RESULTS

Question 1

ALL NEW order and results are included in the in the ___section of the chart therefore ONLY results that are ___ and ___to the Dx will be summarized in the assessment

Answer 1

objective

new and relevant

Question 2

do you include pertinent negative and positive results in the assessment?

Answer 2

yes

Question 3

what must be included when summarizing test results?

Answer 3

name of the test
results of the test
why the tests were ordered

Question 4

T/F the scribe should only include results that are new/and or relevant since the last summary

Answer 4

true

Question 5

a patient with HTN visits the clinic for a routine follow up and blood work. the physician says the Dx is chronic hypertension well controlled which of the following results belong in his assessment

Answer 5

normal BP