EHR FINAL QUESTIONS WITH COMPLETE
SOLUTIONS
_____________ is a set of standards, services, and policies that
makes it possible to securely exchange health information over
the Internet. Correct Answer
A chief complaint is part of the history and physical. Of what
does it consist? Correct Answer Patient's reporting the reason
for his admittance to the ER
A cloned progress note differs from a progress note in that it is:
Correct Answer a partial or total copy of a progress note.
A computer protocol is: Correct Answer a standardized method
of communication between two computers.
A drug is generally considered a controlled substance if it is has
the potential for all of the following EXCEPT: Correct Answer
allergies.
A healthcare facility has implemented a new dictation and
transcription system that requires physicians to review their own
reports and sign them electronically. Some of the physicians do
not support this process and continue to ask their assistants to
print the dictated reports. Upon review, it was discovered that
they are allowing their assistants to use their username and
password to sign reports electronically. What HIPAA Security
safeguard is this practice violating? Correct Answer Technical
safeguards
,A healthcare facility is in the process of implementing a new
electronic health record system. One of the goals is to achieve
exchange of clinical and administrative data with two other
hospitals owned by the same organization. What standard(s)
should the EHR comply with to achieve that goal? Correct
Answer HL7
A history is a part of the patient's history and physical and
includes all of the following details EXCEPT: Correct Answer
general appearance.
A hospital experienced a breach that affected 120 patients who
had been discharged on the same day. In response, the hospital
sent a breach notification to all the patients that included a
description of the breach, the information involved, steps the
individuals could take to protect themselves from harm, and the
hospital's contact information. What was the notification
missing? Correct Answer What the facility was doing to
investigate breach
A manual method of results entry differs from the automatic
method of results entry in that: Correct Answer it requires
scanning of the report in the EHR.
A patient is complaining of chest pain that is sharp at times.
What type of information is this considered? Correct Answer
Subjective
A patient was transferred from a mental health facility to an
acute care hospital for a suspected heart attack. Which of the
following would not constitute a violation of the minimum
, necessary rule? Correct Answer Sending the progress notes
related to the chest pain complaints
Sending the list of allergies
A physical exam is a component of the patient's history and
physical and includes all of the following EXCEPT: Correct
Answer allergies.
A requirement resulting from the Controlled Substances Act of
1970 states that: Correct Answer prescribers must use a hard
copy or printed prescriptions when ordering schedule II
controlled substances.
A researcher is studying treatment effectiveness of a new
medication. You are asked to provide health information that
will assist in this research. What is the best course of action?
Correct Answer Provide a limited data set
A Resolution Agreement is a contract that is signed between the
federal government and a covered entity, and it includes:
Correct Answer an agreement to comply with audits of all
releases of health information.
an agreement to train staff on privacy and confidentiality.
an agreement to send reports to the federal government for a
specified time period.
A template is: Correct Answer a preformatted file with prompts
to collect specific information.
SOLUTIONS
_____________ is a set of standards, services, and policies that
makes it possible to securely exchange health information over
the Internet. Correct Answer
A chief complaint is part of the history and physical. Of what
does it consist? Correct Answer Patient's reporting the reason
for his admittance to the ER
A cloned progress note differs from a progress note in that it is:
Correct Answer a partial or total copy of a progress note.
A computer protocol is: Correct Answer a standardized method
of communication between two computers.
A drug is generally considered a controlled substance if it is has
the potential for all of the following EXCEPT: Correct Answer
allergies.
A healthcare facility has implemented a new dictation and
transcription system that requires physicians to review their own
reports and sign them electronically. Some of the physicians do
not support this process and continue to ask their assistants to
print the dictated reports. Upon review, it was discovered that
they are allowing their assistants to use their username and
password to sign reports electronically. What HIPAA Security
safeguard is this practice violating? Correct Answer Technical
safeguards
,A healthcare facility is in the process of implementing a new
electronic health record system. One of the goals is to achieve
exchange of clinical and administrative data with two other
hospitals owned by the same organization. What standard(s)
should the EHR comply with to achieve that goal? Correct
Answer HL7
A history is a part of the patient's history and physical and
includes all of the following details EXCEPT: Correct Answer
general appearance.
A hospital experienced a breach that affected 120 patients who
had been discharged on the same day. In response, the hospital
sent a breach notification to all the patients that included a
description of the breach, the information involved, steps the
individuals could take to protect themselves from harm, and the
hospital's contact information. What was the notification
missing? Correct Answer What the facility was doing to
investigate breach
A manual method of results entry differs from the automatic
method of results entry in that: Correct Answer it requires
scanning of the report in the EHR.
A patient is complaining of chest pain that is sharp at times.
What type of information is this considered? Correct Answer
Subjective
A patient was transferred from a mental health facility to an
acute care hospital for a suspected heart attack. Which of the
following would not constitute a violation of the minimum
, necessary rule? Correct Answer Sending the progress notes
related to the chest pain complaints
Sending the list of allergies
A physical exam is a component of the patient's history and
physical and includes all of the following EXCEPT: Correct
Answer allergies.
A requirement resulting from the Controlled Substances Act of
1970 states that: Correct Answer prescribers must use a hard
copy or printed prescriptions when ordering schedule II
controlled substances.
A researcher is studying treatment effectiveness of a new
medication. You are asked to provide health information that
will assist in this research. What is the best course of action?
Correct Answer Provide a limited data set
A Resolution Agreement is a contract that is signed between the
federal government and a covered entity, and it includes:
Correct Answer an agreement to comply with audits of all
releases of health information.
an agreement to train staff on privacy and confidentiality.
an agreement to send reports to the federal government for a
specified time period.
A template is: Correct Answer a preformatted file with prompts
to collect specific information.
