Which Statement Regarding the Recording of Data from the History

question 2

Multiple Choice

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

• 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 the rapport with the patient.

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Definitions:

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