The final piece of documentation a coder should review is the:
A. discharge summary.
B. history and physical.
C. operative report.
D. physician progress notes.
A
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You are interviewing a woman of Asian descent but she keeps avoiding your gaze and seems offended by your questions. Which of the following would be the BEST way to handle this situation?
A) Insist that she look at you when you speak to her. B) Ask a family member to speak to the patient. C) Consider that she may be hard of hearing. D) Ask your questions without making eye contact.
You are treating a patient who has been stabbed in the abdomen and now has abdominal contents protruding from the site of the wound. The BEST way to treat this injury is to:
A) cover contents with moist gauze and use an occlusive dressing such as plastic from a trauma dressing package and tape in place. B) elevate patient's shoulders and cover abdominal contents with bulky, wet dressing. C) carefully replace abdominal contents after rinsing with saline and cover with bulky, dry dressing. D) dressing and bandage wound as any other, careful transport.
Who owns the patient health record?
A) The state B) The facility or practice C) The patient D) The federal government E) All of the above
What is the acronym for the device that is used for patients with sleep apnea?
A) CTAP B) CPAL C) CPAP D) CWAP