Which of These Statements Is True Regarding the Recording of Data

question 26

Multiple Choice

Which of these statements is true regarding the recording of data from the history and physical examination?

• A) Use long, descriptive sentences to document findings.
• B) Record the data as soon as possible after the interview and physical examination.
• C) If the information is not documented, then it can be assumed that it was done as a standard of care.
• D) The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing rapport with the patient.

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Definitions:

Nonprogrammed

relates to decision-making or solutions that are not based on established procedures or guidelines, often required in unique, unforeseen, or complex situations.

Complex Nature

The intricate and multifaceted characteristics of a system, problem, or entity that make it challenging to understand or manage.

Appliance Safety Features

Refers to the built-in safety mechanisms and designs included in appliances to prevent accidents and injuries.

Kitchen Injuries

Injuries occurring in the kitchen, often involving cuts, burns, or slips due to handling knives, hot surfaces, or wet floors.