Which of the following is an example of continuity of care?
Having small talk with a patient
Transferring a patient's hospital records to a specialist
Dismissing a patient from the practice
Verifying a patient's insurance
The Correct Answer is B
A. Having small talk with a patient: While engaging with patients is important, small talk is not related to continuity of care, which involves ensuring consistent and coordinated healthcare.
B. Transferring a patient's hospital records to a specialist: Continuity of care involves sharing patient information with all members of the healthcare team, including specialists, to provide seamless and coordinated care.
C. Dismissing a patient from the practice: Dismissing a patient ends the care relationship and does not contribute to continuity of care.
D. Verifying a patient's insurance: Verifying insurance is an administrative task and does not directly impact the continuity of patient care.
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Correct Answer is C
Explanation
A. Biannually: Biannual exams may not be frequent enough to monitor for diabetic retinopathy or other eye complications associated with diabetes. Annual exams are recommended.
B. Every 5 years: Waiting 5 years between exams is too long, as eye complications from diabetes can develop rapidly.
C. Annually: Annual dilated eye exams are recommended for patients with diabetes mellitus to monitor for diabetic retinopathy and other complications, allowing for early detection and treatment.
D. Every 10 years: A 10-year interval is far too long and could result in the progression of untreated eye disease, which could lead to blindness.
Correct Answer is A
Explanation
A. Deflate the cuff slowly until the last sound is heard. The diastolic reading is determined when the last sound (Korotkoff sound) is heard as the cuff is deflated.
B. Listen for the first sound through the stethoscope: The first sound corresponds to the systolic reading, not the diastolic.
C. Document the reading when the gauge needle jumps: The gauge needle jump is not a reliable indicator of blood pressure readings.
D. Inflate the cuff to at least 180 mm Hg, deflate the cuff slowly, and listen for the first sound: Inflating to 180 mm Hg is unnecessary and might cause discomfort; also, the first sound is the systolic reading, not the diastolic.