Which of the following is the purpose of an electronic graph, or flow sheet, in a patient's medical record?
To record the patient's demographic information
To record the patient's name, insurance, and next of kin
To record nursing plans and postoperative care
To record vital signs, weight, I&O, and doctor visits
The Correct Answer is D
A. To record the patient's demographic information: Demographic information is recorded in other sections of the medical record, not in a flow sheet.
B. To record the patient's name, insurance, and next of kin: This information is also found in other sections of the medical record, not typically in a flow sheet.
C. To record nursing plans and postoperative care: Nursing plans and postoperative care are documented in different sections, such as care plans or progress notes, not in a flow sheet.
D. To record vital signs, weight, I&O, and doctor visits: Flow sheets or electronic graphs are used to track and visualize ongoing patient data, including vital signs, weight, intake and output (I&O), and doctor visits.
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Correct Answer is D
Explanation
A. The date the patient's illness ended: The form does not require the end date of the patient’s illness, but the date of service and diagnosis are needed.
B. The patient's filing limits: Filing limits are set by the insurance carrier and are not required information on the CMS-1500 form.
C. The patient's previous account balance: The previous account balance is not required on the claim form; this form is for billing current services.
D. The patient's insurance identification number: The patient's insurance identification number is required to process the claim with the correct insurance provider.
Correct Answer is B
Explanation
A. Implied: Implied consent is assumed in certain situations where immediate treatment is necessary and no formal consent is given, but it does not involve a detailed explanation of risks and benefits.
B. Informed: Informed consent requires that the provider fully explains the risks, benefits, and alternatives of a treatment plan to the patient, ensuring the patient understands and agrees to the plan.
C. Indirect: Indirect consent is not a recognized term in medical consent practices.
D. Implicit: Implicit consent refers to situations where consent is assumed based on the patient's actions, rather than a detailed explanation of risks and benefits.