v v v v v
OR MEDICAL ASSISTANTS 10TH EDITION
v v v v v
BY BONEWIT-WEST
v
,Chapter 01: The Medical Record
v v v v
Bonewit-West: Clinical Procedures for Medical Assistants, 10th Edition
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MULTIPLEvCHOICE
1. Whichvofvthevfollowingvisvnotvavfunctionvofvthevmedicalvrecord?
a. Tovprovidevinformationvforvmakingvdecisionsvregardingvthevpatient’svcare
b. Tovdocumentvthevpatient’svprogress
c. Tovservevasvavlegalvdocument
d. Tovsharevinformationvbetweenvmembersvofvthevpatient’svfamily
ANS:v D
REF:vp.v2|vCAAHEPvCompetencyv(2015):vVI.4v
OBJ:v 1
2. Whatvinformationvisvcontainedvinvthevmedicalvrecord?
a. Healthvhistoryvreport
b. Resultsvofvthevphysicalvexamination
c. Laboratoryvreports
d. Progressvnotes
e. Allvofvthevabove
ANS:v E REF:vpp.v2-
3|vCAAHEPvCompetencyv(2015):vVI.4vOBJ:v 2
3. ThevpurposevofvthevHIPAAvPrivacyvRulevisvto
a. reducevexposurevofvpatientsvtovbloodbornevpathogens.
b. providevpatientsvwithvbetterNcU
onRtS
roI
lvN
ovGeT
rvtB
h.
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usO
evM
andvdisclosurevofvtheirvhealthvi
nformation.
c. preventvthevpatient’svrecordsvfromvbeingvcopied.
d. encouragevthevpatientvtovbecomevmorevinvolvedvinvpreventivevhealthvcare.
ANS:v B
REF:vp.v4v|vCAAHEPvCompetencyv(2015):vIX.3v
OBJ:v 2
4. AllvofvthevfollowingvarevcharacteristicsvofvthevNoticevofvPrivacyvPracticesv except:
a. WasvdevelopedvbyvthevAmericanvMedicalvAssociation
b. Mustvexplainvhowvavpatient’svhealthvinformationvwillvbevusedvandvprotectedvbyvthev
medicalvoffice
c. Mustvbevprovidedvtoveachvpatient
d. Mustvobtainvavsignedvacknowledgmentvfromvthevpatientvthatvhe/shevhasvreceivedvanv
NPP
ANS:v A
REF:vp.v4|vCAAHEPvCompetencyv(2015):vIX.3v
OBJ:v 2
5. Healthvinformationvinvanyvformvthatvcontainsvpatientvidentifiablevinformationvisvknownvas
a. PHI.
b. NPP.
,c. OSHA.
d. HIPAA.
, ANS:v A
REF:vp.v4|vCAAHEPvCompetencyv(2015):vIX.3v
OBJ:v 2
6. InvwhichvofvthevfollowingvsituationsvdoesvHIPAAvnotvrequirevwrittenvconsentvforvthevusevorvd
isclosurevofvprotectedvhealthvinformation?
a. Patientvreferralvtovavspecialist
b. Emergencyvcarevprovidedvatvavhospital
c. Determinationvofveligibilityvforvinsurancevbenefits
d. Trainingvofvhealthvcarevstudents
e. Allvofvthevabove
ANS:v E
REF:vp.v4|vCAAHEPvCompetencyv(2015):vIX.3v
OBJ:v 2
7. Whichvofvthevfollowingvisvnotvanvexamplevofvavmedicalvofficevclinicalvdocument?
a. Patientvregistrationvrecord
b. Physicalvexaminationvreport
c. Medicationvrecord
d. Healthvhistoryvreport
ANS:v A REF:vpp.v2-
3|vCAAHEPvCompetencyv(2015):vVI.4vOBJ:v 2
8. Whichvofvthevfollowingvisvnotvavcharacteristicvofvavlaboratoryvreport?
a. Itvrelaysvresultsvofvlaboratoryvtestsvtovthevprovider
b. Itvconsistsvofvavreportvofvthevanalysisvorvexaminationvofvbodyvspecimens
c. Itvassistsvinvdiagnosingvandvtreatingvdisease
d. ItvisvavrequestvforvlaboratoryNtU
esRtsStI
ovN
beGpTeBrf.
orCmOeM
dvbyvanvoutsidevlaboratory
ANS:v D REF:vpp.v2-
3|vCAAHEPvCompetencyv(2015):vVI.4vOBJ:v 2
9. Whichvofvthevfollowingvisvanvexamplevofvavdiagnosticvprocedurevreport?
a. Electrocardiogramvreport
b. Physicalvtherapyvreport
c. Urinalysisvreport
d. Pathologyvreport
ANS:v A REF:vpp.v2-
3|vCAAHEPvCompetencyv(2015):vVI.4vOBJ:v 2
10. Whatvisvthevnamevofvthevtypevofvreportvthatvdocumentsvthevassessmentsvandvtreatmentsvd
esignedvtovrestorevavpatient’svabilityvtovfunction?
a. Consultationvreport
b. Diagnosticvprocedurevreport
c. Pathologyvreport
d. Therapeuticvservicevreport
ANS:v D REF:vpp.v2-
3|vCAAHEPvCompetencyv(2015):vVI.4vOBJ:v 2
11. Whichvofvthevfollowingvisvnotvanvexamplevofvavhospitalvreport?
a. Operativevreport