m m m m m
FOR 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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MULTIPLEmCHOICE
1. Whichmofmthemfollowingmismnotmamfunctionmofmthemmedicalmrecord?
a. Tomprovideminformationmformmakingmdecisionsmregardingmthempatient’smcare
b. Tomdocumentmthempatient’smprogress
c. Tomservemasmamlegalmdocument
d. Tomshareminformationmbetweenmmembersmofmthempatient’smfamily
ANS:m D
REF:mp.m2|mCAAHEPmCompetencym(2015):mVI.
4mOBJ:m 1
2. Whatminformationmismcontainedminmthemmedicalmrecord?
a. Healthmhistorymreport
b. Resultsmofmthemphysicalmexamination
c. Laboratorymreports
d. Progressmnotes
e. Allmofmthemabove
ANS:m E REF:mpp.m2-
3|mCAAHEPmCompetencym(2015):mVI.4mOBJ:m 2
3. ThempurposemofmthemHIPAAmPrivacymRulemismto
a. reducemexposuremofmpatientsmtombloodbornempathogens.
b. providempatientsmwithmbetterNcU
onRtS
roI
lmN
ovGeT
rmtB
h.
emC
usO
emM
andmdisclosuremofmtheirmheal
thminformation.
c. preventmthempatient’smrecordsmfrommbeingmcopied.
d. encouragemthempatientmtombecomemmoreminvolvedminmpreventivemhealthmcare.
ANS:m B
REF:mp.m4m|mCAAHEPmCompetencym(2015):mIX
.3mOBJ:m 2
4. AllmofmthemfollowingmaremcharacteristicsmofmthemNoticemofmPrivacymPracticesm except:
a. WasmdevelopedmbymthemAmericanmMedicalmAssociation
b. Mustmexplainmhowmampatient’smhealthminformationmwillmbemusedmandmprotectedmbymt
hemmedicalmoffice
c. Mustmbemprovidedmtomeachmpatient
d. Mustmobtainmamsignedmacknowledgmentmfrommthempatientmthatmhe/shemhasmreceivedm
anmNPP
ANS:m A
REF:mp.m4|mCAAHEPmCompetencym(2015):mIX.
3mOBJ:m 2
5. Healthminformationminmanymformmthatmcontainsmpatientmidentifiableminformationmismknownmas
a. PHI.
b. NPP.
,c. OSHA.
d. HIPAA.
, ANS:m A
REF:mp.m4|mCAAHEPmCompetencym(2015):mIX.
3mOBJ:m 2
6. InmwhichmofmthemfollowingmsituationsmdoesmHIPAAmnotmrequiremwrittenmconsentmformthemuse
m ormdisclosuremofmprotectedmhealthminformation?
a. Patientmreferralmtomamspecialist
b. Emergencymcaremprovidedmatmamhospital
c. Determinationmofmeligibilitymforminsurancembenefits
d. Trainingmofmhealthmcaremstudents
e. Allmofmthemabove
ANS:m E
REF:mp.m4|mCAAHEPmCompetencym(2015):mIX.
3mOBJ:m 2
7. Whichmofmthemfollowingmismnotmanmexamplemofmammedicalmofficemclinicalmdocument?
a. Patientmregistrationmrecord
b. Physicalmexaminationmreport
c. Medicationmrecord
d. Healthmhistorymreport
ANS:m A REF:mpp.m2-
3|mCAAHEPmCompetencym(2015):mVI.4mOBJ:m 2
8. Whichmofmthemfollowingmismnotmamcharacteristicmofmamlaboratorymreport?
a. Itmrelaysmresultsmofmlaboratorymtestsmtomthemprovider
b. Itmconsistsmofmamreportmofmthemanalysismormexaminationmofmbodymspecimens
c. Itmassistsminmdiagnosingmandmtreatingmdisease
d. ItmismamrequestmformlaboratoryNtU
esRtsStI
omN
beGpTeB
rf.
orCmOeM
dmbymanmoutsidemlaboratory
ANS:m D REF:mpp.m2-
3|mCAAHEPmCompetencym(2015):mVI.4mOBJ:m 2
9. Whichmofmthemfollowingmismanmexamplemofmamdiagnosticmproceduremreport?
a. Electrocardiogrammreport
b. Physicalmtherapymreport
c. Urinalysismreport
d. Pathologymreport
ANS:m A REF:mpp.m2-
3|mCAAHEPmCompetencym(2015):mVI.4mOBJ:m 2
10. Whatmismthemnamemofmthemtypemofmreportmthatmdocumentsmthemassessmentsmandmtreatme
ntsmdesignedmtomrestoremampatient’smabilitymtomfunction?
a. Consultationmreport
b. Diagnosticmproceduremreport
c. Pathologymreport
d. Therapeuticmservicemreport
ANS:m D REF:mpp.m2-
3|mCAAHEPmCompetencym(2015):mVI.4mOBJ:m 2
11. Whichmofmthemfollowingmismnotmanmexamplemofmamhospitalmreport?
a. Operativemreport