ANSWERS.
Which of the following creates a chronological report of the patient's condition
and response to treatment during a hospital stay?
a. Physical examination
b. Progress notes
c. Physician order
d. Medical history Answer - b. Progress notes
Which health record format is most commonly used by healthcare settings as
they transition to electronic records?
a. Integrated records
b. Problem-oriented records
c. Hybrid records
d. Paper records Answer - c. Hybrid records
What is the end result of a review process that shows voluntary compliance
with guidelines of an external, non-profit organization?
a. Accreditation
b. Certification
c. Licensure
d. Deemed status Answer - a. Accreditation
, Which part of a medical history documents the nature and duration of the
symptoms that caused a patient to seek medical attention as stated in that
patient's own words?
a. Chief complaint
b. Social and personal history
c. Past medical history
d. Present illness Answer - a. Chief complaint
Which of the following is an example of administrative information?
a. Admitting diagnosis
b. Blood pressure records
c. Medication records
d. Patient's address Answer - a. Admitting diagnosis
The federal Conditions of Participation apply to which type of healthcare
organization?
a. Organizations that are accredited
b. Organizations that provide acute care services
c. Organizations that treat Medicare or Medicaid patients
d. Organizations that are subject to the Health Insurance Portability and
Accountability Act Answer - c. Organizations that treat Medicare or Medicaid
patients
Which of the following materials is documented in an emergency care record?
a. Minimum Data Set
b. Time and means of the patient's arrival
c. Patient's complete medical history
d. APGAR Answer - b. Time and means of the patient's arrival