b b b b b b b bb
h Edition by Bonewit-West, (All Chapters Answered)
b b b b b b
Chapter b01:bThebMedicalbRecord
Bonewit-West:bClinicalbProcedures bforbMedicalbAssistants,b10thbEdition
MULTIPLEbCHOICE
1. Whichb of b theb followingbisb notb ab functionb of b theb medicalb record?
a. Tob provideb informationb forb makingb decisionsb regardingb theb patient’sb care
b. Tob document b theb patient’sb progress
c. Tob serveb asb ab legalb document
d. Tob shareb informationb betweenb membersb of b theb patient’sb family
ANS:b D
REF:b p.b 2|bCAAHEPb Competency b(2015):bVI.4b
OBJ:b 1
2. What b informationb isb contained b inb theb medicalb record?
a. Healthb historyb report
b. Resultsb of b theb physicalb examination
c. Laboratoryb reports
d. Progressbnotes
e. Allb of b theb above
ANS:b E REF:b pp.b 2-
3|bCAAHEPb Competency b(2015):b VI.4 b OBJ:b 2
3. Theb purposeb of b theb HIPAA b Privacyb Ruleb isb to
a. reduceb exposureb of b patientsb tob bloodborneb pathogens.
b. provideb patientsb withb b e t t e rNcUo nRt S
r oIl b N
ovGeT
rbtB
he.uCsO
eMand b disclosureb ofb theirb healthbi
nformation.
c. prevent b theb patient’sb recordsb fromb beingb copied.
d. encouragebtheb patient b tob becomeb moreb involved b inb preventiveb healthbcare.
ANS:b B
REF:b p.b 4b|bCAAHEPbCompetencyb(2015):bIX.3b
OBJ:b 2
4. Allb of b theb followingb areb characteristicsb of b theb Noticeb of b Privacyb Practicesb except:
a. Wasb developed b bybtheb Americanb Medicalb Association
b. Must b explainb how b ab patient’sbhealthbinformationb willb bebusedband b protected b bybtheb
medicalb office
c. Must b beb provided b tob eachb patient
d. Must b obtainb absigned backnowledgmentbfromb thebpatient b that b he/sheb hasb received banb
NPP
ANS:b A
REF:b p.b 4|bCAAHEPb Competency b(2015):bIX.3b
OBJ:b 2
5. Healthb informationb inb anybformb that b containsb patient b identifiableb informationb isb knownb as
a. PHI.
b. NPP.
c. OSHA.
,d. HIPAA.
, ANS:b A
REF:b p.b 4|bCAAHEPb Competency b(2015):bIX.3b
OBJ:b 2
6. Inb whichb of btheb followingb situationsbdoesbHIPAAb notbrequireb writtenbconsent bforb thebuseborbd
isclosureb of b protected b healthb information?
a. Patient b referralb tob ab specialist
b. Emergencybcareb provided b at b ab hospital
c. Determinationb of b eligibilityb forbinsuranceb benefits
d. Trainingbof b healthb careb students
e. Allb of b theb above
ANS:b E
REF:b p.b 4|bCAAHEPb Competency b(2015):bIX.3b
OBJ:b 2
7. Whichb of b theb followingbisb notb anbexampleb of b ab medicalb officeb clinicalb document?
a. Patient bregistrationb record
b. Physicalb examinationb report
c. Medicationb record
d. Healthb historyb report
ANS:b A REF:b pp.b 2-
3|bCAAHEPb Competency b(2015):b VI.4 b OBJ:b 2
8. Whichb of b theb followingbisb notb ab characteristicb of b ab laboratoryb report?
a. It b relaysb resultsb of b laboratoryb testsb tob theb provider
b. It b consistsb of b ab report b of b theb analysisb orb examinationb of b bodyb specimens
c. It b assistsb inb diagnosingb and btreatingb disease
d. Itb isb ab requestb forb laboratoryNtUesRtsSt I o bN
beGpTeB
rf.
orCmOeM
d b byb anb outsideb laboratory
ANS:b D REF:b pp.b 2-
3|bCAAHEPb Competency b(2015):b VI.4 b OBJ:b 2
9. Whichb of b theb followingbisb anb exampleb of b ab diagnosticb procedureb report?
a. Electrocardiogramb report
b. Physicalb therapyb report
c. Urinalysisb report
d. Pathologyb report
ANS:b A REF:b pp.b 2-
3|bCAAHEPb Competency b(2015):b VI.4 b OBJ:b 2
10. What b isbtheb nameb of bthebtypeb ofbreport bthatbdocumentsbtheb assessmentsb andbtreatmentsbd
esigned b tob restoreb ab patient’sb abilityb tob function?
a. Consultationb report
b. Diagnosticb procedureb report
c. Pathologyb report
d. Therapeuticb serviceb report
ANS:b D REF:b pp.b 2-
3|bCAAHEPb Competency b(2015):b VI.4 b OBJ:b 2
11. Whichb of b theb followingbisb notb anbexampleb of b ab hospitalb report?
a. Operativeb report
, b. Cytologyb report
c. Dischargeb summaryb report
d. Emergencybdepartment b report
ANS:b B REF:b pp.b 2-
3|bCAAHEPb Competency b(2015):b VI.4 b OBJ:b 2
12. Whichb of b theb followingbisb anb exampleb of b ab consent b document?
a. Patient bregistrationb record
b. Noticeb of b Privacyb Practicesb form
c. Releaseb of bmedicalb informationb form
d. Patient binstructionb sheet
ANS:b C REF:b pp.b 2-
3|bCAAHEPb Competency b(2015):b VI.4 b OBJ:b 2
13. Whichb of b theb followingb canb beb performed b byb anb electronicb medicalb record b softwareb program?
a. Creationb of b ab medicalb record
b. Storageb of b ab medicalb record
c. Editingb of b ab medicalb record
d. Retrievalb of b ab medicalb record
e. Allb of b theb above
ANS:b E
REF:b p.b 3|bCAAHEPbCompetencyb(2015):bV.8b
OBJ:b 3
14. Allb of b theb followingb areb advantagesb of b anb electronicb medicalb record b (EMR)b except
a. anb EMRb doesb not b havebtob beb filed.
b. documentsb inbanb EMRb canbN beUqRuSicI
klN yGreTtrBie.vC
edO.bM
c. moreb thanb oneb personb canb view b anb EMRb at b theb sameb time.
d. EMRsb areb exempt b fromb theb HIPAA b regulations.
ANS:b D
REF:b pp.b3,b6|bCAAHEPbCompetencyb(2015):bVI.12b
OBJ:b 5
15. Whichb of b theb followingbareb used btob enterb datab intob anb electronicb medicalb record?
a. Free-text bentry
b. Drop-downb menus
c. Radiob buttons
d. Allb of b theb above
ANS:b D
REF:b p.b 11|bCAAHEPbCompetencyb(2015):bV.8b
OBJ:b 8
16. How bareb paperb documentsb entered bintob ab patient’sb electronicb medicalb record?
a. Bybscanningb themb intob theb computer
b. Bybretypingb themb onb theb computer
c. Byb photocopyingb them
d. Bybtransmittingb themb throughb ab modem
ANS:b A
REF:b p.b 11|bCAAHEPbCompetencyb(2015):bVI.4b
OBJ:b 8