You are at a community crisis center with a male patient who is depressed. What is the most important question you must ask first in the care of this patient?
A) "Have you been taking your medications?"
B) "Do you feel suicidal or homicidal?"
C) "What behavioral disorders have you been diagnosed with?"
D) "Have your medications been changed?"
B
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You are transporting an elderly woman who fell in a nursing home and has outward rotation of her left leg. She has a lengthy medical history, including dementia. Currently, she is very quiet and receiving oxygen through a nasal cannula. She also is immobilized to a long spine board. During your reassessment, you note her to be alert but confused, with slightly accelerated respirations and a
strong radial pulse. You also note that her SpO2 has dropped from 97 percent on scene to 91 percent. You should: A) request ALS assistance. B) perform a head-tilt/chin-lift maneuver. C) apply a nonrebreather. D) start positive pressure ventilation.
An example of an evaluation and management (E/M) code that requires three key components documented and a comprehensive history and comprehensive exam is:
a new patient office visit. an established patient office visit. critical care services. subsequent in-hospital care.