Which is the correct way to document a patient's statement about symptoms experienced?
A) Write direct quotes and enclose the entry in quotation marks.
B) Write the statement in your own words.
C) Note the statement in a shortened form, using standard abbreviations.
D) List the symptoms, using correct medical terminology.

Question

Quizplus · Accepted Answer

Writing direct quotes and enclosing the entry in quotation marks is the most accurate way to document a patient's statement about symptoms experienced. It ensures that the information is recorded exactly as the patient stated it.

Which Is the Correct Way to Document a Patient's Statement