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TEST BANK FOR Clinical Procedures for Medical Assistants 10th Edition by Kathy Bonewit-West , ISBN: 9780323377119 || Guide A+

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TEST BANK FOR Clinical Procedures for Medical Assistants 10th Edition
by Kathy Bonewit-West
TE
S
TB
A N
Chapter 01: The Medical Record

MULTIPLE CHOICE
KS

1. What information is contained in the medical record?
a. Health history report
b. Results of the physical examination
c. Laboratory reports
O
d. Progress notes
e. All of the above

ANS: E REF: pp. 2-3| CAAHEP Competency (2015): VI.4
LU
OBJ: 2


2. Which of the following is not a function of the medical record?
a. To provide information for making decisions regarding the patient’s care
b. To document the patient’s progress
TI
c. To serve as a legal document
d. To share information between members of the patient’s family

ANS: D REF: p. 2| CAAHEP Competency (2015): VI.4
O
OBJ: 1
N
3. The purpose of the HIPAA Privacy Rule is to
a. reduce exposure of patients to bloodborne pathogens.
b. provide patients with betterNcU
onRtS
roI
lN
ovGeT
r tB
h.
e uCsO
eMand disclosure of their health
S
information.
c. prevent the patient’s records from being copied.
d. encourage the patient to become more involved in preventive health care.

ANS: B REF: p. 4 | CAAHEP Competency (2015): IX.3
OBJ: 2

, 4. All of the following are characteristics of the Notice of Privacy Practices except:
a. Was developed by the American Medical Association
b. Must explain how a patient’s health information will be used and protected by the
medical office
c. Must be provided to each patient
TE
d. Must obtain a signed acknowledgment from the patient that he/she has received an
NPP
ANS: A REF: p. 4| CAAHEP Competency (2015): IX.3
OBJ: 2
S
5. Health information in any form that contains patient identifiable information is known as
a. PHI.
b. NPP.
TB
c. OSHA.
d. HIPAA.
A N
KS
O
LU
TI
O
N
S

, ANS: A REF: p. 4| CAAHEP Competency (2015): IX.3
OBJ: 2

6. In which of the following situations does HIPAA not require written consent for the use or
disclosure of protected health information?
a. Patient referral to a specialist
TE
b. Emergency care provided at a hospital
c. Determination of eligibility for insurance benefits
d. Training of health care students
e. All of the above
S
ANS: E REF: p. 4| CAAHEP Competency (2015): IX.3
OBJ: 2
TB
7. Which of the following is not an example of a medical office clinical document?
a. Patient registration record
b. Physical examination report
c. Medication record
d. Health history report
A
ANS: A REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2
N
8. Which of the following is not a characteristic of a laboratory report?
a. It relays results of laboratory tests to the provider
b. It consists of a report of the analysis or examination of body specimens
KS
c. It assists in diagnosing and treating disease
d. It is a request for laboratoryNtU
esRtsStI
oNbeGpTeB
rf.
orCmOeM
d by an outside laboratory
ANS: D REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2
O
9. Which of the following is an example of a diagnostic procedure report?
a. Electrocardiogram report
b. Physical therapy report
LU
c. Urinalysis report
d. Pathology report

ANS: A REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2
TI
10. What is the name of the type of report that documents the assessments and treatments
designed to restore a patient’s ability to function?
a. Consultation report
b. Diagnostic procedure report
O
c. Pathology report
d. Therapeutic service report
N
ANS: D REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2

11. Which of the following is not an example of a hospital report?
S
a. Operative report

, b. Cytology report
c. Discharge summary report
d. Emergency department report

ANS: B REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2
TE

12. Which of the following is an example of a consent document?
a. Patient registration record
b. Notice of Privacy Practices form
c. Release of medical information form
S
d. Patient instruction sheet

ANS: C REF: pp. 2-3| CAAHEP Competency (2015): VI.4
TB
OBJ: 2

13. Which of the following can be performed by an electronic medical record software program?
a. Creation of a medical record
b. Storage of a medical record
c. Editing of a medical record
A
d. Retrieval of a medical record
e. All of the above
N
ANS: E REF: p. 3| CAAHEP Competency (2015): V.8
OBJ: 3
KS
14. All of the following are advantages of an electronic medical record (EMR) except
a. an EMR does not have to be filed.
b. documents in an EMR can N beUqRuS
icI
klNyGreTtrBie.vC
edO. M
c. more than one person can view an EMR at the same time.
d. EMRs are exempt from the HIPAA regulations.
O
ANS: D REF: pp. 3, 6| CAAHEP Competency (2015): VI.12
OBJ: 5
LU
15. Which of the following are used to enter data into an electronic medical record?
a. Free-text entry
b. Drop-down menus
c. Radio buttons
d. All of the above
TI
ANS: D REF: p. 11| CAAHEP Competency (2015): V.8
OBJ: 8

16. How are paper documents entered into a patient’s electronic medical record?
O
a. By scanning them into the computer
b. By retyping them on the computer
c. By photocopying them
N
d. By transmitting them through a modem
ANS: A REF: p. 11| CAAHEP Competency (2015): VI.4
OBJ: 8
S

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