Question 1

Which agency should be notified if violations of HIPAA regulations have occurred?

Accepted Answer

A)  HHS 
B)  FDA 
C)  CDC 
D)  The Joint Commission 
A)  HHS 
B)  FDA 
C)  CDC 
D)  The Joint Commission A

Question 2

When the respiratory therapist is entering a SOAPIER progress note in a patient's chart, the A stands for:

Accepted Answer

A)  application of the data. 
B)  acceptance of the treatment options by the patient. 
C)  affect of the patient. 
D)  assessment of the data by the respiratory therapist. 
A)  application of the data. 
B)  acceptance of the treatment options by the patient. 
C)  affect of the patient. 
D)  assessment of the data by the respiratory therapist. D

Question 3

Telemedicine allows health care practitioner the ability to do which of the following?
1) Perform remote procedures using robotics.
2) Attend medical education seminars.
3) Send and receive patient medical files, radiologic images, and health informatics data.
4) Conduct real-time interactive videoconferencing with patients, other care givers, and consultants.

Accepted Answer

A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 3, 4 
A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 3, 4 C

Question 4

Which of the following are basic methods to record assessment data?
1) Computer documentation
2) Block chart
3) Traditional chart
4) Problem-oriented medical record

Accepted Answer

A) 1, 2 
B) 2, 3 
C) 1, 3, 4 
D) 2, 3, 4 
A) 1, 2 
B) 2, 3 
C) 1, 3, 4 
D) 2, 3, 4

Question 5

In which section of the SOAPIER format should the patient's response to a specific treatment modality be recorded?

Accepted Answer

A)  Assessment 
B)  Implementation 
C)  Observation 
D)  Evaluation 
A)  Assessment 
B)  Implementation 
C)  Observation 
D)  Evaluation

Question 6

Which of the following statements are true regarding a patient's chart?
1) The patient's chart is a legal record and can be used in court.
2) Accreditation agencies may access a patient's chart to assess appropriateness of care.
3) The patient's insurance company may review the patient's chart before providing reimbursement.
4) The patient's spouse may access the patient's chart without authorization by the patient.

Accepted Answer

A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 3

Question 7

Computer-based records are commonly used for which of the following?
1) Retrieving pulmonary function studies
2) Storing treatment information
3) Storing admission data
4) Ordering patient supplies

Accepted Answer

A) 3, 4 
B) 1, 2 
C) 1, 2, 3 
D) 2, 3, 4 
A) 3, 4 
B) 1, 2 
C) 1, 2, 3 
D) 2, 3, 4

Question 8

Which of the following statements is true regarding Health Insurance Portability and Accountability Act (HIPAA) regulations?

Accepted Answer

A)  A bank can check for a preexisting condition. 
B)  The patient controls access to his/her medical records. 
C)  Psychotherapy and medical records are treated equally. 
D)  An employer can check for a preexisting condition. 
A)  A bank can check for a preexisting condition. 
B)  The patient controls access to his/her medical records. 
C)  Psychotherapy and medical records are treated equally. 
D)  An employer can check for a preexisting condition.

Question 9

A problem-oriented medical record is used by health care practitioners to:
1) systemically gather clinical data.
2) communicate with the patient's family.
3) develop a treatment plan.
4) formulate an assessment.

Accepted Answer

A) 1, 2 
B) 3, 4 
C) 1, 3, 4 
D) 2, 3, 4 
A) 1, 2 
B) 3, 4 
C) 1, 3, 4 
D) 2, 3, 4

Question 10

When reviewing a SOAPIER progress note, the R stands for:

Accepted Answer

A)  revisions made in the original plan. 
B)  reimbursement by the insurance carrier. 
C)  respiratory care notes. 
D)  resuscitation status of the patient. 
A)  revisions made in the original plan. 
B)  reimbursement by the insurance carrier. 
C)  respiratory care notes. 
D)  resuscitation status of the patient.

Question 11

When reviewing a SOAPIER progress note, all of the following would be found in the S area?

Accepted Answer

A)  Hemodynamic data 
B)  Patient's admission complaint 
C)  Blood pressure 
D)  Sputum production 
A)  Hemodynamic data 
B)  Patient's admission complaint 
C)  Blood pressure 
D)  Sputum production

Exam 12: Recording Skills and Intra-Professional Communication

Which agency should be notified if violations of HIPAA regulations have occurred?

When the respiratory therapist is entering a SOAPIER progress note in a patient's chart, the A stands for:

Which of the following are basic methods to record assessment data? 1) Computer documentation 2) Block chart 3) Traditional chart 4) Problem-oriented medical record

In which section of the SOAPIER format should the patient's response to a specific treatment modality be recorded?

Computer-based records are commonly used for which of the following? 1) Retrieving pulmonary function studies 2) Storing treatment information 3) Storing admission data 4) Ordering patient supplies

Which of the following statements is true regarding Health Insurance Portability and Accountability Act (HIPAA) regulations?

A problem-oriented medical record is used by health care practitioners to: 1) systemically gather clinical data. 2) communicate with the patient's family. 3) develop a treatment plan. 4) formulate an assessment.

When reviewing a SOAPIER progress note, the R stands for:

When reviewing a SOAPIER progress note, all of the following would be found in the S area?

The Patient Interview

The Physical Examination

The Pathophysiologic Basis for Common Clinical Manifestations

Pulmonary Function Testing

Blood Gas Assessment

Assessment of Oxygenation

Assessment of the Cardiovascular System

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program

Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols

Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema

Asthma

Cystic Fibrosis

Bronchiectasis

Atelectasis

Pneumonia, Lung Abscess Formation, and Important Fungal Diseases

Tuberculosis

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Cancer of the Lung, Prevention and Palliation

Interstitial Lung Diseases

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Cardiopulmonary Assessment and Care of Patients With Neuromuscular Disease

Sleep Apnea

Newborn Assessment and Management

Pediatric Assessment, Protocols, and Pals Management

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndrome

Respiratory Syncytial Virus Infection Bronchiolitis

Chronic Lung Disease of Infancy

Congenital Diaphragmatic Hernia

Congenital Heart Disease

Croup and Croup-Like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis, and Acute Epiglottitis

Near Drowningwet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

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