CHIMA NCE DATA & EHR QUESTIONS & ANSWERS
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 - Answers - d
Defaming another person in writing is called _____.
a. Libel
b. Slander
c. Invasion of privacy
d. Fraud - Answers - 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 - Answers - 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
b. Integrated
c. Managed
d. Quality - Answers - a
Problems with verifying admissions to a facility and children's protective services are
ethical issues for those working with ______ information:
a. Drug, alcohol, sexual, and behavioral
b. Genetic
c. Managed care
d. Public health - Answers - a
Promoting the values of autonomy for each individual is ethical behavior for the
following Code of Ethics principle:
a. Facilitate interdisciplinary collaboration
b. Put service before self-interest
c. Put service before self-interest
d. Respect the dignity and worth of every person - Answers - d
Protection of information, providing service to those who seek access to information,
and preserving and securing health information reflect professional obligations to
_____.
, a. An employer
b. Oneself, peers and professional associations
c. Patients and the healthcare team
d. The public - Answers - d
Which of the following represents the broadest aspect of a subject?
a. Classification
b. Nomenclature
c. Terminology
d. Code set - Answers - a
The original goal of the International Classification of Diseases (ICD) was to describe
________.
a. Morbidity
b. Prevalence of disease
c. Mortality
d. Incidence of disease - Answers - c
Cancer registries often use the _______ classification system.
a. SNOMED
b. ICD-O
c. CPT
d. DSM-IV-TR - Answers - b
DSM-IV-TR is used most frequently in what type of care setting?
a. Nursing homes
b. Ambulatory surgery centers
c. Behavioral health centers
d. Home health agencies - Answers - c
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 - Answers - d
The legal health record can only be comprised of documentation that physically exists in
an electronic system.
True/False - Answers - 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 - Answers - b
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 - Answers - d
Defaming another person in writing is called _____.
a. Libel
b. Slander
c. Invasion of privacy
d. Fraud - Answers - 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 - Answers - 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
b. Integrated
c. Managed
d. Quality - Answers - a
Problems with verifying admissions to a facility and children's protective services are
ethical issues for those working with ______ information:
a. Drug, alcohol, sexual, and behavioral
b. Genetic
c. Managed care
d. Public health - Answers - a
Promoting the values of autonomy for each individual is ethical behavior for the
following Code of Ethics principle:
a. Facilitate interdisciplinary collaboration
b. Put service before self-interest
c. Put service before self-interest
d. Respect the dignity and worth of every person - Answers - d
Protection of information, providing service to those who seek access to information,
and preserving and securing health information reflect professional obligations to
_____.
, a. An employer
b. Oneself, peers and professional associations
c. Patients and the healthcare team
d. The public - Answers - d
Which of the following represents the broadest aspect of a subject?
a. Classification
b. Nomenclature
c. Terminology
d. Code set - Answers - a
The original goal of the International Classification of Diseases (ICD) was to describe
________.
a. Morbidity
b. Prevalence of disease
c. Mortality
d. Incidence of disease - Answers - c
Cancer registries often use the _______ classification system.
a. SNOMED
b. ICD-O
c. CPT
d. DSM-IV-TR - Answers - b
DSM-IV-TR is used most frequently in what type of care setting?
a. Nursing homes
b. Ambulatory surgery centers
c. Behavioral health centers
d. Home health agencies - Answers - c
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 - Answers - d
The legal health record can only be comprised of documentation that physically exists in
an electronic system.
True/False - Answers - 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 - Answers - b
