Chapterp02:pThepHealthpRecordp
Proctor:pKinn’spthepMedicalpAssistant,p13thpEditionpp
p
MULTIPLEpCHOICEp
p
p
1.pWhichpofpthepfollowingpispnotpapmethodpofporganizingpapmedicalprecord?p
a.pSourceporientedp
b.pProblemporientedp
c.pProgressivelyp
d.pChronologicallyp
pp
ANS:pCp
Medicalprecordspcanpbeporganizedpchronologicallyporpaspsource-orientedporpproblem-
orientedp
records.pTherepispnopsuchpthingpaspapprogressiveptypepofprecordporganization.pp
p
REF:pp.p31p|pCAAHEP:pVI.C.5p|pABHES:p8.ap
p
p
OBJ:p12.pIdentifypandpdiscussptheptwopmethodspofporganizingpappatient’sppaperpmedicalprecor
d:p
source-orientedprecordspandpproblem-orientedprecords.p
p
p
2.pInformationpthatpispgainedpbypquestioningptheppatientporpthatpisptakenpfrompapformpispcalle
dp
________________pinformation.p
a.pconfidentialp
b.psubjectivep
c.pobjectivep
d.pnecessaryp
pp
ANS:pBp
Subjectivepinformationpispgainedpbypquestioningptheppatientporpisptakenpfrompapform.pp
p
REF:pp.p17p|pCAAHEP:pV.C.16p|pABHES:p9.bp
p
p
OBJ:p4.pDifferentiatepbetweenpsubjectivepandpobjectivepinformationpandpcreatepappatient’sphe
althp
record.p
p
p
3.pWhichpofpthepfollowingpispnotpneededpwhenpdescribingpappatient’spchiefpcomplaint?p
a.pRemediesptheppatientphasptriedptoprelievepsymptomsp
b.pThepdurationpofppainp
c.pTheptimepwhenpsymptomspwerepfirstpnoticedp
d.pHowpmanypfamilypmembersparephealthyp
pp
ANS:pDp
Thepchiefpcomplaintpispthepmainpproblemptheppatientpispcurrentlypexperiencing.pThepmedicalp
,assistantpshouldpnotepthepremediesptheppatientphasptried,pthepdurationpofpanyppain,pandpthept
imep
thatpsymptomspwerepfirstpnoticed.pThepnumberpofphealthypfamilypmemberspispnotpnecessaryp
informationpaboutpthepchiefpcomplaintpbutpwouldpbeppartpofpthepfamilyphistory.p
p
REF:pp.p20p|pCAAHEP:pV.C.16p|pABHES:p9.bp
p
p
OBJ:p4.pDifferentiatepbetweenpsubjectivepandpobjectivepinformationpandpcreatepappatient’sphe
althp
record.p
p
p
4.pApfilingpsystempinpwhichpanpintermediarypsourcepofpreference,psuchpaspapfilepcard,pmustpbep
consultedptoplocatepspecificpfilespispcalledpa(n)p_____________psystem.p
DOWNLOADpTHEpTestpBankpforpKinn'spthepClinicalpMedicalpAssistantp13th
pppppppppppppppppppppppppppEditionpProctor
mynursytest.store
a.pshelfpfilingp
b.pindirectpfilingp
c.pdirectpfilingp
d.pshinglingp
pp
ANS:pBp
Anpindirectpfilingpsystempusespanpintermediarypsourcepofpreference,psuchpaspapfilepcard,ptoploc
atep
specificpfiles.p
p
REF:pp.p39p|pCAAHEP:pVI.C.7p|pABHES:p8.ap
p
p
OBJ:p1.pDefine,pspell,pandppronounceptheptermsplistedpinpthepvocabulary.p
p
p
p
5.pHowpwouldpyoupproperlypindexpthepnamep“JillpFreeman,pM.D.”pforpfilingpifpyouphadpanother
p
patientpwithpthepsamepnamepbutpwithoutptheptitle?p
a.pDr.pJillpFreemanp
b.pFreeman,pDr.pJillp
c.pFreeman,pJillp
d.pFreeman,pJillpM.D.p
pp
ANS:pDp
Theptitlepshouldpbepusedpinpfilingpsystemsptopdistinguishpappersonpfromponepwhopdoespnotpha
vep
aptitle.p
p
REF:pp.p37p|pCAAHEP:pVI.C.7p|pABHES:p8.ap
p
p
OBJ:p16.pDescribepindexingprules,paspwellpaspcreatepandporganizepappatient’sphealthprecord.pp
p
p
,6.pHowpwouldpyoupproperlypindexpthepnamep“AmandapM.pStiles-Duncan”pforpfiling?p
a.pStilesduncan,pAmandapM.p
b.pStilespDuncan,pAmandapM.p
c.pDuncanstiles,pAmandapM.p
d.pDuncan,pAmandapM.pStilesp
pp
ANS:pAp
Hyphenatedpnamespareptreatedpasponepunitpwhenpfiling.p
p
REF:pp.p37p|pCAAHEP:pVI.C.7p|pABHES:p8.ap
p
p
OBJ:p16.pDescribepindexingprules,paspwellpaspcreatepandporganizepappatient’sphealthprecord.pp
p
p
7.pWhopisptheplegalpownerpofpthepinformationpstoredpinpappatient’sprecord?p
a.pTheppatientp
b.pThepphysicianporpagencypwherepservicespwerepprovidedp
c.pTheppatient’spinsurancepcompanyp
d.pBothptheppatientpandpthepphysicianp
pp
ANS:pBp
Thepphysician,pagency,porpfacilitypwherepaprecordpispcreatedpisptheplegalpownerpofpthatprecord
.pp
p
REF:pp.p41p|pCAAHEP:pX.A.1p|pCAAHEP:pX.A.2p|pABHES:p7.cpp
p
OBJ:p5.pExplainpwhopownspthephealthprecord.p
p
p
p
8.pContinuitypofpcarepmeansp
a.panpaggregatepofpactivitiespdesignedptopensurepadequatepquality,pespeciallypinp
DOWNLOADpTHEpTestpBankpforpKinn'spthepClinicalpMedicalpAssistantp13th
pppppppppppppppppppppppppppEditionpProctor
mynursytest.store
manufacturedpproductsporpinpthepservicepindustries.p
b.papformalpexaminationpofpanporganization’sporpindividual’spaccounts.p
c.pmedicalpattentionpthatpcontinuespsmoothlypfromponepproviderptopanotherpsopthatpthep
patientpreceivespthepmostpbenefit.p
d.pgrantedporpendowedpwithpapparticularpauthority.p
pp
ANS:pCp
Continuitypofpcarepispmedicalpattentionpthatpmovespsmoothlypfromponepproviderptopanotherps
op
thatptheppatientpreceivespthepmostpbenefit.pp
p
REF:pp.p17p|pCAAHEP:pX.C.4p|pABHES:p1.bp
p
p
OBJ:p1.pDefine,pspell,pandppronounceptheptermsplistedpinpthepvocabulary.p
p
p
p
, 9.pWhichpofpthepfollowingparepcommonptypespofpfilingpequipmentpfoundpinpapmedicalpoffice?p
a.pRotarypcircularpfilesp
b.pLateralpfilesp
c.pAutomatedpfilesp
d.pAllpofpthepabovep
pp
ANS:pDp
Rotarypcircularpfiles,plateralpfiles,pandpautomatedpfilesparepallptypespofpfilingpequipmentpthatp
mightpbepfoundpinpapmedicalpoffice.pp
p
REF:pp.p35p|pCAAHEP:pVI.C.6p|pABHES:p8.ap
p
p
OBJ:p15.pIdentifypfilingpequipmentpandpfilingpsuppliespneededptopcreate,pstore,pandpmaintainp
medicalp
records.p
p
p10.pWhichpofpthepfollowingpispnotpanpadvantagepofpcolor-codedpfilingpsystems?p
a.pPatientpchartspcanpbepfoundpquickly.p
b.pItpispeasyptoptellpwhenpapfilephaspbeenpmisplaced.p
c.pPatientpchartspcanpbepre-filedpquickly.p
d.pAllpofpthepaboveparepadvantages.p
pp
ANS:pDp
Color-codedpchartspallowpstaffpmembersptopfindpmedicalprecordspquickly;ptheypalsopmakepitp
easyptopdetectpwhenpfilesphavepbeenpmisplacedpandptopre-filepthem.p
p
REF:pp.p40p|pCAAHEP:pVI.P.5p|pABHES:p8.ap
p
p
OBJ:p17.pDiscusspthepprospandpconspofpvariouspfilingpmethods,paspwellpaspfileppatientphealthpr
ecords.pp
p
p11.pWhichpstatementpispnotptruepregardingpthepreasonspforpkeepingpaccuratepmedicalprecord
s?p
a.pThepmedicalprecordpprovidespcriticalpinformationpforpotherpcaregivers.p
b.pEffectspofpvariousptreatmentspcanpbeptrackedpandpstatisticspgleanedpfrompthem.p
c.pTheppatient’spfamilypmaypwantptopexamineptheprecordspandpcorrectperrors.p
d.pAccurateprecordsparepvitalpforpfinancialpreimbursements.p
pp
ANS:pCp
Accurateprecordsparepnotpkeptptopappeaseptheppatient’spfamily;ptheyparepkept,pultimately,ptop
providepappropriateppatientpcare.pp
p
REF:pp.p17p|pCAAHEP:pX.P.3p|pCAAHEP:pX.A.2p|pABHES:p4.app
OBJ:p3.pStatepseveralpreasonspaccuratephealthprecordsparepimportant.p
p
DOWNLOADpTHEpTestpBankpforpKinn'spthepClinicalpMedicalpAssistantp13th
pppppppppppppppppppppppppppEditionpProctor
mynursytest.store
p
Proctor:pKinn’spthepMedicalpAssistant,p13thpEditionpp
p
MULTIPLEpCHOICEp
p
p
1.pWhichpofpthepfollowingpispnotpapmethodpofporganizingpapmedicalprecord?p
a.pSourceporientedp
b.pProblemporientedp
c.pProgressivelyp
d.pChronologicallyp
pp
ANS:pCp
Medicalprecordspcanpbeporganizedpchronologicallyporpaspsource-orientedporpproblem-
orientedp
records.pTherepispnopsuchpthingpaspapprogressiveptypepofprecordporganization.pp
p
REF:pp.p31p|pCAAHEP:pVI.C.5p|pABHES:p8.ap
p
p
OBJ:p12.pIdentifypandpdiscussptheptwopmethodspofporganizingpappatient’sppaperpmedicalprecor
d:p
source-orientedprecordspandpproblem-orientedprecords.p
p
p
2.pInformationpthatpispgainedpbypquestioningptheppatientporpthatpisptakenpfrompapformpispcalle
dp
________________pinformation.p
a.pconfidentialp
b.psubjectivep
c.pobjectivep
d.pnecessaryp
pp
ANS:pBp
Subjectivepinformationpispgainedpbypquestioningptheppatientporpisptakenpfrompapform.pp
p
REF:pp.p17p|pCAAHEP:pV.C.16p|pABHES:p9.bp
p
p
OBJ:p4.pDifferentiatepbetweenpsubjectivepandpobjectivepinformationpandpcreatepappatient’sphe
althp
record.p
p
p
3.pWhichpofpthepfollowingpispnotpneededpwhenpdescribingpappatient’spchiefpcomplaint?p
a.pRemediesptheppatientphasptriedptoprelievepsymptomsp
b.pThepdurationpofppainp
c.pTheptimepwhenpsymptomspwerepfirstpnoticedp
d.pHowpmanypfamilypmembersparephealthyp
pp
ANS:pDp
Thepchiefpcomplaintpispthepmainpproblemptheppatientpispcurrentlypexperiencing.pThepmedicalp
,assistantpshouldpnotepthepremediesptheppatientphasptried,pthepdurationpofpanyppain,pandpthept
imep
thatpsymptomspwerepfirstpnoticed.pThepnumberpofphealthypfamilypmemberspispnotpnecessaryp
informationpaboutpthepchiefpcomplaintpbutpwouldpbeppartpofpthepfamilyphistory.p
p
REF:pp.p20p|pCAAHEP:pV.C.16p|pABHES:p9.bp
p
p
OBJ:p4.pDifferentiatepbetweenpsubjectivepandpobjectivepinformationpandpcreatepappatient’sphe
althp
record.p
p
p
4.pApfilingpsystempinpwhichpanpintermediarypsourcepofpreference,psuchpaspapfilepcard,pmustpbep
consultedptoplocatepspecificpfilespispcalledpa(n)p_____________psystem.p
DOWNLOADpTHEpTestpBankpforpKinn'spthepClinicalpMedicalpAssistantp13th
pppppppppppppppppppppppppppEditionpProctor
mynursytest.store
a.pshelfpfilingp
b.pindirectpfilingp
c.pdirectpfilingp
d.pshinglingp
pp
ANS:pBp
Anpindirectpfilingpsystempusespanpintermediarypsourcepofpreference,psuchpaspapfilepcard,ptoploc
atep
specificpfiles.p
p
REF:pp.p39p|pCAAHEP:pVI.C.7p|pABHES:p8.ap
p
p
OBJ:p1.pDefine,pspell,pandppronounceptheptermsplistedpinpthepvocabulary.p
p
p
p
5.pHowpwouldpyoupproperlypindexpthepnamep“JillpFreeman,pM.D.”pforpfilingpifpyouphadpanother
p
patientpwithpthepsamepnamepbutpwithoutptheptitle?p
a.pDr.pJillpFreemanp
b.pFreeman,pDr.pJillp
c.pFreeman,pJillp
d.pFreeman,pJillpM.D.p
pp
ANS:pDp
Theptitlepshouldpbepusedpinpfilingpsystemsptopdistinguishpappersonpfromponepwhopdoespnotpha
vep
aptitle.p
p
REF:pp.p37p|pCAAHEP:pVI.C.7p|pABHES:p8.ap
p
p
OBJ:p16.pDescribepindexingprules,paspwellpaspcreatepandporganizepappatient’sphealthprecord.pp
p
p
,6.pHowpwouldpyoupproperlypindexpthepnamep“AmandapM.pStiles-Duncan”pforpfiling?p
a.pStilesduncan,pAmandapM.p
b.pStilespDuncan,pAmandapM.p
c.pDuncanstiles,pAmandapM.p
d.pDuncan,pAmandapM.pStilesp
pp
ANS:pAp
Hyphenatedpnamespareptreatedpasponepunitpwhenpfiling.p
p
REF:pp.p37p|pCAAHEP:pVI.C.7p|pABHES:p8.ap
p
p
OBJ:p16.pDescribepindexingprules,paspwellpaspcreatepandporganizepappatient’sphealthprecord.pp
p
p
7.pWhopisptheplegalpownerpofpthepinformationpstoredpinpappatient’sprecord?p
a.pTheppatientp
b.pThepphysicianporpagencypwherepservicespwerepprovidedp
c.pTheppatient’spinsurancepcompanyp
d.pBothptheppatientpandpthepphysicianp
pp
ANS:pBp
Thepphysician,pagency,porpfacilitypwherepaprecordpispcreatedpisptheplegalpownerpofpthatprecord
.pp
p
REF:pp.p41p|pCAAHEP:pX.A.1p|pCAAHEP:pX.A.2p|pABHES:p7.cpp
p
OBJ:p5.pExplainpwhopownspthephealthprecord.p
p
p
p
8.pContinuitypofpcarepmeansp
a.panpaggregatepofpactivitiespdesignedptopensurepadequatepquality,pespeciallypinp
DOWNLOADpTHEpTestpBankpforpKinn'spthepClinicalpMedicalpAssistantp13th
pppppppppppppppppppppppppppEditionpProctor
mynursytest.store
manufacturedpproductsporpinpthepservicepindustries.p
b.papformalpexaminationpofpanporganization’sporpindividual’spaccounts.p
c.pmedicalpattentionpthatpcontinuespsmoothlypfromponepproviderptopanotherpsopthatpthep
patientpreceivespthepmostpbenefit.p
d.pgrantedporpendowedpwithpapparticularpauthority.p
pp
ANS:pCp
Continuitypofpcarepispmedicalpattentionpthatpmovespsmoothlypfromponepproviderptopanotherps
op
thatptheppatientpreceivespthepmostpbenefit.pp
p
REF:pp.p17p|pCAAHEP:pX.C.4p|pABHES:p1.bp
p
p
OBJ:p1.pDefine,pspell,pandppronounceptheptermsplistedpinpthepvocabulary.p
p
p
p
, 9.pWhichpofpthepfollowingparepcommonptypespofpfilingpequipmentpfoundpinpapmedicalpoffice?p
a.pRotarypcircularpfilesp
b.pLateralpfilesp
c.pAutomatedpfilesp
d.pAllpofpthepabovep
pp
ANS:pDp
Rotarypcircularpfiles,plateralpfiles,pandpautomatedpfilesparepallptypespofpfilingpequipmentpthatp
mightpbepfoundpinpapmedicalpoffice.pp
p
REF:pp.p35p|pCAAHEP:pVI.C.6p|pABHES:p8.ap
p
p
OBJ:p15.pIdentifypfilingpequipmentpandpfilingpsuppliespneededptopcreate,pstore,pandpmaintainp
medicalp
records.p
p
p10.pWhichpofpthepfollowingpispnotpanpadvantagepofpcolor-codedpfilingpsystems?p
a.pPatientpchartspcanpbepfoundpquickly.p
b.pItpispeasyptoptellpwhenpapfilephaspbeenpmisplaced.p
c.pPatientpchartspcanpbepre-filedpquickly.p
d.pAllpofpthepaboveparepadvantages.p
pp
ANS:pDp
Color-codedpchartspallowpstaffpmembersptopfindpmedicalprecordspquickly;ptheypalsopmakepitp
easyptopdetectpwhenpfilesphavepbeenpmisplacedpandptopre-filepthem.p
p
REF:pp.p40p|pCAAHEP:pVI.P.5p|pABHES:p8.ap
p
p
OBJ:p17.pDiscusspthepprospandpconspofpvariouspfilingpmethods,paspwellpaspfileppatientphealthpr
ecords.pp
p
p11.pWhichpstatementpispnotptruepregardingpthepreasonspforpkeepingpaccuratepmedicalprecord
s?p
a.pThepmedicalprecordpprovidespcriticalpinformationpforpotherpcaregivers.p
b.pEffectspofpvariousptreatmentspcanpbeptrackedpandpstatisticspgleanedpfrompthem.p
c.pTheppatient’spfamilypmaypwantptopexamineptheprecordspandpcorrectperrors.p
d.pAccurateprecordsparepvitalpforpfinancialpreimbursements.p
pp
ANS:pCp
Accurateprecordsparepnotpkeptptopappeaseptheppatient’spfamily;ptheyparepkept,pultimately,ptop
providepappropriateppatientpcare.pp
p
REF:pp.p17p|pCAAHEP:pX.P.3p|pCAAHEP:pX.A.2p|pABHES:p4.app
OBJ:p3.pStatepseveralpreasonspaccuratephealthprecordsparepimportant.p
p
DOWNLOADpTHEpTestpBankpforpKinn'spthepClinicalpMedicalpAssistantp13th
pppppppppppppppppppppppppppEditionpProctor
mynursytest.store
p
