CommunicationQuestion 48 of 1700

How do you document subjective information (symptoms)?

  1. Change it to medical terms, without quotes
  2. Quote the client's own words exactly
  3. Leave it out unless it can be measured
  4. Write down what you think the cause is
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Correct answer: Quote the client's own words exactly

Symptoms come from the client, so their own words are recorded.

Source: Nursing Assistant (Reuter), 1.5: Documenting and Reporting

Practice communication

Questions last reviewed: 18 October 2026