“The documentation includes modifications for current Celexa dosages. Can you please identify the condition treated with this medication?”
B.
“The patient has a past medical history of RUL lung cancer. Should lung cancer be classified as: A) currently being treated, B) History of lung CA?”
C.
“The patient has a BMI of 42 per the nursing documentation. Does this patient have a medically relevant diagnosis to accompany the BMI? Please select one of the following options. A) morbid obesity, B) obesity, C) overweight, D) Other____, E) Clinically undetermined”
D.
“Your documentation states the patient drinks a 6-pack of beer nightly. Does this patient have alcohol dependence? Yes/No (circle one)”
A leading query is one that steers the provider toward a particular diagnosis or limits clinically appropriate choices in a way that can be perceived as prompting. Option D is leading because it presents a single, high-impact diagnosis (“alcohol dependence”) and forces a binary yes/no response without offering reasonable alternative interpretations (e.g., alcohol use, alcohol abuse/harmful use, dependence in remission, or clinically undetermined) or an “other” option. In addition, it attempts to obtain a potentially new diagnosis based on one data point (quantity consumed) without a balanced set of diagnostic possibilities and supporting clinical indicators (tolerance, withdrawal, impairment, failed attempts to cut down, etc.). By contrast, A is open-ended and requests clarification of the treated condition; B provides two plausible classification choices (active vs history); and C offers multiple reasonable BMI-related diagnostic options plus “other” and “clinically undetermined,” which supports compliant, non-leading clarification. Therefore, D best fits the definition of a leading query.
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