The ICD-9-CM codebook organizes malignant neoplasm into primary, secondary, and carcinoma in situ. When is the column for malignant secondary used?
A) when the neoplasm being coded was the second malignant tumor diagnosed
B) when the neoplasm is second in size
C) when the neoplasm metastasized or spread to the site being coded
D) when the neoplasm originated from the site being coded
C
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A client describes feelings of despair and suicide to her therapist. Which of the following options represents the most appropriate therapeutic response?
a. Promise that things will get better in a few days. b. Avoid asking why the client feels suicidal. c. Remind the client that her feelings will be kept confidential. d. Describe observations and seek permission to contact the client's doctor.
The sympathetic nervous system will cause the heart to:
A) increase in size. B) increase the heart rate. C) decrease automaticity. D) decrease in rate.