Chapter 10: Health Records Test Bank Kinn’s The Clinical Medical Assistant, 14th Edition Niedzwiecki

Chapter 10: Health Records
Niedzwiecki: Kinn’s The Clinical Medical Assistant, 14th Edition


MULTIPLE CHOICE

1. Which of the following is not a method of organizing a medical record?
a. Source oriented
b. Problem oriented
c. Progressively
d. Chronologically
ANS: C
Medical records can be organized chronologically or as source-oriented or
problem-oriented records. There is no such thing as a progressive type of record
organization.

REF: p. 205 OBJ: 11 TOP: Clerical Procedures: Medical Records/EMR
MSC: CAAHEP: VI.C.5a | CAAHEP: VI.C.5b | ABHES: 8.a

2. Which of the following is not needed when describing a patient’s chief complaint?
a. Remedies the patient has tried to relieve symptoms
b. The duration of pain
c. The time when symptoms were first noticed
d. How many family members are healthy
ANS: D
The chief complaint is the main problem the patient is currently experiencing. The medical
assistant should note the remedies the patient has tried, the duration of any pain, and the
time that symptoms were first noticed. The number of healthy family members is not
necessary information about the chief complaint but would be part of the family history.

REF: p. 197 OBJ: 3
TOP: Patient Care: Conduct History and Chief Complaint
MSC: CAAHEP: VI.C.4 | ABHES: 9.b

3. A filing system in which an alphabetic cross-reference must be consulted to locate specific
files is called a(n) _____________ system.
a. shelf filing
b. indirect filing
c. direct filing
d. shingling
ANS: B
An indirect filing system uses an alphabetic cross-reference to locate specific files.

REF: p. 212 OBJ: 16 TOP: Clerical Procedures: Medical Records/EMR
MSC: CAAHEP: VI.C.7 | ABHES: 8.a

4. How would you properly index the name “Jill Freeman, M.D.” for filing if you had
another patient with the same name but without the title?
a. Dr. Jill Freeman

, b. Freeman, Dr. Jill
c. Freeman, Jill
d. Freeman, Jill M.D.
ANS: D
The title should be used in filing systems to distinguish a person from one who does not
have a title.

REF: p. 212 OBJ: 15 TOP: Clerical Procedures: Medical Records/EMR
MSC: CAAHEP: VI.C.7 | ABHES: 8.a

5. Continuity of care means:
a. an aggregate of activities designed to ensure adequate quality, especially in
manufactured products or in the service industries.
b. a formal examination of an organization’s or individual’s accounts.
c. medical attention that continues smoothly from one provider to another so that the
patient receives the most benefit.
d. granted or endowed with a particular authority.
ANS: C
Continuity of care is medical attention that moves smoothly from one provider to another
so that the patient receives the most benefit.

REF: p. 194 OBJ: 2 TOP: Clerical Procedures: Medical Records/EMR
MSC: CAAHEP: X.C.4 | ABHES: 1.b

6. Which of the following are common types of filing equipment found in a medical office?
a. Rotary circular files
b. Lateral files
c. Automated files
d. All are correct
ANS: D
Rotary circular files, lateral files, and automated files are all types of filing equipment that
might be found in a medical office.

REF: p. 209 OBJ: 14
TOP: Clerical Procedures: Office Inventory/Supplies/Equipment
MSC: CAAHEP: VI.C.6.c | ABHES: 8.a

7. Which statement is not true regarding the reasons for keeping accurate medical records?
a. The medical record provides critical information for other caregivers.
b. Effects of various treatments can be tracked and statistics gleaned from them.
c. The patient’s family may want to examine the records and correct errors.
d. Accurate records are vital for financial reimbursements.
ANS: C
Accurate records are not kept to appease the patient’s family; they are kept, ultimately, to
provide appropriate patient care.

REF: p. 194 OBJ: 2 TOP: Clerical Procedures: Medical Records/EMR
MSC: CAAHEP: X.P.3 | CAAHEP: X.A.2 | ABHES: 4.a