A Dietitian Is Documenting Information in a Patient's Chart

question 14

Multiple Choice

A dietitian is documenting information in a patient's chart. She writes an asterisk and then explains the information further in the comments section of the chart. What type of documentation format is the dietitian most likely using?

• A) SOAP format
• B) PIE notes
• C) charting by exception
• D) focus notes
• E) ADIME format

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Definitions:

Instincts

Innate, fixed patterns of behavior in animals and humans that are responses to specific stimuli.

Bullying

Aggressive behavior among school-aged children and teenagers that involves a real or perceived power imbalance, including actions like making threats, spreading rumors, attacking someone physically or verbally, and excluding someone from a group.

Acts of Aggression

Behaviors intended to cause harm or pain to another person, ranging from verbal abuse to physical violence.

Persistent

Showing tenacity and steadfastness in pursuing goals or tasks despite challenges, obstacles, or discouragement.