What are subjective feelings of which only the person experiencing them is aware, such as headaches, nausea, pain, and anxiety?
a. Situation
b. Syndrome
c. Signs
d. Symptoms
ANS: D
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You are documenting pertinent medical history of a man with cerebral palsy who is complaining of difficulty breathing. You write this in your narrative, "Responded to a 26-year-old man with CP who has difficulty breathing." Is anything wrong with this statement?
A) No, it is well known that CP stands for cerebral palsy. B) Yes, it should have read SOB instead of difficulty breathing. C) Yes, CP can stand for several other complaints including chest pain. D) No, the patient probably has chest pain with his difficulty breathing.
All instructional notes that appear in the Index and Tabular must be read and used as a guide when selecting codes
a. True b. False Indicate whether the statement is true or false