CCS Medical Terminology & Documentation 4

Question 1

A resident's record documents 'aphasia.' This condition affects the resident's ability to:

Accepted Answer

Use or understand language

Answer

Aphasia is a language disorder that impairs a person's ability to speak, understand, read, or write, often resulting from a stroke.

Question 2

The medical suffix '-itis' at the end of a term indicates:

Accepted Answer

Inflammation

Answer

The suffix '-itis' means inflammation, as in arthritis (inflammation of joints) or dermatitis (inflammation of skin).

Question 3

What does 'diaphoresis' mean in a clinical care note?

Accepted Answer

Excessive sweating

Answer

Diaphoresis refers to excessive sweating, which can indicate fever, pain, anxiety, or cardiac events.

Question 4

In care documentation, what does 'SOB' stand for?

Accepted Answer

Shortness of breath

Answer

SOB is a standard abbreviation for shortness of breath, an important respiratory symptom to document and report.

Question 5

A resident is documented as having 'contractures.' This refers to:

Accepted Answer

Permanent shortening of muscles or joints limiting range of motion

Answer

Contractures occur when muscles, tendons, or ligaments permanently shorten, causing restricted joint movement, common in immobile residents.

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