Question 1

The acronym PHR stands for:

Accepted Answer

A)  provider health record. 
B)  personal health record. 
C)  patient health record. 
D)  private heath record. 
E)  preventative health record. 
A)  provider health record. 
B)  personal health record. 
C)  patient health record. 
D)  private heath record. 
E)  preventative health record. B

Question 2

Practical reasons for healthcare providers to move to an electronic health record include all of the following statements EXCEPT:

Accepted Answer

A)  paper records are easily accessed and shared. 
B)  paper charts must be copied or faxed. 
C)  handwritten charts can be illegible. 
D)  searching the contents of a paper chart requires manually opening it and looking through it. 
E)  paper charts must be transported from one office to another. 
A)  paper records are easily accessed and shared. 
B)  paper charts must be copied or faxed. 
C)  handwritten charts can be illegible. 
D)  searching the contents of a paper chart requires manually opening it and looking through it. 
E)  paper charts must be transported from one office to another. A

Question 3

The word data refers to:

Accepted Answer

A)  records of facts. 
B)  computer information. 
C)  patient information. 
D)  presentation of information. 
E)  All of the above 
A)  records of facts. 
B)  computer information. 
C)  patient information. 
D)  presentation of information. 
E)  All of the above A

Question 4

A patient history for an ambulatory visit includes:

Accepted Answer

A)  review of systems. 
B)  family history. 
C)  history of present illness. 
D)  chief complaint. 
E)  All of the above 
A)  review of systems. 
B)  family history. 
C)  history of present illness. 
D)  chief complaint. 
E)  All of the above

Question 5

Errors in a paper health records should be corrected by FIRST:

Accepted Answer

A)  erasing the error. 
B)  drawing two lines through the error. 
C)  drawing one line in ink through the error. 
D)  drawing an "x" over the error. 
E)  Any of the above are acceptable. 
A)  erasing the error. 
B)  drawing two lines through the error. 
C)  drawing one line in ink through the error. 
D)  drawing an "x" over the error. 
E)  Any of the above are acceptable.

Question 6

Health information professionals use which of the following to ensure quality patient records?

Accepted Answer

A)  Data sets 
B)  Data elements 
C)  HIM policies 
D)  HIM procedures 
E)  All of the above 
A)  Data sets 
B)  Data elements 
C)  HIM policies 
D)  HIM procedures 
E)  All of the above

Question 7

The birth of a baby requires a document recording the birth to be signed and sent to the:

Accepted Answer

A)  admission office. 
B)  parents. 
C)  attending physician. 
D)  state health department. 
E)  federal government. 
A)  admission office. 
B)  parents. 
C)  attending physician. 
D)  state health department. 
E)  federal government.

Question 8

A specialist that is asked to see a patient or review a case is a(n):

Accepted Answer

A)  admitting physician. 
B)  consulting physician. 
C)  primary physician. 
D)  discharging physician. 
E)  referring physician. 
A)  admitting physician. 
B)  consulting physician. 
C)  primary physician. 
D)  discharging physician. 
E)  referring physician.

Question 9

The acronym SOAP stands for:

Accepted Answer

A)  subjective, objective, assessment, plan. 
B)  subjective, occupational, assessment, plan. 
C)  subjective, operative, ailments, plan. 
D)  subjective, objective, ailments, patient. 
E)  subjective, objective, assessment, patient. 
A)  subjective, objective, assessment, plan. 
B)  subjective, occupational, assessment, plan. 
C)  subjective, operative, ailments, plan. 
D)  subjective, objective, ailments, patient. 
E)  subjective, objective, assessment, patient.

Question 10

Which of the following is NOT an advantage of the PHR?

Accepted Answer

A)  Patients enter the information themselves. 
B)  Patients can retrieve their own records. 
C)  The record can be retrieved using the Internet. 
D)  It can integrate information from many different providers. 
E)  It can integrate information about medications. 
A)  Patients enter the information themselves. 
B)  Patients can retrieve their own records. 
C)  The record can be retrieved using the Internet. 
D)  It can integrate information from many different providers. 
E)  It can integrate information about medications.

Question 11

Which of the following statements is TRUE about teloradiology?

Accepted Answer

A)  It transmits diagnostic images between two locations. 
B)  Transmitted images are read by a radiologist on the receiving end. 
C)  It may be used to obtain a second opinion. 
D)  Radiologists on the receiving end must be licensed by the state in which the images were sent from. 
E)  All of the above 
A)  It transmits diagnostic images between two locations. 
B)  Transmitted images are read by a radiologist on the receiving end. 
C)  It may be used to obtain a second opinion. 
D)  Radiologists on the receiving end must be licensed by the state in which the images were sent from. 
E)  All of the above

Question 12

Which of the following refers to the presentation of patient information in a useful form and the association of other relevant details with it?

Accepted Answer

A)  Computer data 
B)  Health information 
C)  Patient data 
D)  Health data 
E)  Consumer information 
A)  Computer data 
B)  Health information 
C)  Patient data 
D)  Health data 
E)  Consumer information

Question 13

The ________ attempted to make patient records available to providers that were members of larger healthcare organizations.

Accepted Answer

A)  electronic medical network 
B)  integrated delivery network 
C)  national health information network 
D)  patient information network 
E)  patient health record network 
A)  electronic medical network 
B)  integrated delivery network 
C)  national health information network 
D)  patient information network 
E)  patient health record network

Question 14

The paper patient demographic form is called a(n):

Accepted Answer

A)  admission record. 
B)  face sheet. 
C)  data form. 
D)  history form. 
E)  patient information sheet. 
A)  admission record. 
B)  face sheet. 
C)  data form. 
D)  history form. 
E)  patient information sheet.

Question 15

The exchange of health information across medical practices and facilities owned by different entities for better patient well-being is encouraged by regional health information organizations.

Accepted Answer

A) True 
 B)False

Question 16

All of the following statements about E-visits are true EXCEPT:

Accepted Answer

A)  the E-visit is kept separate from the patient chart. 
B)  E-visits can be handled by the "doctor on-call." 
C)  E-visits are not appropriate for new patients who have never been seen at the practice. 
D)  E-visits are used for non-urgent visits. 
E)  a clinician can prescribe medications during an E-visit. 
A)  the E-visit is kept separate from the patient chart. 
B)  E-visits can be handled by the "doctor on-call." 
C)  E-visits are not appropriate for new patients who have never been seen at the practice. 
D)  E-visits are used for non-urgent visits. 
E)  a clinician can prescribe medications during an E-visit.

Question 17

Records that are created by abstracting and summarizing information from primary records are:

Accepted Answer

A)  primary records. 
B)  secondary records. 
C)  compiled records. 
D)  research records. 
E)  summary records. 
A)  primary records. 
B)  secondary records. 
C)  compiled records. 
D)  research records. 
E)  summary records.

Question 18

All of the following are documented by nurses in an inpatient facility EXCEPT:

Accepted Answer

A)  patient's social history. 
B)  administration of medications. 
C)  treatments ordered by the physician. 
D)  patient response to treatment. 
E)  insurance information. 
A)  patient's social history. 
B)  administration of medications. 
C)  treatments ordered by the physician. 
D)  patient response to treatment. 
E)  insurance information.

Question 19

Which of the following documents is NOT a consent form?

Accepted Answer

A)  Consent to treatment 
B)  Medicare patient rights statement 
C)  Medical history 
D)  Advance directive 
E)  Assignment of benefits 
A)  Consent to treatment 
B)  Medicare patient rights statement 
C)  Medical history 
D)  Advance directive 
E)  Assignment of benefits

Question 20

An attending physician's request for a consult is called a(n):

Accepted Answer

A)  patient request. 
B)  medical request. 
C)  referral. 
D)  consultation. 
E)  None of the above 
A)  patient request. 
B)  medical request. 
C)  referral. 
D)  consultation. 
E)  None of the above

The acronym PHR stands for:

Practical reasons for healthcare providers to move to an electronic health record include all of the following statements EXCEPT:

The word data refers to:

A patient history for an ambulatory visit includes:

Errors in a paper health records should be corrected by FIRST:

Health information professionals use which of the following to ensure quality patient records?

The birth of a baby requires a document recording the birth to be signed and sent to the:

A specialist that is asked to see a patient or review a case is a(n):

The acronym SOAP stands for:

Which of the following is NOT an advantage of the PHR?

Which of the following statements is TRUE about teloradiology?

Which of the following refers to the presentation of patient information in a useful form and the association of other relevant details with it?

The ________ attempted to make patient records available to providers that were members of larger healthcare organizations.

The paper patient demographic form is called a(n):

The exchange of health information across medical practices and facilities owned by different entities for better patient well-being is encouraged by regional health information organizations.

All of the following statements about E-visits are true EXCEPT:

Records that are created by abstracting and summarizing information from primary records are:

All of the following are documented by nurses in an inpatient facility EXCEPT:

Which of the following documents is NOT a consent form?

An attending physician's request for a consult is called a(n):

Healthcare Delivery Fundamentals

Health Information Professionals

Accreditation, Regulation, and Hipaa

Fundamentals of Information Systems

Organization, Storage, and Management of Health Records

Electronic Health Records

Additional Health Information Systems

Healthcare Coding and Reimbursement

Healthcare Transactions and Billing

Health Statistics, Research, and Quality Improvement

Management and Decision Support Systems

Filters

Exam 5: Healthcare Records

The acronym PHR stands for:

Practical reasons for healthcare providers to move to an electronic health record include all of the following statements EXCEPT:

The word data refers to:

A patient history for an ambulatory visit includes:

Errors in a paper health records should be corrected by FIRST:

Health information professionals use which of the following to ensure quality patient records?

The birth of a baby requires a document recording the birth to be signed and sent to the:

A specialist that is asked to see a patient or review a case is a(n):

The acronym SOAP stands for:

Which of the following is NOT an advantage of the PHR?

Which of the following statements is TRUE about teloradiology?

Which of the following refers to the presentation of patient information in a useful form and the association of other relevant details with it?

The ________ attempted to make patient records available to providers that were members of larger healthcare organizations.

The paper patient demographic form is called a(n):

The exchange of health information across medical practices and facilities owned by different entities for better patient well-being is encouraged by regional health information organizations.

All of the following statements about E-visits are true EXCEPT:

Records that are created by abstracting and summarizing information from primary records are:

All of the following are documented by nurses in an inpatient facility EXCEPT:

Which of the following documents is NOT a consent form?

An attending physician's request for a consult is called a(n):

Healthcare Delivery Fundamentals

Health Information Professionals

Accreditation, Regulation, and Hipaa

Fundamentals of Information Systems

Organization, Storage, and Management of Health Records

Electronic Health Records

Additional Health Information Systems

Healthcare Coding and Reimbursement

Healthcare Transactions and Billing

Health Statistics, Research, and Quality Improvement

Management and Decision Support Systems

Filters