ChapterG02:GTheGHealthGRecordG
Proctor:GKinn’sGtheGMedicalGAssistant,G13thGEditionGG
G
MULTIPLEGCHOICEG
G
G
1.GWhichGofGtheGfollowingGisGnotGaGmethodGofGorganizingGaGmedicalGrecord?G
a.GSourceGorientedG
b.GProblemGorientedG
c.GProgressivelyG
d.GChronologicallyG
GG
ANS:GCG
MedicalGrecordsGcanGbeGorganizedGchronologicallyGorGasGsource-orientedGorGproblem-
orientedG
records.GThereGisGnoGsuchGthingGasGaGprogressiveGtypeGofGrecordGorganization.GG
G
REF:Gp.G31G|GCAAHEP:GVI.C.5G|GABHES:G8.aG
G
G
OBJ:G12.GIdentifyGandGdiscussGtheGtwoGmethodsGofGorganizingGaGpatient’sGpaperGmedicalGreco
rd:G
source-orientedGrecordsGandGproblem-orientedGrecords.G
G
G
2.GInformationGthatGisGgainedGbyGquestioningGtheGpatientGorGthatGisGtakenGfromGaGformGisGcall
edG
________________Ginformation.G
a.GconfidentialG
b.GsubjectiveG
c.GobjectiveG
d.GnecessaryG
GG
ANS:GBG
SubjectiveGinformationGisGgainedGbyGquestioningGtheGpatientGorGisGtakenGfromGaGform.GG
G
REF:Gp.G17G|GCAAHEP:GV.C.16G|GABHES:G9.bG
G
G
OBJ:G4.GDifferentiateGbetweenGsubjectiveGandGobjectiveGinformationGandGcreateGaGpatient’sGh
ealthG
record.G
G
G
3.GWhichGofGtheGfollowingGisGnotGneededGwhenGdescribingGaGpatient’sGchiefGcomplaint?G
a.GRemediesGtheGpatientGhasGtriedGtoGrelieveGsymptomsG
b.GTheGdurationGofGpainG
c.GTheGtimeGwhenGsymptomsGwereGfirstGnoticedG
d.GHowGmanyGfamilyGmembersGareGhealthyG
GG
ANS:GDG
TheGchiefGcomplaintGisGtheGmainGproblemGtheGpatientGisGcurrentlyGexperiencing.GTheGmedica
,lG
assistantGshouldGnoteGtheGremediesGtheGpatientGhasGtried,GtheGdurationGofGanyGpain,GandGtheG
timeG
thatGsymptomsGwereGfirstGnoticed.GTheGnumberGofGhealthyGfamilyGmembersGisGnotGnecessary
G
informationGaboutGtheGchiefGcomplaintGbutGwouldGbeGpartGofGtheGfamilyGhistory.G
G
REF:Gp.G20G|GCAAHEP:GV.C.16G|GABHES:G9.bG
G
G
OBJ:G4.GDifferentiateGbetweenGsubjectiveGandGobjectiveGinformationGandGcreateGaGpatient’sGh
ealthG
record.G
G
G
4.GAGfilingGsystemGinGwhichGanGintermediaryGsourceGofGreference,GsuchGasGaGfileGcard,GmustGb
eG
consultedGtoGlocateGspecificGfilesGisGcalledGa(n)G_____________Gsystem.G
DOWNLOADGTHEGTestGBankGforGKinn'sGtheGClinicalGMedicalGAssistantG13th
GGGGGGGGGGGGGGGGGGGGGGGGGGGEditionGProctor
nursytestbank.store
a.GshelfGfilingG
b.GindirectGfilingG
c.GdirectGfilingG
d.GshinglingG
GG
ANS:GBG
AnGindirectGfilingGsystemGusesGanGintermediaryGsourceGofGreference,GsuchGasGaGfileGcard,GtoGlo
cateG
specificGfiles.G
G
REF:Gp.G39G|GCAAHEP:GVI.C.7G|GABHES:G8.aG
G
G
OBJ:G1.GDefine,Gspell,GandGpronounceGtheGtermsGlistedGinGtheGvocabulary.G
G
G
G
5.GHowGwouldGyouGproperlyGindexGtheGnameG“JillGFreeman,GM.D.”GforGfilingGifGyouGhadGanothe
rG
patientGwithGtheGsameGnameGbutGwithoutGtheGtitle?G
a.GDr.GJillGFreemanG
b.GFreeman,GDr.GJillG
c.GFreeman,GJillG
d.GFreeman,GJillGM.D.G
GG
ANS:GDG
TheGtitleGshouldGbeGusedGinGfilingGsystemsGtoGdistinguishGaGpersonGfromGoneGwhoGdoesGnotGh
aveG
aGtitle.G
G
REF:Gp.G37G|GCAAHEP:GVI.C.7G|GABHES:G8.aG
,G
G
OBJ:G16.GDescribeGindexingGrules,GasGwellGasGcreateGandGorganizeGaGpatient’sGhealthGrecord.GG
G
G
6.GHowGwouldGyouGproperlyGindexGtheGnameG“AmandaGM.GStiles-Duncan”GforGfiling?G
a.GStilesduncan,GAmandaGM.G
b.GStilesGDuncan,GAmandaGM.G
c.GDuncanstiles,GAmandaGM.G
d.GDuncan,GAmandaGM.GStilesG
GG
ANS:GAG
HyphenatedGnamesGareGtreatedGasGoneGunitGwhenGfiling.G
G
REF:Gp.G37G|GCAAHEP:GVI.C.7G|GABHES:G8.aG
G
G
OBJ:G16.GDescribeGindexingGrules,GasGwellGasGcreateGandGorganizeGaGpatient’sGhealthGrecord.GG
G
G
7.GWhoGisGtheGlegalGownerGofGtheGinformationGstoredGinGaGpatient’sGrecord?G
a.GTheGpatientG
b.GTheGphysicianGorGagencyGwhereGservicesGwereGprovidedG
c.GTheGpatient’sGinsuranceGcompanyG
d.GBothGtheGpatientGandGtheGphysicianG
GG
ANS:GBG
TheGphysician,Gagency,GorGfacilityGwhereGaGrecordGisGcreatedGisGtheGlegalGownerGofGthatGrecor
d.GG
G
REF:Gp.G41G|GCAAHEP:GX.A.1G|GCAAHEP:GX.A.2G|GABHES:G7.cGG
G
OBJ:G5.GExplainGwhoGownsGtheGhealthGrecord.G
G
G
G
8.GContinuityGofGcareGmeansG
a.GanGaggregateGofGactivitiesGdesignedGtoGensureGadequateGquality,GespeciallyGinG
DOWNLOADGTHEGTestGBankGforGKinn'sGtheGClinicalGMedicalGAssistantG13th
GGGGGGGGGGGGGGGGGGGGGGGGGGGEditionGProctor
nursytestbank.store
manufacturedGproductsGorGinGtheGserviceGindustries.G
b.GaGformalGexaminationGofGanGorganization’sGorGindividual’sGaccounts.G
c.GmedicalGattentionGthatGcontinuesGsmoothlyGfromGoneGproviderGtoGanotherGsoGthatGtheG
patientGreceivesGtheGmostGbenefit.G
d.GgrantedGorGendowedGwithGaGparticularGauthority.G
GG
ANS:GCG
ContinuityGofGcareGisGmedicalGattentionGthatGmovesGsmoothlyGfromGoneGproviderGtoGanotherG
soG
thatGtheGpatientGreceivesGtheGmostGbenefit.GG
G
REF:Gp.G17G|GCAAHEP:GX.C.4G|GABHES:G1.bG
G
, G
OBJ:G1.GDefine,Gspell,GandGpronounceGtheGtermsGlistedGinGtheGvocabulary.G
G
G
G
9.GWhichGofGtheGfollowingGareGcommonGtypesGofGfilingGequipmentGfoundGinGaGmedicalGoffice?G
a.GRotaryGcircularGfilesG
b.GLateralGfilesG
c.GAutomatedGfilesG
d.GAllGofGtheGaboveG
GG
ANS:GDG
RotaryGcircularGfiles,GlateralGfiles,GandGautomatedGfilesGareGallGtypesGofGfilingGequipmentGthatG
mightGbeGfoundGinGaGmedicalGoffice.GG
G
REF:Gp.G35G|GCAAHEP:GVI.C.6G|GABHES:G8.aG
G
G
OBJ:G15.GIdentifyGfilingGequipmentGandGfilingGsuppliesGneededGtoGcreate,Gstore,GandGmaintainG
medicalG
records.G
G
G10.GWhichGofGtheGfollowingGisGnotGanGadvantageGofGcolor-codedGfilingGsystems?G
a.GPatientGchartsGcanGbeGfoundGquickly.G
b.GItGisGeasyGtoGtellGwhenGaGfileGhasGbeenGmisplaced.G
c.GPatientGchartsGcanGbeGre-filedGquickly.G
d.GAllGofGtheGaboveGareGadvantages.G
GG
ANS:GDG
Color-codedGchartsGallowGstaffGmembersGtoGfindGmedicalGrecordsGquickly;GtheyGalsoGmakeGitG
easyGtoGdetectGwhenGfilesGhaveGbeenGmisplacedGandGtoGre-fileGthem.G
G
REF:Gp.G40G|GCAAHEP:GVI.P.5G|GABHES:G8.aG
G
G
OBJ:G17.GDiscussGtheGprosGandGconsGofGvariousGfilingGmethods,GasGwellGasGfileGpatientGhealthGr
ecords.GG
G
G11.GWhichGstatementGisGnotGtrueGregardingGtheGreasonsGforGkeepingGaccurateGmedicalGrecor
ds?G
a.GTheGmedicalGrecordGprovidesGcriticalGinformationGforGotherGcaregivers.G
b.GEffectsGofGvariousGtreatmentsGcanGbeGtrackedGandGstatisticsGgleanedGfromGthem.G
c.GTheGpatient’sGfamilyGmayGwantGtoGexamineGtheGrecordsGandGcorrectGerrors.G
d.GAccurateGrecordsGareGvitalGforGfinancialGreimbursements.G
GG
ANS:GCG
AccurateGrecordsGareGnotGkeptGtoGappeaseGtheGpatient’sGfamily;GtheyGareGkept,Gultimately,GtoG
provideGappropriateGpatientGcare.GG
G
REF:Gp.G17G|GCAAHEP:GX.P.3G|GCAAHEP:GX.A.2G|GABHES:G4.aGG
OBJ:G3.GStateGseveralGreasonsGaccurateGhealthGrecordsGareGimportant.G
G
DOWNLOADGTHEGTestGBankGforGKinn'sGtheGClinicalGMedicalGAssistantG13th
Proctor:GKinn’sGtheGMedicalGAssistant,G13thGEditionGG
G
MULTIPLEGCHOICEG
G
G
1.GWhichGofGtheGfollowingGisGnotGaGmethodGofGorganizingGaGmedicalGrecord?G
a.GSourceGorientedG
b.GProblemGorientedG
c.GProgressivelyG
d.GChronologicallyG
GG
ANS:GCG
MedicalGrecordsGcanGbeGorganizedGchronologicallyGorGasGsource-orientedGorGproblem-
orientedG
records.GThereGisGnoGsuchGthingGasGaGprogressiveGtypeGofGrecordGorganization.GG
G
REF:Gp.G31G|GCAAHEP:GVI.C.5G|GABHES:G8.aG
G
G
OBJ:G12.GIdentifyGandGdiscussGtheGtwoGmethodsGofGorganizingGaGpatient’sGpaperGmedicalGreco
rd:G
source-orientedGrecordsGandGproblem-orientedGrecords.G
G
G
2.GInformationGthatGisGgainedGbyGquestioningGtheGpatientGorGthatGisGtakenGfromGaGformGisGcall
edG
________________Ginformation.G
a.GconfidentialG
b.GsubjectiveG
c.GobjectiveG
d.GnecessaryG
GG
ANS:GBG
SubjectiveGinformationGisGgainedGbyGquestioningGtheGpatientGorGisGtakenGfromGaGform.GG
G
REF:Gp.G17G|GCAAHEP:GV.C.16G|GABHES:G9.bG
G
G
OBJ:G4.GDifferentiateGbetweenGsubjectiveGandGobjectiveGinformationGandGcreateGaGpatient’sGh
ealthG
record.G
G
G
3.GWhichGofGtheGfollowingGisGnotGneededGwhenGdescribingGaGpatient’sGchiefGcomplaint?G
a.GRemediesGtheGpatientGhasGtriedGtoGrelieveGsymptomsG
b.GTheGdurationGofGpainG
c.GTheGtimeGwhenGsymptomsGwereGfirstGnoticedG
d.GHowGmanyGfamilyGmembersGareGhealthyG
GG
ANS:GDG
TheGchiefGcomplaintGisGtheGmainGproblemGtheGpatientGisGcurrentlyGexperiencing.GTheGmedica
,lG
assistantGshouldGnoteGtheGremediesGtheGpatientGhasGtried,GtheGdurationGofGanyGpain,GandGtheG
timeG
thatGsymptomsGwereGfirstGnoticed.GTheGnumberGofGhealthyGfamilyGmembersGisGnotGnecessary
G
informationGaboutGtheGchiefGcomplaintGbutGwouldGbeGpartGofGtheGfamilyGhistory.G
G
REF:Gp.G20G|GCAAHEP:GV.C.16G|GABHES:G9.bG
G
G
OBJ:G4.GDifferentiateGbetweenGsubjectiveGandGobjectiveGinformationGandGcreateGaGpatient’sGh
ealthG
record.G
G
G
4.GAGfilingGsystemGinGwhichGanGintermediaryGsourceGofGreference,GsuchGasGaGfileGcard,GmustGb
eG
consultedGtoGlocateGspecificGfilesGisGcalledGa(n)G_____________Gsystem.G
DOWNLOADGTHEGTestGBankGforGKinn'sGtheGClinicalGMedicalGAssistantG13th
GGGGGGGGGGGGGGGGGGGGGGGGGGGEditionGProctor
nursytestbank.store
a.GshelfGfilingG
b.GindirectGfilingG
c.GdirectGfilingG
d.GshinglingG
GG
ANS:GBG
AnGindirectGfilingGsystemGusesGanGintermediaryGsourceGofGreference,GsuchGasGaGfileGcard,GtoGlo
cateG
specificGfiles.G
G
REF:Gp.G39G|GCAAHEP:GVI.C.7G|GABHES:G8.aG
G
G
OBJ:G1.GDefine,Gspell,GandGpronounceGtheGtermsGlistedGinGtheGvocabulary.G
G
G
G
5.GHowGwouldGyouGproperlyGindexGtheGnameG“JillGFreeman,GM.D.”GforGfilingGifGyouGhadGanothe
rG
patientGwithGtheGsameGnameGbutGwithoutGtheGtitle?G
a.GDr.GJillGFreemanG
b.GFreeman,GDr.GJillG
c.GFreeman,GJillG
d.GFreeman,GJillGM.D.G
GG
ANS:GDG
TheGtitleGshouldGbeGusedGinGfilingGsystemsGtoGdistinguishGaGpersonGfromGoneGwhoGdoesGnotGh
aveG
aGtitle.G
G
REF:Gp.G37G|GCAAHEP:GVI.C.7G|GABHES:G8.aG
,G
G
OBJ:G16.GDescribeGindexingGrules,GasGwellGasGcreateGandGorganizeGaGpatient’sGhealthGrecord.GG
G
G
6.GHowGwouldGyouGproperlyGindexGtheGnameG“AmandaGM.GStiles-Duncan”GforGfiling?G
a.GStilesduncan,GAmandaGM.G
b.GStilesGDuncan,GAmandaGM.G
c.GDuncanstiles,GAmandaGM.G
d.GDuncan,GAmandaGM.GStilesG
GG
ANS:GAG
HyphenatedGnamesGareGtreatedGasGoneGunitGwhenGfiling.G
G
REF:Gp.G37G|GCAAHEP:GVI.C.7G|GABHES:G8.aG
G
G
OBJ:G16.GDescribeGindexingGrules,GasGwellGasGcreateGandGorganizeGaGpatient’sGhealthGrecord.GG
G
G
7.GWhoGisGtheGlegalGownerGofGtheGinformationGstoredGinGaGpatient’sGrecord?G
a.GTheGpatientG
b.GTheGphysicianGorGagencyGwhereGservicesGwereGprovidedG
c.GTheGpatient’sGinsuranceGcompanyG
d.GBothGtheGpatientGandGtheGphysicianG
GG
ANS:GBG
TheGphysician,Gagency,GorGfacilityGwhereGaGrecordGisGcreatedGisGtheGlegalGownerGofGthatGrecor
d.GG
G
REF:Gp.G41G|GCAAHEP:GX.A.1G|GCAAHEP:GX.A.2G|GABHES:G7.cGG
G
OBJ:G5.GExplainGwhoGownsGtheGhealthGrecord.G
G
G
G
8.GContinuityGofGcareGmeansG
a.GanGaggregateGofGactivitiesGdesignedGtoGensureGadequateGquality,GespeciallyGinG
DOWNLOADGTHEGTestGBankGforGKinn'sGtheGClinicalGMedicalGAssistantG13th
GGGGGGGGGGGGGGGGGGGGGGGGGGGEditionGProctor
nursytestbank.store
manufacturedGproductsGorGinGtheGserviceGindustries.G
b.GaGformalGexaminationGofGanGorganization’sGorGindividual’sGaccounts.G
c.GmedicalGattentionGthatGcontinuesGsmoothlyGfromGoneGproviderGtoGanotherGsoGthatGtheG
patientGreceivesGtheGmostGbenefit.G
d.GgrantedGorGendowedGwithGaGparticularGauthority.G
GG
ANS:GCG
ContinuityGofGcareGisGmedicalGattentionGthatGmovesGsmoothlyGfromGoneGproviderGtoGanotherG
soG
thatGtheGpatientGreceivesGtheGmostGbenefit.GG
G
REF:Gp.G17G|GCAAHEP:GX.C.4G|GABHES:G1.bG
G
, G
OBJ:G1.GDefine,Gspell,GandGpronounceGtheGtermsGlistedGinGtheGvocabulary.G
G
G
G
9.GWhichGofGtheGfollowingGareGcommonGtypesGofGfilingGequipmentGfoundGinGaGmedicalGoffice?G
a.GRotaryGcircularGfilesG
b.GLateralGfilesG
c.GAutomatedGfilesG
d.GAllGofGtheGaboveG
GG
ANS:GDG
RotaryGcircularGfiles,GlateralGfiles,GandGautomatedGfilesGareGallGtypesGofGfilingGequipmentGthatG
mightGbeGfoundGinGaGmedicalGoffice.GG
G
REF:Gp.G35G|GCAAHEP:GVI.C.6G|GABHES:G8.aG
G
G
OBJ:G15.GIdentifyGfilingGequipmentGandGfilingGsuppliesGneededGtoGcreate,Gstore,GandGmaintainG
medicalG
records.G
G
G10.GWhichGofGtheGfollowingGisGnotGanGadvantageGofGcolor-codedGfilingGsystems?G
a.GPatientGchartsGcanGbeGfoundGquickly.G
b.GItGisGeasyGtoGtellGwhenGaGfileGhasGbeenGmisplaced.G
c.GPatientGchartsGcanGbeGre-filedGquickly.G
d.GAllGofGtheGaboveGareGadvantages.G
GG
ANS:GDG
Color-codedGchartsGallowGstaffGmembersGtoGfindGmedicalGrecordsGquickly;GtheyGalsoGmakeGitG
easyGtoGdetectGwhenGfilesGhaveGbeenGmisplacedGandGtoGre-fileGthem.G
G
REF:Gp.G40G|GCAAHEP:GVI.P.5G|GABHES:G8.aG
G
G
OBJ:G17.GDiscussGtheGprosGandGconsGofGvariousGfilingGmethods,GasGwellGasGfileGpatientGhealthGr
ecords.GG
G
G11.GWhichGstatementGisGnotGtrueGregardingGtheGreasonsGforGkeepingGaccurateGmedicalGrecor
ds?G
a.GTheGmedicalGrecordGprovidesGcriticalGinformationGforGotherGcaregivers.G
b.GEffectsGofGvariousGtreatmentsGcanGbeGtrackedGandGstatisticsGgleanedGfromGthem.G
c.GTheGpatient’sGfamilyGmayGwantGtoGexamineGtheGrecordsGandGcorrectGerrors.G
d.GAccurateGrecordsGareGvitalGforGfinancialGreimbursements.G
GG
ANS:GCG
AccurateGrecordsGareGnotGkeptGtoGappeaseGtheGpatient’sGfamily;GtheyGareGkept,Gultimately,GtoG
provideGappropriateGpatientGcare.GG
G
REF:Gp.G17G|GCAAHEP:GX.P.3G|GCAAHEP:GX.A.2G|GABHES:G4.aGG
OBJ:G3.GStateGseveralGreasonsGaccurateGhealthGrecordsGareGimportant.G
G
DOWNLOADGTHEGTestGBankGforGKinn'sGtheGClinicalGMedicalGAssistantG13th
