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OR MEDICAL ASSISTANTS 10TH EDITION
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BY BONEWIT-WEST
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,Chapter 01: The Medical Record
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Bonewit-West: Clinical Procedures for Medical Assistants, 10th Edition
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MULTIPLEhCHOICE
1. Whichhofhthehfollowinghishnothahfunctionhofhthehmedicalhrecord?
a. Tohprovidehinformationhforhmakinghdecisionshregardinghthehpatient’shcare
b. Tohdocumenththehpatient’shprogress
c. Tohservehashahlegalhdocument
d. Tohsharehinformationhbetweenhmembershofhthehpatient’shfamily
ANS:h D
REF:hp.h2|hCAAHEPhCompetencyh(2015):hVI.4h
OBJ:h 1
2. Whathinformationhishcontainedhinhthehmedicalhrecord?
a. Healthhhistoryhreport
b. Resultshofhthehphysicalhexamination
c. Laboratoryhreports
d. Progresshnotes
e. Allhofhthehabove
ANS:h E REF:hpp.h2-
3|hCAAHEPhCompetencyh(2015):hVI.4hOBJ:h 2
3. ThehpurposehofhthehHIPAAhPrivacyhRulehishto
a. reducehexposurehofhpatientshtohbloodbornehpathogens.
b. providehpatientshwithhbetterNcU
onRtS
roI
lhN
ovGeT
rhtB
h.
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ehM
andhdisclosurehofhtheirhhealthhi
nformation.
c. prevenththehpatient’shrecordshfromhbeinghcopied.
d. encouragehthehpatienthtohbecomehmorehinvolvedhinhpreventivehhealthhcare.
ANS:h B
REF:hp.h4h|hCAAHEPhCompetencyh(2015):hIX.3h
OBJ:h 2
4. AllhofhthehfollowingharehcharacteristicshofhthehNoticehofhPrivacyhPracticesh except:
a. WashdevelopedhbyhthehAmericanhMedicalhAssociation
b. Musthexplainhhowhahpatient’shhealthhinformationhwillhbehusedhandhprotectedhbyhtheh
medicalhoffice
c. Musthbehprovidedhtoheachhpatient
d. Musthobtainhahsignedhacknowledgmenthfromhthehpatienththathhe/shehhashreceivedhanh
NPP
ANS:h A
REF:hp.h4|hCAAHEPhCompetencyh(2015):hIX.3h
OBJ:h 2
5. Healthhinformationhinhanyhformhthathcontainshpatienthidentifiablehinformationhishknownhas
a. PHI.
b. NPP.
,c. OSHA.
d. HIPAA.
, ANS:h A
REF:hp.h4|hCAAHEPhCompetencyh(2015):hIX.3h
OBJ:h 2
6. InhwhichhofhthehfollowinghsituationshdoeshHIPAAhnothrequirehwrittenhconsenthforhthehusehorhd
isclosurehofhprotectedhhealthhinformation?
a. Patienthreferralhtohahspecialist
b. Emergencyhcarehprovidedhathahhospital
c. Determinationhofheligibilityhforhinsurancehbenefits
d. Traininghofhhealthhcarehstudents
e. Allhofhthehabove
ANS:h E
REF:hp.h4|hCAAHEPhCompetencyh(2015):hIX.3h
OBJ:h 2
7. Whichhofhthehfollowinghishnothanhexamplehofhahmedicalhofficehclinicalhdocument?
a. Patienthregistrationhrecord
b. Physicalhexaminationhreport
c. Medicationhrecord
d. Healthhhistoryhreport
ANS:h A REF:hpp.h2-
3|hCAAHEPhCompetencyh(2015):hVI.4hOBJ:h 2
8. Whichhofhthehfollowinghishnothahcharacteristichofhahlaboratoryhreport?
a. Ithrelayshresultshofhlaboratoryhtestshtohthehprovider
b. Ithconsistshofhahreporthofhthehanalysishorhexaminationhofhbodyhspecimens
c. Ithassistshinhdiagnosinghandhtreatinghdisease
d. IthishahrequesthforhlaboratoryNtU
esRtsStI
ohN
beGpTeB
rf.
orCmOeM
dhbyhanhoutsidehlaboratory
ANS:h D REF:hpp.h2-
3|hCAAHEPhCompetencyh(2015):hVI.4hOBJ:h 2
9. Whichhofhthehfollowinghishanhexamplehofhahdiagnostichprocedurehreport?
a. Electrocardiogramhreport
b. Physicalhtherapyhreport
c. Urinalysishreport
d. Pathologyhreport
ANS:h A REF:hpp.h2-
3|hCAAHEPhCompetencyh(2015):hVI.4hOBJ:h 2
10. Whathishthehnamehofhthehtypehofhreporththathdocumentshthehassessmentshandhtreatmentshd
esignedhtohrestorehahpatient’shabilityhtohfunction?
a. Consultationhreport
b. Diagnostichprocedurehreport
c. Pathologyhreport
d. Therapeutichservicehreport
ANS:h D REF:hpp.h2-
3|hCAAHEPhCompetencyh(2015):hVI.4hOBJ:h 2
11. Whichhofhthehfollowinghishnothanhexamplehofhahhospitalhreport?
a. Operativehreport