TEST #3 (CHAPTERS 11-15)
Student Name _____________________________ Date _______________________
Multiple Choice
The multiple choice questions below are designed to test the student’s:
• Knowledge. Here the student is required to recognize or recall specific legal
facts, terminology, classifications, principles, and theories (answers to these
questions do not require reasoning, only remembering the material involved.)
• Comprehension. Here the student is required not only to demonstrate knowledge
about the law but also to demonstrate a degree of understanding of the material
involved in the question. This is accomplished by questions that have more than
one right answer, thus requiring the student to select the best answer.
Chapter 11—Information Management
1. The medical record is important to a health care facility because it
a. is not a legal document
b. it is a record of the care and treatment rendered to caregivers
c. it is financially unnecessary
d. provides a planning tool for patient care
2. The medical record must be
a. complete and accurate
b. legible and inaccurate
c. available solely to those conducting research
d. available basically for billing purposes
3. The Privacy Act of 1974 was enacted to
a. safeguard the privacy of healthcare professionals
b. discourage misuse of state records
c. provide individuals with legal access to federal records concerning themselves
d. safeguard individual privacy and discourage misuse of federal records
4. The effective and efficient delivery of patient care requires that an organization
determine its information needs. Organizations that do not centralize their
information needs will often suffer
a. centralized and organized databases
b. scattered databases
c. consistent reports
d. efficiency in the use of economic resources
5. The admission record does not generally describe
a. the patient's age
b. address
c. sexual preferences
d. marital status, religion, health insurance
,6. Ownership of the medical record resides with the
a. organization rendering treatment
b. hospital legal counsel
c. patient
d. physician rendering treatment
7. Section 2 of the Privacy Act of 1974 provides that
a. the privacy of individual information is not affected by the collection,
maintenance, use, and dissemination of personal information by Federal agencies
b. the increasing use of computers and sophisticated information technology, while
essential to the efficient operations of the Government, has in no way harmed
individual privacy that can occur from the collection, maintenance, use, or
dissemination of personal information
c. the opportunities for an individual to secure employment, insurance, and credit,
and his right to due process, and other legal protections have been found safe by
the misuse of certain information systems
d. the right to privacy is a personal and fundamental right protected by the
Constitution of the United States
8. Patients have a legally enforceable right to
a. the information contained in their medical records and a lack of a right to access
their records
b. the information contained in their medical records and the right to access their
records
c. review and obtain copies of their records, X-rays, and laboratory and diagnostic
tests
d. access to information includes that maintained or possessed by a few health care
organizations
9. A patient’s medical record may not be released
a. to health insurance companies for reimbursement purposes
b. to health insurance companies in order to process health claims
c. because a person is in the public spotlight (e.g., movie star)
d. for criminal investigative work
10. The length of time medical records must be retained
a. is set by insurance carriers
b. is set by federal law
c. is the same in all states
d. varies from state to state
11. Health care organizations undergoing computerization must
a. develop a disaster recovery plan (e.g., provide for emergency power systems and
backup files), provide for data security, design an effective system, seek input from
end users
b. determine direct computer ease of access for patients
c. select least expensive hardware
, d. determine building services ease of access to patient information
12. The advantages of computer systems include
a. fails to support clinical research
b. plays an ever-decreasing role in the education process
c. retrieves demographic information and consultants' reports, as well as laboratory,
and radiology results
d. decreases the value of collecting clinical data for decision-making purposes and
allows for computer-generated prescriptions
13. The persistent failure to conform to a medical staff rule requiring physicians to
complete records promptly can be the basis for
a. limitations placed on or suspension of medical staff privilege
b. granting of medical staff privileges
c. sanctions by the planning board
d. granting surgical privileges
14. The integrity and completeness of the medical record are important in
reconstructing the events surrounding an alleged negligence or criminal act in the
care of a patient, where the medical record
a. aid police investigations
b. aid determining the cause of death
c. provide information in workers’ compensation cases and personal injury
proceedings
d. all of the above
15. The Health Insurance Portability and Accountability Act of 1996 provide that
a. patients must be able to access their record and request correction of errors
b. patients must be informed as to how their personal information will be used
c. patient information cannot be used for marketing purposes without the explicit
consent of the involved patients
d. all of the above
16. The HIPAA security provisions took effect April 20, 2005. HIPAA defines three
segments of security safeguards for compliance as
a. administrative, physical, and technical.
b. policy, procedure, and administrative regulations
c. technical, policy, and administrative regulations
d. physical, technical, and procedural
17. Rewriting record entries by a nurse
a. is a good practice even after the patient has been discharged
b. is well-publicized as the right thing to do
c. will illustrate how conscientious the caretaker is, especially during a lawsuit
d. can cast doubt on the accuracy of other medical record entries
18. Medical record entries should
a. be written within seven days of observing a patient’s deteriorating condition