Information About a Patient's Nearest Kin, Physician, and Initial Diagnosis

question 46

Multiple Choice

Information about a patient's nearest kin, physician, and initial diagnosis can be found in which section of the medical record?

• A)history and physical exam
• B)admission sheet
• C)physician's orders
• D)consultation sheet

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Definitions:

Walking Without Assistance

The ability of an individual to walk freely without the need for any support or aid.

Review of Systems

A systematic method for collecting comprehensive information on all body systems through questions during a medical history-taking.

Blood Pressure Apparatus

A device used to measure the pressure exerted by circulating blood on the walls of blood vessels.

Nursing Action

Any intervention or measure taken by a nurse to enhance patient care and improve health outcomes.