test 1: ch1 other terms

Question 1

details patients history, results of physicians examination, initial diagnoses, and physicians plan of treatment

Answer 1

history and physical

Question 2

complete list of care, medications, tests, and treatments physician orders for the patient

Answer 2

physicians orders

Question 3

record of patients care throughout the day; includes vital signs, treatment specifics, patients response to treatment, and patients condition

Answer 3

nurse’s notes

Question 4

physicians daily record of patients condition, results of physicians examinations, summary of test results, updated assessment and diagnoses, and further plans for patients care

Answer 4

physicians progress notes

Question 5

reports given by specialists whom physician has asked to evaluate patient

Answer 5

consultation reports

Question 6

reports from various treatments and therapies patient has received, such as rehabilitation, social services, or respiratory therapy

Answer 6

ancillary reports

Question 7

results of diagnostic tests performed on patient, principally from clinical lab and medical imaging

Answer 7

diagnostic reports

Question 8

document voluntarily signed by patient or a responsible party that clearly describes purpose, methods, procedures, benefits, and risks of a diagnostic or treatment procedure

Answer 8

informed consent

Question 9

report from surgeon detailing an operation; includes pre- and postoperative diagnosis, specific details of surgical procedure itself, and how patient tolerated procedure

Answer 9

operative report

Question 10

relates details regarding substances given to patient, patients response to anesthesia, and vital signs during surgery

Answer 10

anesthesiologists report

Question 11

report given by pathologist who study tissue removed from patient

Answer 11

pathologist’s report

Question 12

comprehensive outline of patients entire hospital stay; includes condition at time of admission, admitting diagnosis, test results, treatments and patient’s response, final diagnosis, and follow-up plans

Answer 12

discharge summary

Question 13

provide services to diagnose and treat diseases for a short period of time; in addition, they usually provide emergency and obstetrical care

Answer 13

acute care or general hospitals

Question 14

provide care for very specific types of diseases

Answer 14

specialty care hospitals

Question 15

provide long-term care for patients needing extra time to recover from illness or injury before returning home or for persons who can no longer care for themselves

Answer 15

nursing homes or long-term care facilities

Question 16

provide services not requiring overnight hospitalization; services range from simple surgeries to diagnostic testing or therapy

Answer 16

ambulatory care centers, surgical centers, or outpatient clinics

Question 17

provide diagnostic and treatment services in a private office setting

Answer 17

physician’s offices

Question 18

provides a wide range of services by a group of primary-care physicians, specialists, and other healthcare professionals in a prepaid system

Answer 18

health maintenance organization (HMO)

Question 19

provides nursing, therapy, personal care, or housekeeping services in patients own home

Answer 19

home health care

Question 20

provide intensive physical and occupational therapy; includes inpatient and outpatient treatment

Answer 20

rehabilitation centers

Question 21

provide supportive treatment to terminally ill patients and their families

Answer 21

hospices

Question 22

study of the origin, characteristics, and effects of drugs

Answer 22

pharmacology

Question 23

describes the chemical formula or molecular structure of a particular drug

Answer 23

chemical name

Question 24

recognized and accepted as the official name for a certain drug

Answer 24

generic or nonproprietary

Question 25

the name a pharmaceutical company chooses as a trademark or market name for its drug

Answer 25

brand or proprietary name

Question 26

the name for drugs that have potential for being addictive

Answer 26

controlled substances

Question 27

government agency that enforces regulation of controlled substances

Answer 27

drug enforcement administration (DEA)

Question 28

drugs with the highest potential for addiction and abuse; not accepted for medical use

Answer 28

schedule I drugs

Question 29

drugs with high potential for addiction and abuse but are accepted for medical use in the united states

Answer 29

schedule II drugs

Question 30

drugs with a moderate to low potential for addiction and abuse

Answer 30

schedule III drugs

Question 31

drugs with a lower potential for addiction and abuse than schedule III drugs

Answer 31

schedule IV drugs

Question 32

drugs with a low potential for addiction and abuse

Answer 32

schedule V drugs

Question 33

abbreviation for “by mouth” on a prescription

Answer 33

po

Question 34

abbreviation for label instructions on a prescription

Answer 34

Sig

Question 35

abbreviation for three times a day on a prescription

Answer 35

tid