Question 1

We determine a patient's pain level using many tools.What is the most commonly used tool to assess this subjective response?

Accepted Answer

VRS (Visual Analog Scale) is the most commonly used tool to assess a patient's pain level. It involves having the patient rate their pain on a scale of 0-10, with 0 being no pain and 10 being the worst pain imaginable. Other tools like body drawings, PLE (Pain Location and Intensity Scale), and pain profiles may also be used but are not as commonly used as the VRS.

Question 2

What type of listening technique may provide information regarding the patient that is not a direct response to a question asked of the patient?

Accepted Answer

Passive listening provides information that one might overhear from a conversation in which one is not directly involved, but may provide insight into the treatment process for that day.

Question 3

Why is it important to provide documentation related to the patient's level of pain?

Accepted Answer

Providing documentation related to the patient's level of pain is important because it provides a measurement to help determine whether treatment is helping or hindering the patient's progress. This information can be used to adjust the plan of care as needed to ensure the best possible outcome for the patient.

Question 4

What type of listening technique demonstrates respect for the patient?

Accepted Answer

Courteous listening demonstrates respect for the patient.

Question 5

If the patient cannot verbally communicate with you, how can you determine what his or her pain level might be prior to, during, or following treatment?

Accepted Answer

Using a pain scale with symbols that the patient can point to is a common method used to determine a non-verbal patient's pain level. It allows the patient to communicate their pain level without the need for verbal communication.

Question 6

It is important when discussing subjective information from a patient, caregiver, relative, or others that the information given meets certain guidelines.Choose the phrase that best describes those guidelines.

Accepted Answer

When discussing subjective information, it is important that the information given is relevant to the patient's care and treatment. This ensures that the healthcare team can focus on important information and make informed decisions. Objective information can be recorded by anyone, but subjective information must be relevant and related to the patient's care. It does not necessarily need to be recorded in the daily progress note, and it does not have to be a direct quote.

Question 7

What is specific to a patient; modified or affected by his or her personal views, experience, or background; and arises out of or is identified by means of one's perception of one's own states and processes?

Accepted Answer

Subjective information is specific to a patient, modified or affected by his or her personal views, experience, or background, and arises out of or is identified by means of one's perception of one's own states and processes. It is gathered through patient interviews and self-report measures. Personal history, assessment information, and patient's goals and outcomes are important aspects of patient care, but they are not the definition of subjective information.

Question 8

From the statements provided, identify the correct subjective statement.

Accepted Answer

The patient reporting his pain level prior to treatment and identifying where that pain is located is a very relevant statement related to the patient's treatment session. The other three statements are not appropriate or complete for the subjective section.

Question 9

Identify the correct statement that indicates when to use a quote from a patient when documenting in the subjective section of the SOAP note.

Accepted Answer

Using a quote from the patient can help to convey their attitude or perspective on their therapy or treatment. This can provide valuable insight for the healthcare provider and can help with treatment planning. Quotes from patients are not typically used to document dietary habits, activities with friends, or ability to look for a job, unless they are directly related to the patient's condition or treatment.

Question 10

What type of listening technique is used in response to a specific question asked of a patient?

Accepted Answer

Directed listening involves focusing on specific information or a particular question being asked. In this scenario, the healthcare professional is using directed listening to obtain a response to a specific question asked of the patient.

Question 11

Identify the correct written subjective statement regarding the patient's pain level.

Accepted Answer

Option B is the correct subjective statement as it includes the patient's own report of their pain level (7/10) in their (L) shoulder prior to treatment. Option A also includes the patient's report of pain (8), but it does not mention when that report was made, so it may not be relevant to the current situation. Option C contains a statement of no pain, but it doesn't specify where that pain is expected or relevant, so it may not be useful for treatment planning. Option D is not a relevant statement regarding the patient's pain level.

Question 12

Identify the correct subjective statement.

Accepted Answer

The answer of Identify the correct subjective statement.
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Question 13

What information should be included in the subjective section of the SOAP note?

Accepted Answer

Information included in the subjective section would include the patient's past medical history, symptoms or complaints that caused the patient to seek medical attention, factors that produced the symptoms, the patient's functional and lifestyle needs, and the patient's goals or expectations for what he or she will gain from the medical care.

Question 14

When writing subjective information, it is important to use relevant verbs when describing the patient's responses.Choose the statement that uses the words to meet this criterion.

Accepted Answer

The patient stated that she wants to be able to walk up and down the two steps in front of her house.This statement uses the verb "stated" which is a relevant verb when describing the patient's response.

Question 15

What type of listening skill provides information simply by overhearing a conversation related to a patient?

Accepted Answer

Passive listening skill involves receiving information without actively seeking it out, such as overhearing a conversation.

Question 16

Identify the correct subjective statement.

Accepted Answer

Option A expresses a personal feeling or belief about a physical sensation being experienced. The other options state objective facts or actions.

Question 17

Appropriate listening skills are imperative in patient documentation.Identify the word that means using listening skills to determine specific types of information (i.e., pain, lifestyle, fears).

Accepted Answer

Analytic means using listening skills to determine specific types of information.

Question 18

Identify the correct subjective statement.

Accepted Answer

The answer of Identify the correct subjective statement.
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Question 19

Subjective information includes specific types of information related to the patient.Choose the statement that would be included in this part of the documentation.

Accepted Answer

The patient's pain level is subjective information because it is based on the patient's own perception and cannot be objectively measured. The other statements (A, B, D) involve objective information such as the patient's ability to ambulate, the need for a hand splint, and the frequency of appointments.

Question 20

What type of subjective information about the patient could be included in an initial evaluation?

Accepted Answer

The patient's pain level would be the appropriate statement to include in the subjective section because it gives the response reported from the patient. Although the other responses are important, they would likely be addressed in the objective or assessment sections of the note.

Quiz 10: What Is Subjective Data and Why Is It Important

We determine a patient's pain level using many tools.What is the most commonly used tool to assess this subjective response?

What type of listening technique may provide information regarding the patient that is not a direct response to a question asked of the patient?

Why is it important to provide documentation related to the patient's level of pain?

What type of listening technique demonstrates respect for the patient?

If the patient cannot verbally communicate with you, how can you determine what his or her pain level might be prior to, during, or following treatment?

It is important when discussing subjective information from a patient, caregiver, relative, or others that the information given meets certain guidelines.Choose the phrase that best describes those guidelines.

What is specific to a patient; modified or affected by his or her personal views, experience, or background; and arises out of or is identified by means of one's perception of one's own states and processes?

From the statements provided, identify the correct subjective statement.

Identify the correct statement that indicates when to use a quote from a patient when documenting in the subjective section of the SOAP note.

What type of listening technique is used in response to a specific question asked of a patient?

Identify the correct written subjective statement regarding the patient's pain level.

Identify the correct subjective statement.

What information should be included in the subjective section of the SOAP note?

When writing subjective information, it is important to use relevant verbs when describing the patient's responses.Choose the statement that uses the words to meet this criterion.

What type of listening skill provides information simply by overhearing a conversation related to a patient?

Identify the correct subjective statement.

Appropriate listening skills are imperative in patient documentation.Identify the word that means using listening skills to determine specific types of information (i.e., pain, lifestyle, fears) .

Identify the correct subjective statement.

Subjective information includes specific types of information related to the patient.Choose the statement that would be included in this part of the documentation.

What type of subjective information about the patient could be included in an initial evaluation?