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HIM Questions with correct answers

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HIM Questions with correct answers

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HIM Questions with correct
answers


What is not a core competency of HIM Professionals
(Biomedical science, technology, management, access
and privacy, health information analysis) - CORRECT
ANSWERS ✔✔Technology


Are non HIM members part of CHIMA board? - CORRECT
ANSWERS ✔✔Yes


CCHIM is responsible for (select all that apply: A.
establishes the learning outcomes for HIM programs, B
identifies the standards of practice for entry level HIMs C.
Creates and manages the national certification exam) -
CORRECT ANSWERS ✔✔A, B and C


T or F: All entries in a health record whether paper or
electronic need to be authenticated? - CORRECT
ANSWERS ✔✔True


A newborn's record is filed with its mothers? - CORRECT
ANSWERS ✔✔No

,T or F: Abbreviations are never allowed in a health record
- CORRECT ANSWERS ✔✔False


T or F: Specificity means that data needs to meet needs
for clinical care only - CORRECT ANSWERS ✔✔False


T or F: Prior to elective surgery a patient will sign a
Consent for Release of Information - CORRECT
ANSWERS ✔✔False


What are some typical elements of qualitative record
analysis - CORRECT ANSWERS ✔✔Diagnosis
inconsistencies, inconsistencies in identification (name of
patient, DOB), time or location gaps, use of non approved
abbreviations


What occurs after qualitative and quantitative record
analysis is complete? - CORRECT ANSWERS ✔✔Coding
and abstracting


What is the primary purpose of a health record? -
CORRECT ANSWERS ✔✔To support the continuity of
care

,Secondary uses of the health record? - CORRECT
ANSWERS ✔✔Facilitate clinical decision making, funding,
education, research, operational management,
legislation, support quality of care


Qualitative analysis is an important tool to ensure data
quality. It evaluates: potential risk events, adverse drug
reactions, quality of documentation, quality of care
through use of established criteria. - CORRECT
ANSWERS ✔✔Quality of documentation


T or F: While doing a final check on a paper record an HIM
notices a lab report is missing, once printed and added to
the record, it can then be filed. - CORRECT ANSWERS
✔✔False- further analysis may be needed as well as
coding and abstracting


Discharge summary documentation must include: A.
Detailed history of patient, B discharge order, C.
significant findings during hospitalization. D. A and C, E.
All of the above - CORRECT ANSWERS ✔✔C. Significant
findings during hospitalization


T or F: Redacting an entry in a record means deleting an
error. - CORRECT ANSWERS ✔✔False

, T or F: If a patient presents their provincial health card at
registration, there is no need to search the MPI -
CORRECT ANSWERS ✔✔False


Where would you expect to find this entry in a record: The
patient was admitted to the medical unit. He was started
on Levaquin 500mg and then later reduced to 250mg
daily. The patient was hydrated with IV fluids. Cardiac
enzymes were done 2 days. The chest pain resolved; ECG
was unchanged. Patient will be followed as an outpatient.
- CORRECT ANSWERS ✔✔Discharge summary


T or F: The chart order in a paper record is determined by
a Health Record Committee - CORRECT ANSWERS
✔✔True


T or F: A delinquent record is the same as a deficient
record. - CORRECT ANSWERS ✔✔False


What is the key principle of the ADT? - CORRECT
ANSWERS ✔✔Collect once, use many


T or F: Verifying that a key document of a record is
included and authenticated is a key step in qualitative
analysis? - CORRECT ANSWERS ✔✔False. Quantitative
analysis

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