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RHIA Exam Review - Mock Exam Questions With Complete Solutions
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RHIA Exam Review - Mock Exam Questions With Complete Solutions
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RHIA Exam Review - Mock Exam Questions With CompleteSolutions
"For the Kids," a foundation associated with the local children's
hospital, is hosting a gala to raise funds for its new pulmonary
care unit. The names of all patients who have been associated
with the pulmonary care service in the past year are mined, and
their parents are solicited to attend or donate to this event.
- This is not a HIPAA violation because the parents were
solicited, not the patients
- This is a HIPAA violation because the patients and their
parents weren't given the opportunity to opt out before receiving
this solicitation
- This is a HIPAA violation because patient-identifiable
information was utilized for fundraising purposes
- This is not a HIPAA violation because the department of
service can be utilized for fundraising purposes Correct Answer
This is not a HIPAA violation because the department of service
can be utilized for fundraising purposes
(Domain I) A quantitative review of a health record reveals that
the history and physical for a patient admitted on September 26
was performed on September 30 and transcribed on October 1.
Which of the following statements regarding completion and
charting of the history and physical is true in this situation?
- compliance with Medicare regulations
- compliance with Joint Commission standards for non-surgical
patients
- compliance with Joint Commission standards
,- noncompliance with Joint Commission standards Correct
Answer noncompliance with Joint Commission standards
(Domain I) For continuity of care, ambulatory care providers are
more likely than providers of acute care services to rely on the
documentation found in the:
- discharge summary
- problem list
- interdisciplinary patient care plan
- transfer record Correct Answer problem list
(Domain I) For inpatients, the first data item collected of a
clinical nature is usually:
- expected payer
- admitting diagnosis
- review of systems
- principal diagnosis Correct Answer admitting diagnosis
(Domain I) Good screen design, along with alerts, makes it
easier to ensure that all essential data items have been captured.
One essential item to be captured on the physical exam is:
- family history as related by the patient
- general appearance as assessed by the physician
- smoking and alcohol intake status
- review of systems Correct Answer general appearance as
assessed by the physician
,(Domain I) In the past, The Joint Commission standards have
focused on promoting the use of a facility-approved abbreviation
list to be used by hospital care providers. With the advent of The
Joint Commission's national patient safety goals, the focus has
shifted to the:
- prohibited use of leading zeros
- use of prohibited or dangerous abbreviations
- use of abbreviations in the final diagnosis
- flagrant use of specialty-specific abbreviations Correct
Answer use of prohibited or dangerous abbreviations
(Domain I) The primary focus of screen format design in an
EHR should be to ensure that:
- the user is capturing essential data elements
- data fields can be randomly accessed
- programmers develop standard screen formats for all facilities
in a system
- paper forms are easily converted to computer screens Correct
Answer the user is capturing essential data elements
(Domain I) Which of the following components of the problem-
oriented record serves to index documentation throughout the
record?
- problem list
- initial plan
- database
- SOAP notes Correct Answer problem list
, (Domain I) Which of the following is a form or view that is
typically seen in the health record of a long-term care patient but
is rarely seen in records of acute care patients?
- Physical exam
- Medical consultation
- Emergency record
- Pharmacy consultation Correct Answer Pharmacy
consultation
(Domain I) Which of the following key data items would you
expect to find recorded on an ER record, but you would be less
likely to find in an acute care record?
- time and means of arrival
- instructions for follow-up care
- physical findings
- lab and diagnostic test results Correct Answer time and means
of arrival
(Domain I) Which of the following would be the most efficient
use of secondary data sources to gather the health records of all
juvenile patients treated for diabetes, and all juvenile patients
treated for diabetes who have had surgery, within the past 6
months?
- procedure index
- disease index
- disease and procedure indexes
- pediatric census sheet Correct Answer disease index
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