EXERCISES, LESSON 1
INSTRUCTIONS: Answer the following items by marking the lettered response that best
answers the item by completing the incomplete statement, or by writing the answer in the
space provided at the end of the item.
After you have completed all of these items, turn to "Solutions to Exercises" at the
end of the lesson and check your answers . For each exercise answered incorrectly,
reread the material referenced with the solution.
1. The funds and valuables turned in by the patient are recorded on:
a. DA Form 3153 (MSA Patient Ledger Card).
b. DA Form 3696 (Patient's Deposit Record).
c. DA Form 4029 (Patient's Clearance Record).
d. DA Form 4160 (Patient's Personal Effects and Clothing Record).
2. The act whereby an inpatient case is no longer carried on the rolls of a
U.S. military hospital is called: ________________________________.
3. Name the five types of admission.