her husband call you.
C)quote her concerns verbatim.
D)refer her for psychiatric treatment.
E)record your interpretations.

Question

Quizplus · Accepted Answer

It is best to document what you observe and what is said by the patient rather than document your interpretations. Listening and quoting exactly what the patient says is the best rule to follow; there is no indication that you should refer her or clarify with her husband.

Ms S Reports That She Is Concerned About Her Loss