When documenting what a patient said in the medical record, use:

a. past tense (e.g., She stated that she was hungry for days).
b. quotation marks (e.g., "I was hungry for days").
c. a summary of your idea of what was being said (e.g., I believe the patient was hungry).
d. it is not necessary to document what the patients says.


Answer: b

Health Professions

You might also like to view...

Which of the following is the medication that is most commonly involved in cases of pediatric poisoning?

A) Cough/cold medications B) Beta-adrenergic antagonists C) Tricyclic antidepressants D) Antihistamines

Health Professions

The unlawful touching of another individual without his consent is _______

Fill in the blank(s) with correct word

Health Professions

When irrigating an eye due to intraocular foreign body you should pour the irrigating solution directly onto the cornea

Indicate whether the statement is true or false

Health Professions

Which of the following is a vasodilator that is commonly used to treat angina?

a. Antihistamine b. Anticoagulant c. Antibiotic d. Nitroglycerin

Health Professions