Solutions
An organization's legal health record definition must identify the following
regarding individually identifiable data:
a. Sources
b. Medium
c. Location
d. All of the above Right Ans - d
It is best practice to establish a ____ when defining the legal health record.
a. Policy
b. Master patient index
c. Health record matrix
d. Both a and c Right Ans - d
The legal health record can only be comprised of documentation that
physically exists in an electronic system.
True/False Right Ans - False
Which function is the first step in the creation of a patient's medical record
and initiates the flow of patient information within the EHR?
a. Analysis
b. Patient registration
c. Scheduling
d. Coding Right Ans - b
Which of the following processes includes deficiency analysis and chart
completion?
a. Release of information
b. Incomplete record
c. Coding
d. Chart reviews Right Ans - d
Malpractice cases generally fall into the category of _____.
a. Negligence torts
b. Intentional torts
c. Fraud cases
, d. Criminal cases Right Ans - a
In a negligence case, a physician will be held to a standard of providing care
that reflects what is called _____ care.
a. Minimal
b. Optimal
c. Maximum
d. Reasonable Right Ans - d
A physician who fails to treat a patient who is brought to him or her for care is
guilty of _____.
a. Malfeasance
b. Misfeasance
c. Nonfeasance
d. Malpractice Right Ans - c
A physician who performs a surgical procedure without patient consent may
be prosecuted for _____.
a. Assault
b. Battery
c. Negligence
d. Malfeasance Right Ans - b
Defaming another person in writing is called _____.
a. Libel
b. Slander
c. Invasion of privacy
d. Fraud Right Ans - a
To successfully prosecute an individual for slander, the plaintiff must prove
that:
a. Actual harm occurred
b. There was harmful intent
c. There was dissension between the parties involved
d. Lost wages resulted from the slander Right Ans - a
Information systems which help with treatment choices, advance care
planning and palliative care are issues that result for those dealing with _____.
a. End of life