Patient psychiatric history progress notes

Assignment Help Science

Reference no: EM133727838

Question

The medical record consists of many parts, some of which are available to the patient, 3rd party payors, the legal system, and other providers. What part of your charting may be kept separate from the medical record: the patient's psychiatric history the progress notes The patient's substance abuse history the psychotherapy notes.

Reference no: EM133727838

Questions Cloud

Foster collaborative atmosphere : Prepare responses that are informative, reassuring, and foster a collaborative atmosphere.

Patients presentation and vital signs : What 6 abnormalities are seen in the patients presentation and vital signs? Indicate the correct medical terminology to describe the abnormalities.

Lower gastrointestinal bleed related to cirrhosis : A nurse present to the ED with a lower gastrointestinal bleed related to cirrhosis.

What are three steps of the worden task : What are three steps of the Worden task? Bargaining and denial, adjusting to life without deceased, and isolation Bargaining, denial and acceptance Isolation

Patient psychiatric history progress notes : What part of your charting may be kept separate from the medical record: the patient's psychiatric history the progress notes

Based practice and critical thinking in modern nursing : How has nursing practice evolved over time? Explain the significance of evidence-based practice and critical thinking in modern nursing.

Discussing assessments with caregivers : Consider the 3-step process for discussing assessments with caregivers.

History of present illness : The PMHNP is working with a new client. A good way to begin the section entitled History of Present Illness is to ask

Assess the patients pupillary response : The sensitivity to light was tested using a penlight to assess the patient's pupillary response.

User Account

All Pages