The process by which an organization or agency performs an external review and grants recognition to
the program of study or institution that meets certain predetermined standards is called:
a. standardization
b. registration
c. formalization
d. accreditation - ANSWER:d. accreditation
Dr. Barbette is delinquent, with 10 of 15 of medical records needing to be completed. what is her
delinquency rate?
a. 5%
b. 10%
c. 33%
d. 67% - ANSWER:d. 67%
Upon discharge analysis of a patient's record, the analyst does not see a discharge order written by the
physician. what can the analyst assume?
a. the patient died prior to discharge.
b. the patient let against medical advice.
c. the family members requested hospice care.
d. the patient will continue treatment on an outpatient basis - ANSWER:b. the patient left against
medical advice
which of the following is a secondary record for J. Pratt?
a. ICD-9-CM code of 650 in the diagnostic index
b. emergency room record dated June 6
c. Mental health record at Houston Honorary Adolescent Center
d. admitted and discharged same day with ICD-9-CM code of 650 - ANSWER:a. ICD-9-CM code of 650 in
the diagnostic index
how long should the master patient index be maintained?
a. 5 years
b. 10 years
,c. 20 years
d. indefinitely - ANSWER:d. indefinitely
The Hill-Burton Act of 1946:
a. enacted legislation funding the construction of hospitals and other healthcare facilities
b. established the retrospective payment system
c. assured the provision of health care for the indigent
d. provided health care to Americans 65 years of age and older - ANSWER:a. enacted legislation funding
the construction of hospitals and other healthcare facilities
Dr. Thomas made an error in recording the progress notes in a patient's medical record. what is the first
thing he should do to correct the error?
a. remove the page on which he made the error
b. tell the nursing staff to ignore the statement
c. draw a single line through the error
d. obliterate the error and enter the correct entry - ANSWER:c. draw a single line through the error
a patient is hospitalized for less than 48 hours. which of the following is permissible in lieu of a discharge
summary?
a. discharge order
b. final progress note
c. discharge diagnosis
d. final diagnosis - ANSWER:b. final progress note
who is responsible for developing bylaw governing physicians' completion of medical records?
a. governing board
b. chief of medicine
c. chief executive officer
d. medical staff - ANSWER:d. medical staff
Which system avoids assigning a new number for each patient encounter?
a. straight numerical
b. serial numbering
c. unit numbering
d. serial-unit numbering - ANSWER:c. unit numbering
,By signing a consent for treatment, the patient agrees to
a. allow the hospital to release information to his or her insurance company
b. treatments and procedures to be performed by healthcare providers.
c. take all medications prescribed and dispensed by healthcare providers
d. allow hospital to dispose of property and value in the case of death. - ANSWER:b. treatments and
procedures to be performed by healthcare providers
Reviewing the record to assure the presence of a discharge summary is referred to as
a. legal analysis
b. qualitative analysis
c. documentation analysis
d. quantitative analysis - ANSWER:d. quantitative analysis
a major advantage of the source-oriented medical record is the
a. speed at which individual sheets can be located
b. ease with which healthcare providers can follow the course of one problem - ANSWER:a. speed at
which individual sheets can be located
William Esther, RHIT, informs his staff that he will begin to suspend individuals who are delinquent in
meeting the required coding standard of 50 records per day. This reflects what power?
a. reward
b. coercive
c. expert
d. referent - ANSWER:b. coercive
The surgical department of Houston Hospital conducted a study on post-surgical deaths and age of
patients. The researcher hypothesized, "There is no relationship between post-surgical deaths and the
age of the patients." This statement is generally called the:
A: null hypothesis.
B: statement of problem.
C: statement of problem.
D: alternative hypothesis. - ANSWER:a. null hypothesis
A white blood cell count may be used to diagnose:
, A: diarrhea.
B: Crohn's disease.
C: leukocytopenia.
D: glaucoma. - ANSWER:C: leukocytopenia.
Failure to do something a reasonable, prudent person would do in a similar situation is:
A: failure to warn.
B: breach of duty.
C: medical abandon
D: negligence. - ANSWER:D: negligence.
The privacy rule allows a hospital to disclose information to an employer when:
A: the employer provides health care to the patient.
B: the employee has an infectious disease.
C: the employer suspects the employee of malingering.
D: the employee's injury affects his/her job performance. - ANSWER:A: the employer provides health
care to the patient.
The most important function of management, and the most neglected, is:
A: reward.
B: expert.
C: referent.
D: coercive. - ANSWER:A: reward.
Identify the steps of the progressive discipline process in the correct sequence.
A: Oral warning, written warning, suspension, and termination
B: Written warning, oral warning, written warning, and suspension
C: Oral warning, written warning, suspension, and oral warning