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OR MEDICAL ASSISTANTS 10TH EDITION
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BY BONEWIT-WEST
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,Chapter 01: The Medical Record
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Bonewit-West: Clinical Procedures for Medical Assistants, 10th Edition
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MULTIPLEwCHOICE
1. Whichwofwthewfollowingwiswnotwawfunctionwofwthewmedicalwrecord?
a. Towprovidewinformationwforwmakingwdecisionswregardingwthewpatient’swcare
b. Towdocumentwthewpatient’swprogress
c. Towservewaswawlegalwdocument
d. Towsharewinformationwbetweenwmemberswofwthewpatient’swfamily
ANS:w D
REF:wp.w2|wCAAHEPwCompetencyw(2015):wVI.
4wOBJ:w 1
2. Whatwinformationwiswcontainedwinwthewmedicalwrecord?
a. Healthwhistorywreport
b. Resultswofwthewphysicalwexamination
c. Laboratorywreports
d. Progresswnotes
e. Allwofwthewabove
ANS:w E REF:wpp.w2-
3|wCAAHEPwCompetencyw(2015):wVI.4wOBJ:w 2
3. ThewpurposewofwthewHIPAAwPrivacywRulewiswto
a. reducewexposurewofwpatientswtowbloodbornewpathogens.
b. providewpatientswwithwbetterNcU
onRtS
roI
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ovGeT
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h.
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andwdisclosurewofwtheirwhealt
hwinformation.
c. preventwthewpatient’swrecordswfromwbeingwcopied.
d. encouragewthewpatientwtowbecomewmorewinvolvedwinwpreventivewhealthwcare.
ANS:w B
REF:wp.w4w|wCAAHEPwCompetencyw(2015):wIX.
3wOBJ:w 2
4. AllwofwthewfollowingwarewcharacteristicswofwthewNoticewofwPrivacywPracticeswexcept:
a. WaswdevelopedwbywthewAmericanwMedicalwAssociation
b. Mustwexplainwhowwawpatient’swhealthwinformationwwillwbewusedwandwprotectedwbywt
hewmedicalwoffice
c. Mustwbewprovidedwtoweachwpatient
d. Mustwobtainwawsignedwacknowledgmentwfromwthewpatientwthatwhe/shewhaswreceivedwa
nwNPP
ANS:w A
REF:wp.w4|wCAAHEPwCompetencyw(2015):wIX.
3wOBJ:w 2
5. Healthwinformationwinwanywformwthatwcontainswpatientwidentifiablewinformationwiswknownwas
a. PHI.
b. NPP.
,c. OSHA.
d. HIPAA.
, ANS:w A
REF:wp.w4|wCAAHEPwCompetencyw(2015):wIX.
3wOBJ:w 2
6. InwwhichwofwthewfollowingwsituationswdoeswHIPAAwnotwrequirewwrittenwconsentwforwthewusew
orwdisclosurewofwprotectedwhealthwinformation?
a. Patientwreferralwtowawspecialist
b. Emergencywcarewprovidedwatwawhospital
c. Determinationwofweligibilitywforwinsurancewbenefits
d. Trainingwofwhealthwcarewstudents
e. Allwofwthewabove
ANS:w E
REF:wp.w4|wCAAHEPwCompetencyw(2015):wIX.
3wOBJ:w 2
7. Whichwofwthewfollowingwiswnotwanwexamplewofwawmedicalwofficewclinicalwdocument?
a. Patientwregistrationwrecord
b. Physicalwexaminationwreport
c. Medicationwrecord
d. Healthwhistorywreport
ANS:w A REF:wpp.w2-
3|wCAAHEPwCompetencyw(2015):wVI.4wOBJ:w 2
8. Whichwofwthewfollowingwiswnotwawcharacteristicwofwawlaboratorywreport?
a. Itwrelayswresultswofwlaboratorywtestswtowthewprovider
b. Itwconsistswofwawreportwofwthewanalysisworwexaminationwofwbodywspecimens
c. Itwassistswinwdiagnosingwandwtreatingwdisease
d. ItwiswawrequestwforwlaboratoryNtU
esRtsStI
owN
beGpTeBrf.
orCmOeM
dwbywanwoutsidewlaboratory
ANS:w D REF:wpp.w2-
3|wCAAHEPwCompetencyw(2015):wVI.4wOBJ:w 2
9. Whichwofwthewfollowingwiswanwexamplewofwawdiagnosticwprocedurewreport?
a. Electrocardiogramwreport
b. Physicalwtherapywreport
c. Urinalysiswreport
d. Pathologywreport
ANS:w A REF:wpp.w2-
3|wCAAHEPwCompetencyw(2015):wVI.4wOBJ:w 2
10. Whatwiswthewnamewofwthewtypewofwreportwthatwdocumentswthewassessmentswandwtreatmen
tswdesignedwtowrestorewawpatient’swabilitywtowfunction?
a. Consultationwreport
b. Diagnosticwprocedurewreport
c. Pathologywreport
d. Therapeuticwservicewreport
ANS:w D REF:wpp.w2-
3|wCAAHEPwCompetencyw(2015):wVI.4wOBJ:w 2
11. Whichwofwthewfollowingwiswnotwanwexamplewofwawhospitalwreport?
a. Operativewreport