CAHIMS FINAL EXAM | COMPLETE QUESTIONS WITH 100% RATED EXPERT
SOLUTIONS |2026 LATEST UPDATED
1. As healthcare costs continue to rise, we are challenged to determine how
best to finance US healthcare. Which of these options is not considered as a possible solution?: The rich pay for the poor
to have healthcare
TRUE OPTIONS:
Taxes fund healthcare
The patient pays out of pocket
Private health insurance funds healthcare
2. Studies and trials designed and executed with particular consideration for eliminating bias are examples of
public health methodology for _______: Data collection
3. Sarah Jones lives in Newark, New Jersey. She works at a minimum wage job and often moves in and out of
Medicaid eligibility. She recently injured her arm and needs minor surgery. She is most likely to seek care through
the
_______: Public hospital
4. If a medical service, such as an organ transplant, is not in a managed care contact's capitation rate, it may be
handled in a separate part of the contract. What is the uncovered service called?: Carve-out
A medical service excluded from a managed care's capitation rate is called a carve-out. Carve-outs can include certain
health conditions, such as HIV, or certain groups, such as nonunion or management employees. Carve-outs can also be
applied to certain parts of a health plan, such as pharmacy, which would possibly be contracted separately.
,5. Dr. Joshi is an independent, practicing physician specializing in internal medicine. She maintains her own office
but also is a member of a physician
group that contracts with and provides services to an HMO. Dr. Joshi is most likely a member of a/an ________:
Independent practice association (IPA)
An IPA may contract with and provide medical services to both HMO and non-HMO plan participants.
6. A patient becomes a guarantor when which of the following occurs?: He or she completes the registration process
7. Why would a nurse look at a patient's physiologic data while assessing the patient?: It shows how well the
patient's body is functioning
Physiologic data, such as heart rate, show how well the body is functioning. Part of the nursing process is to diagnose a
patient's health issue. Looking at physiologic data will help a nurse develop diagnosis.
8. Which of the following statements best characterizes the relationship between clinical judgement and the nursing
process?: The nursing process provides the framework for how nurses apply their clinical judgement skills
9. Chris complained to Dr. Wilson about months of frequent abdominal pain and discomfort in association with
frequent diarrhea, bloating, and a change in bowel habits. From this information, Dr. Wilson has decided on a multiple-
symptom-based diagnosis for Chris's condition, even though there is no known cause for it. Which one of the following
is the most appropriate diagnosis based on the information provided?: Irritable bowel syndrome
A syndrome is a combination of symptoms and physical findings not easily attributable to a specific cause. Chris is
presenting the combination of symptoms and physical findings not easily attributable to a specific cause known as
irritable bowel syndrome.
10. True or False? The cost of medical errors is significant, primarily in terms of financial costs.: False
The cost of medical errors is costly and adds to rising healthcare costs. However, the cost in human suffering due to
medical errors is the primary concern.
, 11. When Dr. Jyung has successfully installed an EHR system, patient records will be available for medical research
purpose. How will this effort help ad-
vance HITECH goals?: Dr. Jyung's patient data, when combined with data from other healthcare professionals, will
provide patient history of care and treatment, so any new diagnoses and treatments can be evaluated using that history
When exchanged and combined electronically, the patient health data from the EHR systems installed nationwide will
be valuable in the advancement of diagnosis and treatment practices. Medicine is, after all, a science and therefore thrives
on data.
12. Which of the following best represents the reasoning for multiple stages of
meaningful use?: Each stage builds upon goals of the previous stage, allowing providers to implement EHR systems
and then add to the functionality once the system has been in use for a while
The incentives offered in Stage 1 were intended to encourage providers to implement a system as quickly as possible
and meet certain minimum requirements. Stage 2 increased those requirements.
13. Which of the following typically has greater financial incentives to keep their patients healthy?: Primary care
physicians in an HMO
Primary care physicians in an HMO often receive financial incentives for low utilization of services by patients under
their care.
14. If you wanted to learn about mobile health applications, which of the following organizational websites would
you visit first?: HIMSS
The primary area of focus for HIMSS are clinical and business intelligence, federal health, health information
exchange, management engineering and process involvement, mobile health, and clinical informatics.
15. Which of the following are ethical use of health data accessed through HIT
applications?: A cancer research center shares anonymized data from its patients with another cancer research institute.
SOLUTIONS |2026 LATEST UPDATED
1. As healthcare costs continue to rise, we are challenged to determine how
best to finance US healthcare. Which of these options is not considered as a possible solution?: The rich pay for the poor
to have healthcare
TRUE OPTIONS:
Taxes fund healthcare
The patient pays out of pocket
Private health insurance funds healthcare
2. Studies and trials designed and executed with particular consideration for eliminating bias are examples of
public health methodology for _______: Data collection
3. Sarah Jones lives in Newark, New Jersey. She works at a minimum wage job and often moves in and out of
Medicaid eligibility. She recently injured her arm and needs minor surgery. She is most likely to seek care through
the
_______: Public hospital
4. If a medical service, such as an organ transplant, is not in a managed care contact's capitation rate, it may be
handled in a separate part of the contract. What is the uncovered service called?: Carve-out
A medical service excluded from a managed care's capitation rate is called a carve-out. Carve-outs can include certain
health conditions, such as HIV, or certain groups, such as nonunion or management employees. Carve-outs can also be
applied to certain parts of a health plan, such as pharmacy, which would possibly be contracted separately.
,5. Dr. Joshi is an independent, practicing physician specializing in internal medicine. She maintains her own office
but also is a member of a physician
group that contracts with and provides services to an HMO. Dr. Joshi is most likely a member of a/an ________:
Independent practice association (IPA)
An IPA may contract with and provide medical services to both HMO and non-HMO plan participants.
6. A patient becomes a guarantor when which of the following occurs?: He or she completes the registration process
7. Why would a nurse look at a patient's physiologic data while assessing the patient?: It shows how well the
patient's body is functioning
Physiologic data, such as heart rate, show how well the body is functioning. Part of the nursing process is to diagnose a
patient's health issue. Looking at physiologic data will help a nurse develop diagnosis.
8. Which of the following statements best characterizes the relationship between clinical judgement and the nursing
process?: The nursing process provides the framework for how nurses apply their clinical judgement skills
9. Chris complained to Dr. Wilson about months of frequent abdominal pain and discomfort in association with
frequent diarrhea, bloating, and a change in bowel habits. From this information, Dr. Wilson has decided on a multiple-
symptom-based diagnosis for Chris's condition, even though there is no known cause for it. Which one of the following
is the most appropriate diagnosis based on the information provided?: Irritable bowel syndrome
A syndrome is a combination of symptoms and physical findings not easily attributable to a specific cause. Chris is
presenting the combination of symptoms and physical findings not easily attributable to a specific cause known as
irritable bowel syndrome.
10. True or False? The cost of medical errors is significant, primarily in terms of financial costs.: False
The cost of medical errors is costly and adds to rising healthcare costs. However, the cost in human suffering due to
medical errors is the primary concern.
, 11. When Dr. Jyung has successfully installed an EHR system, patient records will be available for medical research
purpose. How will this effort help ad-
vance HITECH goals?: Dr. Jyung's patient data, when combined with data from other healthcare professionals, will
provide patient history of care and treatment, so any new diagnoses and treatments can be evaluated using that history
When exchanged and combined electronically, the patient health data from the EHR systems installed nationwide will
be valuable in the advancement of diagnosis and treatment practices. Medicine is, after all, a science and therefore thrives
on data.
12. Which of the following best represents the reasoning for multiple stages of
meaningful use?: Each stage builds upon goals of the previous stage, allowing providers to implement EHR systems
and then add to the functionality once the system has been in use for a while
The incentives offered in Stage 1 were intended to encourage providers to implement a system as quickly as possible
and meet certain minimum requirements. Stage 2 increased those requirements.
13. Which of the following typically has greater financial incentives to keep their patients healthy?: Primary care
physicians in an HMO
Primary care physicians in an HMO often receive financial incentives for low utilization of services by patients under
their care.
14. If you wanted to learn about mobile health applications, which of the following organizational websites would
you visit first?: HIMSS
The primary area of focus for HIMSS are clinical and business intelligence, federal health, health information
exchange, management engineering and process involvement, mobile health, and clinical informatics.
15. Which of the following are ethical use of health data accessed through HIT
applications?: A cancer research center shares anonymized data from its patients with another cancer research institute.
