TEST BANK FOR CLINICAL PROCEDURES FOR MEDICAL ASSISTANTS 10TH EDITION BY BONEWIT-WEST
Chapter m01:mThemMedicalmRecord
Bonewit-West:mClinicalmProcedures mformMedicalmAssistants,m10thmEdition
MULTIPLEmCHOICE
1. Whichmof mthemfollowingmismnotmamfunctionmof mthemmedicalmrecord?
a. Tomprovideminformationmformmakingmdecisionsmregardingmthempatient’smcare
b. Tomdocument mthempatient’smprogress
c. Tomservemasmamlegalmdocument
d. Tomshareminformationmbetweenmmembersmof mthempatient’smfamily
ANS:m D
REF:m p.m2|mCAAHEPmCompetencym(2015):mVI.
4 mOBJ:m 1
2. What minformationmismcontained minmthemmedicalmrecord?
a. Healthmhistorymreport
b. Resultsmof mthemphysicalmexamination
c. Laboratorymreports
d. Progressmnotes
e. Allmof mthemabove
ANS:m E REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
3. Thempurposemof mthemHIPAA mPrivacymRulemismto
a. reducemexposuremof mpatientsmtombloodbornempathogens.
b. providempatientsmwithmb e t t e rNcUo nRt S
r oIl mN
ovGeT
rmtB
h.
emC
usO
emMand mdisclosuremofmtheirmhea
lthminformation.
c. prevent mthempatient’smrecordsmfrommbeingmcopied.
d. encouragemthempatient mtombecomemmoreminvolved minmpreventivemhealthmcare.
ANS:m B
REF:m p.m4 m|mCAAHEPmCompetencym(2015):mIX
.3 mOBJ:m 2
4. Allmof mthemfollowingmaremcharacteristicsmof mthemNoticemof mPrivacymPracticesmexcept:
a. Wasmdeveloped mbymthemAmericanmMedicalmAssociation
b. Must mexplainmhow mampatient’smhealthminformationmwillmbemused mand mprotected mbymt
hemmedicalmoffice
c. Must mbemprovided mtomeachmpatient
d. Must mobtainmamsigned macknowledgment mfrommthempatient mthat mhe/shemhasmreceived m
anmNPP
ANS:m A
REF:m p.m4|mCAAHEPmCompetencym(2015):mIX.
3 mOBJ:m 2
5. Healthminformationminmanymformmthat mcontainsmpatient midentifiableminformationmismknownmas
a. PHI.
b. NPP.
c. OSHA.
d. HIPAA.
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,TEST BANK FOR CLINICAL PROCEDURES FOR MEDICAL ASSISTANTS 10TH EDITION BY BONEWIT-WEST
ANS:m A
REF:m p.m4|mCAAHEPmCompetencym(2015):mIX.
3 mOBJ:m 2
6. Inmwhichmof mthemfollowingmsituationsmdoesmHIPAA mnotmrequiremwrittenmconsent mformthemuse
ormdisclosuremof mprotected mhealthminformation?
m
a. Patient mreferralmtomamspecialist
b. Emergencymcaremprovided mat mamhospital
c. Determinationmof meligibilitymforminsurancembenefits
d. Trainingmof mhealthmcaremstudents
e. Allmof mthemabove
ANS:m E
REF:m p.m4|mCAAHEPmCompetencym(2015):mIX.
3 mOBJ:m 2
7. Whichmof mthemfollowingmismnotmanmexamplemof mammedicalmofficemclinicalmdocument?
a. Patient mregistrationmrecord
b. Physicalmexaminationmreport
c. Medicationmrecord
d. Healthmhistorymreport
ANS:m A REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
8. Whichmof mthemfollowingmismnotmamcharacteristicmof mamlaboratorymreport?
a. It mrelaysmresultsmof mlaboratorymtestsmtomthemprovider
b. It mconsistsmof mamreport mof mthemanalysismormexaminationmof mbodymspecimens
c. It massistsminmdiagnosingmand mtreatingmdisease
d. ItmismamrequestmformlaboratoryNtUesRtsSt Io mN
beGpTeB
rf.
orCmOeM
d mbymanmoutsidemlaboratory
ANS:m D REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
9. Whichmof mthemfollowingmismanmexamplemof mamdiagnosticmproceduremreport?
a. Electrocardiogrammreport
b. Physicalmtherapymreport
c. Urinalysismreport
d. Pathologymreport
ANS:m A REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
10. What mismthemnamemof mthemtypemof mreport mthat mdocumentsmthemassessmentsmand mtreatme
ntsmdesigned mtomrestoremampatient’smabilitymtomfunction?
a. Consultationmreport
b. Diagnosticmproceduremreport
c. Pathologymreport
d. Therapeuticmservicemreport
ANS:m D REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
11. Whichmof mthemfollowingmismnotmanmexamplemof mamhospitalmreport?
a. Operativemreport
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,TEST BANK FOR CLINICAL PROCEDURES FOR MEDICAL ASSISTANTS 10TH EDITION BY BONEWIT-WEST
b. Cytologymreport
c. Dischargemsummarymreport
d. Emergencymdepartment mreport
ANS:m B REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
12. Whichmof mthemfollowingmismanmexamplemof mamconsent mdocument?
a. Patient mregistrationmrecord
b. Noticemof mPrivacymPracticesmform
c. Releasemof mmedicalminformationmform
d. Patient minstructionmsheet
ANS:m C REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
13. Whichmof mthemfollowingmcanmbemperformed mbymanmelectronicmmedicalmrecord msoftwaremprogram?
a. Creationmof mammedicalmrecord
b. Storagemof mammedicalmrecord
c. Editingmof mammedicalmrecord
d. Retrievalmof mammedicalmrecord
e. Allmof mthemabove
ANS:m E
REF:m p.m3|mCAAHEPmCompetencym(2015):mV.
8 mOBJ:m 3
14. Allmof mthemfollowingmaremadvantagesmof manmelectronicmmedicalmrecord m(EMR)m except
a. anmEMRmdoesmnot mhavemtombemfiled.
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b. documentsminmanmEMRmcanmbemquicklymretrieved.
c. moremthanmonempersonmcanmview manmEMRmat mthemsamemtime.
d. EMRsmaremexempt mfrommthemHIPAA mregulations.
ANS:m D
REF:m pp.m3,m6|mCAAHEPmCompetencym(2015):mVI.1
2 mOBJ:m 5
15. Whichmof mthemfollowingmaremused mtomentermdatamintomanmelectronicmmedicalmrecord?
a. Free-text mentry
b. Drop-downmmenus
c. Radiombuttons
d. Allmof mthemabove
ANS:m D
REF:m p.m11|mCAAHEPmCompetencym(2015):mV.
8 mOBJ:m 8
16. How marempapermdocumentsmentered mintomampatient’smelectronicmmedicalmrecord?
a. Bymscanningmthemmintomthemcomputer
b. Bymretypingmthemmonmthemcomputer
c. Bymphotocopyingmthem
d. Bymtransmittingmthemmthroughmammodem
ANS:m A
REF:m p.m11|mCAAHEPmCompetencym(2015):mVI.
4 mOBJ:m 8
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, TEST BANK FOR CLINICAL PROCEDURES FOR MEDICAL ASSISTANTS 10TH EDITION BY BONEWIT-WEST
17. What mismthemnamemof mamprogrammthat mconvertsmtyped mtext mintomtext mthat mcanmbemmanipulated
mbymthemcomputerm(oncemit mhasmbeenmscanned mintomthemcomputer)?
a. POMR
b. OCR
c. Word mprocessingmprogram
d. Practicemmanagement mprogram
ANS:m B
REF:m p.m6|mCAAHEPmCompetencym(2015):mVI.1
2 mOBJ:m 4
18. Allmof mthemfollowingmassist minmthemcollectionmof mdatamformamhealthmhistorymexcept
a. amquiet,mcomfortablemroom.
b. showingminterest minmthempatient.
c. showingmconcernmformthempatient.
d. callingmthempatient m“honey.”
ANS:m D
REF:m p.m6|mCAAHEPmCompetencym(2015):mV.
3.mOBJ:m 8
19. Whichmof mthemfollowingmcanmbemused mtomentermamhealthmhistorymintomanmelectronicmmedicalmrecord?
a. Thempatient mcompletesmampapermformmand mthemmedicalmassistant mscansmit mintomt
hemcomputer.
b. Themmedicalmassistant mentersminformationmintomthemcomputermwhilemaskingmthempatie
nt mquestions.
c. Thempatient mcompletesmamhealthmhistorymquestionnairemonmamcomputer.
d. Allmof mthemabove
ANS:m D REF:m m p.m6|NCUAR
ASHI
EP
NGCoTmBp.
etC
enOcyM(2015):mIX.12
OBJ: 8
20. What mismamhealthmhistory?
a. Amlegalmdocument mrequired mtomperformmcertainmproceduresmonmampatient
b. Documentationmof mthemresultsmof mthemphysicalmexamination
c. Amcollectionmof msubjectivemdatamabout mthempatient
d. Amnarrativemdescriptionmand minterpretationmof mamdiagnosticmprocedure
ANS:m C
REF:m p.m6|mCAAHEPmCompetencym(2015):mV.1
0 mOBJ:m 6
21. Themhealthmhistorymismtaken
a. aftermthemprovidermperformsmthemphysicalmexamination.
b. aftermlaboratorymtest mresultsmaremreviewed.
c. beforemthemprovidermperformsmthemphysicalmexamination.
d. aftermthemprovidermmakesmamdiagnosismof mthempatient’smcondition.
ANS:m C
REF:m p.m6|mCAAHEPmCompetencym(2015):mVI.
4 mOBJ:m 6
22. What mismthemchief mcomplaint?
a. Themprobablemoutcomemof mthempatient’smcondition
b. Themsymptommcausingmthempatient mthemmost mtrouble
c. Amdetailed mdescriptionmof mthempatient’smillnessmusingmmedicalmterms
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Chapter m01:mThemMedicalmRecord
Bonewit-West:mClinicalmProcedures mformMedicalmAssistants,m10thmEdition
MULTIPLEmCHOICE
1. Whichmof mthemfollowingmismnotmamfunctionmof mthemmedicalmrecord?
a. Tomprovideminformationmformmakingmdecisionsmregardingmthempatient’smcare
b. Tomdocument mthempatient’smprogress
c. Tomservemasmamlegalmdocument
d. Tomshareminformationmbetweenmmembersmof mthempatient’smfamily
ANS:m D
REF:m p.m2|mCAAHEPmCompetencym(2015):mVI.
4 mOBJ:m 1
2. What minformationmismcontained minmthemmedicalmrecord?
a. Healthmhistorymreport
b. Resultsmof mthemphysicalmexamination
c. Laboratorymreports
d. Progressmnotes
e. Allmof mthemabove
ANS:m E REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
3. Thempurposemof mthemHIPAA mPrivacymRulemismto
a. reducemexposuremof mpatientsmtombloodbornempathogens.
b. providempatientsmwithmb e t t e rNcUo nRt S
r oIl mN
ovGeT
rmtB
h.
emC
usO
emMand mdisclosuremofmtheirmhea
lthminformation.
c. prevent mthempatient’smrecordsmfrommbeingmcopied.
d. encouragemthempatient mtombecomemmoreminvolved minmpreventivemhealthmcare.
ANS:m B
REF:m p.m4 m|mCAAHEPmCompetencym(2015):mIX
.3 mOBJ:m 2
4. Allmof mthemfollowingmaremcharacteristicsmof mthemNoticemof mPrivacymPracticesmexcept:
a. Wasmdeveloped mbymthemAmericanmMedicalmAssociation
b. Must mexplainmhow mampatient’smhealthminformationmwillmbemused mand mprotected mbymt
hemmedicalmoffice
c. Must mbemprovided mtomeachmpatient
d. Must mobtainmamsigned macknowledgment mfrommthempatient mthat mhe/shemhasmreceived m
anmNPP
ANS:m A
REF:m p.m4|mCAAHEPmCompetencym(2015):mIX.
3 mOBJ:m 2
5. Healthminformationminmanymformmthat mcontainsmpatient midentifiableminformationmismknownmas
a. PHI.
b. NPP.
c. OSHA.
d. HIPAA.
NURSINGTB.COM
,TEST BANK FOR CLINICAL PROCEDURES FOR MEDICAL ASSISTANTS 10TH EDITION BY BONEWIT-WEST
ANS:m A
REF:m p.m4|mCAAHEPmCompetencym(2015):mIX.
3 mOBJ:m 2
6. Inmwhichmof mthemfollowingmsituationsmdoesmHIPAA mnotmrequiremwrittenmconsent mformthemuse
ormdisclosuremof mprotected mhealthminformation?
m
a. Patient mreferralmtomamspecialist
b. Emergencymcaremprovided mat mamhospital
c. Determinationmof meligibilitymforminsurancembenefits
d. Trainingmof mhealthmcaremstudents
e. Allmof mthemabove
ANS:m E
REF:m p.m4|mCAAHEPmCompetencym(2015):mIX.
3 mOBJ:m 2
7. Whichmof mthemfollowingmismnotmanmexamplemof mammedicalmofficemclinicalmdocument?
a. Patient mregistrationmrecord
b. Physicalmexaminationmreport
c. Medicationmrecord
d. Healthmhistorymreport
ANS:m A REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
8. Whichmof mthemfollowingmismnotmamcharacteristicmof mamlaboratorymreport?
a. It mrelaysmresultsmof mlaboratorymtestsmtomthemprovider
b. It mconsistsmof mamreport mof mthemanalysismormexaminationmof mbodymspecimens
c. It massistsminmdiagnosingmand mtreatingmdisease
d. ItmismamrequestmformlaboratoryNtUesRtsSt Io mN
beGpTeB
rf.
orCmOeM
d mbymanmoutsidemlaboratory
ANS:m D REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
9. Whichmof mthemfollowingmismanmexamplemof mamdiagnosticmproceduremreport?
a. Electrocardiogrammreport
b. Physicalmtherapymreport
c. Urinalysismreport
d. Pathologymreport
ANS:m A REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
10. What mismthemnamemof mthemtypemof mreport mthat mdocumentsmthemassessmentsmand mtreatme
ntsmdesigned mtomrestoremampatient’smabilitymtomfunction?
a. Consultationmreport
b. Diagnosticmproceduremreport
c. Pathologymreport
d. Therapeuticmservicemreport
ANS:m D REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
11. Whichmof mthemfollowingmismnotmanmexamplemof mamhospitalmreport?
a. Operativemreport
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,TEST BANK FOR CLINICAL PROCEDURES FOR MEDICAL ASSISTANTS 10TH EDITION BY BONEWIT-WEST
b. Cytologymreport
c. Dischargemsummarymreport
d. Emergencymdepartment mreport
ANS:m B REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
12. Whichmof mthemfollowingmismanmexamplemof mamconsent mdocument?
a. Patient mregistrationmrecord
b. Noticemof mPrivacymPracticesmform
c. Releasemof mmedicalminformationmform
d. Patient minstructionmsheet
ANS:m C REF:m pp.m2-
3|mCAAHEPmCompetency m(2015):mVI.4 mOBJ:m 2
13. Whichmof mthemfollowingmcanmbemperformed mbymanmelectronicmmedicalmrecord msoftwaremprogram?
a. Creationmof mammedicalmrecord
b. Storagemof mammedicalmrecord
c. Editingmof mammedicalmrecord
d. Retrievalmof mammedicalmrecord
e. Allmof mthemabove
ANS:m E
REF:m p.m3|mCAAHEPmCompetencym(2015):mV.
8 mOBJ:m 3
14. Allmof mthemfollowingmaremadvantagesmof manmelectronicmmedicalmrecord m(EMR)m except
a. anmEMRmdoesmnot mhavemtombemfiled.
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b. documentsminmanmEMRmcanmbemquicklymretrieved.
c. moremthanmonempersonmcanmview manmEMRmat mthemsamemtime.
d. EMRsmaremexempt mfrommthemHIPAA mregulations.
ANS:m D
REF:m pp.m3,m6|mCAAHEPmCompetencym(2015):mVI.1
2 mOBJ:m 5
15. Whichmof mthemfollowingmaremused mtomentermdatamintomanmelectronicmmedicalmrecord?
a. Free-text mentry
b. Drop-downmmenus
c. Radiombuttons
d. Allmof mthemabove
ANS:m D
REF:m p.m11|mCAAHEPmCompetencym(2015):mV.
8 mOBJ:m 8
16. How marempapermdocumentsmentered mintomampatient’smelectronicmmedicalmrecord?
a. Bymscanningmthemmintomthemcomputer
b. Bymretypingmthemmonmthemcomputer
c. Bymphotocopyingmthem
d. Bymtransmittingmthemmthroughmammodem
ANS:m A
REF:m p.m11|mCAAHEPmCompetencym(2015):mVI.
4 mOBJ:m 8
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, TEST BANK FOR CLINICAL PROCEDURES FOR MEDICAL ASSISTANTS 10TH EDITION BY BONEWIT-WEST
17. What mismthemnamemof mamprogrammthat mconvertsmtyped mtext mintomtext mthat mcanmbemmanipulated
mbymthemcomputerm(oncemit mhasmbeenmscanned mintomthemcomputer)?
a. POMR
b. OCR
c. Word mprocessingmprogram
d. Practicemmanagement mprogram
ANS:m B
REF:m p.m6|mCAAHEPmCompetencym(2015):mVI.1
2 mOBJ:m 4
18. Allmof mthemfollowingmassist minmthemcollectionmof mdatamformamhealthmhistorymexcept
a. amquiet,mcomfortablemroom.
b. showingminterest minmthempatient.
c. showingmconcernmformthempatient.
d. callingmthempatient m“honey.”
ANS:m D
REF:m p.m6|mCAAHEPmCompetencym(2015):mV.
3.mOBJ:m 8
19. Whichmof mthemfollowingmcanmbemused mtomentermamhealthmhistorymintomanmelectronicmmedicalmrecord?
a. Thempatient mcompletesmampapermformmand mthemmedicalmassistant mscansmit mintomt
hemcomputer.
b. Themmedicalmassistant mentersminformationmintomthemcomputermwhilemaskingmthempatie
nt mquestions.
c. Thempatient mcompletesmamhealthmhistorymquestionnairemonmamcomputer.
d. Allmof mthemabove
ANS:m D REF:m m p.m6|NCUAR
ASHI
EP
NGCoTmBp.
etC
enOcyM(2015):mIX.12
OBJ: 8
20. What mismamhealthmhistory?
a. Amlegalmdocument mrequired mtomperformmcertainmproceduresmonmampatient
b. Documentationmof mthemresultsmof mthemphysicalmexamination
c. Amcollectionmof msubjectivemdatamabout mthempatient
d. Amnarrativemdescriptionmand minterpretationmof mamdiagnosticmprocedure
ANS:m C
REF:m p.m6|mCAAHEPmCompetencym(2015):mV.1
0 mOBJ:m 6
21. Themhealthmhistorymismtaken
a. aftermthemprovidermperformsmthemphysicalmexamination.
b. aftermlaboratorymtest mresultsmaremreviewed.
c. beforemthemprovidermperformsmthemphysicalmexamination.
d. aftermthemprovidermmakesmamdiagnosismof mthempatient’smcondition.
ANS:m C
REF:m p.m6|mCAAHEPmCompetencym(2015):mVI.
4 mOBJ:m 6
22. What mismthemchief mcomplaint?
a. Themprobablemoutcomemof mthempatient’smcondition
b. Themsymptommcausingmthempatient mthemmost mtrouble
c. Amdetailed mdescriptionmof mthempatient’smillnessmusingmmedicalmterms
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