CHIMA NCE Data & EHR Exam
Questions and Answers18
An EHR is defined by the fact that there is collection of data from multiple
sources, that provides decision support, and:
a. Affords a paperless environment
b. Is used at the point of care
c. Provides for continuity of care
d. Shares data with patients - ANSWERS -c
Which of the following is true concerning an EHR project manager?
a. Most commonly chairs the EHR steering committee
b. Must demonstrate leadership skills
c. Not a member of the EHR steering committee
d. Plays an inactive role on the EHR steering committee - ANSWERS -b
An organization's legal health record definition must identify the following regarding individually
identifiable data:
a. Sources
b. Medium
c. Location
d. All of the above - ANSWERS -d
It is best practice to establish a ____ when defining the legal health record.
,a. Policy
b. Master patient index
c. Health record matrix
d. Both a and c - ANSWERS -d
The legal health record can only be comprised of documentation that physically exists in an
electronic system.
True/False - ANSWERS -False
Which function is the first step in the creation of a patient's medical record and initiates the
flow of patient information within the EHR?
a. Analysis
b. Patient registration
c. Scheduling
d. Coding - ANSWERS -b
Which of the following processes includes deficiency analysis and chart completion?
a. Release of information
b. Incomplete record
c. Coding
d. Chart reviews - ANSWERS -d
Malpractice cases generally fall into the category of _____.
a. Negligence torts
b. Intentional torts
c. Fraud cases
d. Criminal cases - ANSWERS -a
, In a negligence case, a physician will be held to a standard of providing care that reflects what is
called _____ care.
a. Minimal
b. Optimal
c. Maximum
d. Reasonable - ANSWERS -d
A physician who fails to treat a patient who is brought to him or her for care is guilty of _____.
a. Malfeasance
b. Misfeasance
c. Nonfeasance
d. Malpractice - ANSWERS -c
A physician who performs a surgical procedure without patient consent may be prosecuted for
_____.
a. Assault
b. Battery
c. Negligence
d. Malfeasance - ANSWERS -b
Defaming another person in writing is called _____.
a. Libel
b. Slander
c. Invasion of privacy
d. Fraud - ANSWERS -a
Questions and Answers18
An EHR is defined by the fact that there is collection of data from multiple
sources, that provides decision support, and:
a. Affords a paperless environment
b. Is used at the point of care
c. Provides for continuity of care
d. Shares data with patients - ANSWERS -c
Which of the following is true concerning an EHR project manager?
a. Most commonly chairs the EHR steering committee
b. Must demonstrate leadership skills
c. Not a member of the EHR steering committee
d. Plays an inactive role on the EHR steering committee - ANSWERS -b
An organization's legal health record definition must identify the following regarding individually
identifiable data:
a. Sources
b. Medium
c. Location
d. All of the above - ANSWERS -d
It is best practice to establish a ____ when defining the legal health record.
,a. Policy
b. Master patient index
c. Health record matrix
d. Both a and c - ANSWERS -d
The legal health record can only be comprised of documentation that physically exists in an
electronic system.
True/False - ANSWERS -False
Which function is the first step in the creation of a patient's medical record and initiates the
flow of patient information within the EHR?
a. Analysis
b. Patient registration
c. Scheduling
d. Coding - ANSWERS -b
Which of the following processes includes deficiency analysis and chart completion?
a. Release of information
b. Incomplete record
c. Coding
d. Chart reviews - ANSWERS -d
Malpractice cases generally fall into the category of _____.
a. Negligence torts
b. Intentional torts
c. Fraud cases
d. Criminal cases - ANSWERS -a
, In a negligence case, a physician will be held to a standard of providing care that reflects what is
called _____ care.
a. Minimal
b. Optimal
c. Maximum
d. Reasonable - ANSWERS -d
A physician who fails to treat a patient who is brought to him or her for care is guilty of _____.
a. Malfeasance
b. Misfeasance
c. Nonfeasance
d. Malpractice - ANSWERS -c
A physician who performs a surgical procedure without patient consent may be prosecuted for
_____.
a. Assault
b. Battery
c. Negligence
d. Malfeasance - ANSWERS -b
Defaming another person in writing is called _____.
a. Libel
b. Slander
c. Invasion of privacy
d. Fraud - ANSWERS -a
