n n n n n
OR MEDICAL ASSISTANTS 10TH EDITION
n n n n n
BY BONEWIT-WEST
n
,Chapter 01: The Medical Record
n n n n
Bonewit-West: Clinical Procedures for Medical Assistants, 10th Edition
n n n n n n n
MULTIPLEnCHOICE
1. Whichnofnthenfollowingnisnnotnanfunctionnofnthenmedicalnrecord?
a. Tonprovideninformationnfornmakingndecisionsnregardingnthenpatient’sncare
b. Tondocumentnthenpatient’snprogress
c. Tonservenasnanlegalndocument
d. Tonshareninformationnbetweennmembersnofnthenpatient’snfamily
ANS:n D
REF:np.n2|nCAAHEPnCompetencyn(2015):nVI.4n
OBJ:n 1
2. Whatninformationnisncontainedninnthenmedicalnrecord?
a. Healthnhistorynreport
b. Resultsnofnthenphysicalnexamination
c. Laboratorynreports
d. Progressnnotes
e. Allnofnthenabove
ANS:n E REF:npp.n2-
3|nCAAHEPnCompetencyn(2015):nVI.4nOBJ:n 2
3. ThenpurposenofnthenHIPAAnPrivacynRulenisnto
a. reducenexposurenofnpatientsntonbloodbornenpathogens.
b. providenpatientsnwithnbetterNcU
onRtS
roI
lnN
ovGeT
rntB
h.
enC
usO
enM
andndisclosurenofntheirnhealthni
nformation.
c. preventnthenpatient’snrecordsnfromnbeingncopied.
d. encouragenthenpatientntonbecomenmoreninvolvedninnpreventivenhealthncare.
ANS:n B
REF:np.n4n|nCAAHEPnCompetencyn(2015):nIX.3n
OBJ:n 2
4. AllnofnthenfollowingnarencharacteristicsnofnthenNoticenofnPrivacynPracticesn except:
a. WasndevelopednbynthenAmericannMedicalnAssociation
b. Mustnexplainnhownanpatient’snhealthninformationnwillnbenusednandnprotectednbynthen
medicalnoffice
c. Mustnbenprovidedntoneachnpatient
d. Mustnobtainnansignednacknowledgmentnfromnthenpatientnthatnhe/shenhasnreceivednann
NPP
ANS:n A
REF:np.n4|nCAAHEPnCompetencyn(2015):nIX.3n
OBJ:n 2
5. Healthninformationninnanynformnthatncontainsnpatientnidentifiableninformationnisnknownnas
a. PHI.
b. NPP.
,c. OSHA.
d. HIPAA.
, ANS:n A
REF:np.n4|nCAAHEPnCompetencyn(2015):nIX.3n
OBJ:n 2
6. InnwhichnofnthenfollowingnsituationsndoesnHIPAAnnotnrequirenwrittennconsentnfornthenusenornd
isclosurenofnprotectednhealthninformation?
a. Patientnreferralntonanspecialist
b. Emergencyncarenprovidednatnanhospital
c. Determinationnofneligibilitynforninsurancenbenefits
d. Trainingnofnhealthncarenstudents
e. Allnofnthenabove
ANS:n E
REF:np.n4|nCAAHEPnCompetencyn(2015):nIX.3n
OBJ:n 2
7. Whichnofnthenfollowingnisnnotnannexamplenofnanmedicalnofficenclinicalndocument?
a. Patientnregistrationnrecord
b. Physicalnexaminationnreport
c. Medicationnrecord
d. Healthnhistorynreport
ANS:n A REF:npp.n2-
3|nCAAHEPnCompetencyn(2015):nVI.4nOBJ:n 2
8. Whichnofnthenfollowingnisnnotnancharacteristicnofnanlaboratorynreport?
a. Itnrelaysnresultsnofnlaboratoryntestsntonthenprovider
b. Itnconsistsnofnanreportnofnthenanalysisnornexaminationnofnbodynspecimens
c. Itnassistsninndiagnosingnandntreatingndisease
d. ItnisnanrequestnfornlaboratoryNtU
esRtsStI
onN
beGpTeB
rf.
orCmOeM
dnbynannoutsidenlaboratory
ANS:n D REF:npp.n2-
3|nCAAHEPnCompetencyn(2015):nVI.4nOBJ:n 2
9. Whichnofnthenfollowingnisnannexamplenofnandiagnosticnprocedurenreport?
a. Electrocardiogramnreport
b. Physicalntherapynreport
c. Urinalysisnreport
d. Pathologynreport
ANS:n A REF:npp.n2-
3|nCAAHEPnCompetencyn(2015):nVI.4nOBJ:n 2
10. Whatnisnthennamenofnthentypenofnreportnthatndocumentsnthenassessmentsnandntreatmentsnd
esignedntonrestorenanpatient’snabilityntonfunction?
a. Consultationnreport
b. Diagnosticnprocedurenreport
c. Pathologynreport
d. Therapeuticnservicenreport
ANS:n D REF:npp.n2-
3|nCAAHEPnCompetencyn(2015):nVI.4nOBJ:n 2
11. Whichnofnthenfollowingnisnnotnannexamplenofnanhospitalnreport?
a. Operativenreport