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You are a medical assistant and you are taking a patient's medical history. Which of the following should NOT be included in your documentation?

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Final answer:

When documenting a patient's medical history, a medical assistant should not include information related to media influences, staff workloads, or interpersonal issues among staff as they are not relevant to the patient's personal medical history.

Step-by-step explanation:

Aspects Not to Include in Medical Documentation:

You are a medical assistant and you are taking a patient's medical history. In your documentation, certain information is essential while other details should not be included. It is not necessary to document anything related to media and pseudojournalism influences on healthcare decisions, as these do not directly relate to the patient's medical treatment or history. Specifically, when documenting a patient's medical history, aspects such as work overload, heavy physical workload, or interpersonal problems among medical staff should not be included.

These matters although significant within the healthcare setting, are not part of the patient's personal medical history and thus do not belong in the patient's record. Your documentation should focus on accurate and relevant medical information such as symptoms, diagnoses, test results, prescribed treatments and any pertinent patient interactions that directly relate to their care, like confirming their identity and ability to understand reality.

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