Which of the Following Statements Is True Regarding the Recording

question 19

Multiple Choice

Which of the following 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,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:

Fasting

A practice of abstaining from all or some kinds of food or drink for a specific period of time, often used for health, religious, or ethical purposes.

Blood Drawn

A medical procedure involving the extraction of blood from a vein typically for diagnostic purposes.

Clear Liquid Diet

A diet that consists of only clear liquids, such as water, broth, and certain juices, often recommended for medical reasons.

Diabetic Patient

An individual diagnosed with diabetes, a metabolic disorder characterized by high blood sugar levels over a prolonged period.