CHIMA NCE DATA & EHR UPDATED ACTUAL
QUESTIONS WITH CORRECT ANSWERS
Question 1.
An organization's legal health record definition must identify the following regarding individually
identifiable data:
a. Sources
b. Medium
c. Location
d. All of the above
ANSWER
d
Question 2.
It is best practice to establish a ____ when defining the legal health record.
a. Policy
b. Master patient index
c. Health record matrix
d. Both a and c
ANSWER
d
Question 3.
The legal health record can only be comprised of documentation that physically exists in an electronic
system.
True/False
ANSWER
False
,Question 4.
Which function is the first step in the creation of a patient's medical record and initiates the flow of
patient information within the EHR?
a. Analysis
b. Patient registration
c. Scheduling
d. Coding
ANSWER
b
Question 5.
Which of the following processes includes deficiency analysis and chart completion?
a. Release of information
b. Incomplete record
c. Coding
d. Chart reviews
ANSWER
d
Question 6.
Malpractice cases generally fall into the category of _____.
a. Negligence torts
b. Intentional torts
c. Fraud cases
d. Criminal cases
ANSWER
a
Question 7.
In a negligence case, a physician will be held to a standard of providing care that reflects what is called
_____ care.
a. Minimal
b. Optimal
c. Maximum
d. Reasonable
ANSWER
d
, Question 8.
A physician who fails to treat a patient who is brought to him or her for care is guilty of _____.
a. Malfeasance
b. Misfeasance
c. Nonfeasance
d. Malpractice
ANSWER
c
Question 9.
A physician who performs a surgical procedure without patient consent may be prosecuted for _____.
a. Assault
b. Battery
c. Negligence
d. Malfeasance
ANSWER
b
Question 10.
Defaming another person in writing is called _____.
a. Libel
b. Slander
c. Invasion of privacy
d. Fraud
ANSWER
a
Question 11.
To successfully prosecute an individual for slander, the plaintiff must prove that:
a. Actual harm occurred
b. There was harmful intent
c. There was dissension between the parties involved
d. Lost wages resulted from the slander
ANSWER
a
QUESTIONS WITH CORRECT ANSWERS
Question 1.
An organization's legal health record definition must identify the following regarding individually
identifiable data:
a. Sources
b. Medium
c. Location
d. All of the above
ANSWER
d
Question 2.
It is best practice to establish a ____ when defining the legal health record.
a. Policy
b. Master patient index
c. Health record matrix
d. Both a and c
ANSWER
d
Question 3.
The legal health record can only be comprised of documentation that physically exists in an electronic
system.
True/False
ANSWER
False
,Question 4.
Which function is the first step in the creation of a patient's medical record and initiates the flow of
patient information within the EHR?
a. Analysis
b. Patient registration
c. Scheduling
d. Coding
ANSWER
b
Question 5.
Which of the following processes includes deficiency analysis and chart completion?
a. Release of information
b. Incomplete record
c. Coding
d. Chart reviews
ANSWER
d
Question 6.
Malpractice cases generally fall into the category of _____.
a. Negligence torts
b. Intentional torts
c. Fraud cases
d. Criminal cases
ANSWER
a
Question 7.
In a negligence case, a physician will be held to a standard of providing care that reflects what is called
_____ care.
a. Minimal
b. Optimal
c. Maximum
d. Reasonable
ANSWER
d
, Question 8.
A physician who fails to treat a patient who is brought to him or her for care is guilty of _____.
a. Malfeasance
b. Misfeasance
c. Nonfeasance
d. Malpractice
ANSWER
c
Question 9.
A physician who performs a surgical procedure without patient consent may be prosecuted for _____.
a. Assault
b. Battery
c. Negligence
d. Malfeasance
ANSWER
b
Question 10.
Defaming another person in writing is called _____.
a. Libel
b. Slander
c. Invasion of privacy
d. Fraud
ANSWER
a
Question 11.
To successfully prosecute an individual for slander, the plaintiff must prove that:
a. Actual harm occurred
b. There was harmful intent
c. There was dissension between the parties involved
d. Lost wages resulted from the slander
ANSWER
a
