QUESTIONS WITH VERIFIED ANSWERS
AND RATED A.
The Joint Commission provides what kind of standards?
a. Accreditation
b. Licensure
c. Certification
d. Specialty
a. Accreditation
A patient "feels queasy, especially when standing up quickly." This is an
example of which SOAP format component?
a. S
b. O
c. A
d. P
a. S
Which of the following data sets is intended to reflect that the most
relevant data in a patient's record is transmitted from one health care
provider to another?
a. CCR
b. UACDS
c. AHIMA
d. HEDIS
a. CCR
Medications and Insurance are most likely examples of the names of
which of the following EHR features?
a. Grids
b. Tables
,c. Tabs
d. Flow sheets
c. Tabs
Which of the following is not an example of an accepted documentation
practice for a patient health record?
a. The record contains only approved abbreviations and symbols.
b. All incorrect information must be deleted from the record when
discovered.
c. The record must be updated in a timely manner following the provision
of services.
d. The record must be evaluated regularly to ensure documentation is
complete.
b. All incorrect information must be deleted from the record when discovered.
An _________ records all actions within an EHR that are related to
electronic health information.
a. audit log
b. authentication document
c. access control
d. authorization table
a. audit log
What is the primary purpose of a patient health record?
a. To help a practice keep track of its patients
b. To communicate with other practitioners
c. To provide documented evidence of care
d. To list all of the medications a patient takes
c. To provide documented evidence of care
All of the following are examples of administrative data except:
a. Scan of patient's insurance card
b. Patient's ethnicity
c. Patient's medication list
d. Signed consent to treat form
, c. Patient's medication list
Which of the following statements about the use of abbreviations is
correct?
a. Using medical abbreviations can save time.
b. Medical offices may develop their own abbreviations for common
practices.
c. When used incorrectly, abbreviations can harm a patient.
d. All answers listed are correct.
d. All answers listed are correct.
Typically, the most difficult aspect of adjusting to a new EHR for clinical
and office staff is which of the following?a. Learning how to scan paper
documents
b. Explaining the EHR to patients
c. Locating information in the EHR
d. Remembering how to log in
c. Locating information in the EHR
Select an example of a unique single data point within an EHR data
dictionary from the following.
a. oral temperature
b. chief complaint
c. marital status
d. All answers listed
d. All answers listed
A document keyed by a medical transcriptionist is introduced into a
patient's clinical record. Which of the following statements regarding this
information is correct?
a. As its author, the transcriptionist must authenticate the information.
b. The information is automatically attributed to a practitioner and does
not require authentication.
c. The practitioner who dictated the information must authenticate the
transcribed entry.