Assistants 11th Edition by Kathy Bonewit-West
Chapter 01: The Medical Record
Bonewit-West: Clinical Proceduresfor Medical Assistants, 11TH Edition
,MULTIPLE CHOICE
1. Which of the following is not a function of the medical record?
a. To provide information for making decisions regarding the client’s care
b. To document the client’s progress
c. To serve as a legal document
d. To share information between members of the client’s family
CORRECT CHOICE✔✔
D
SOURCE- p. 2| CAAHEP Competency ( ): VI.4i
OBJ: 1
2. What information is contained in the medical record?
a. Health history report
b. Results of the physical examination
c. Laboratory reports
d. Progress notes
e. All of the above
CORRECT CHOICE✔✔ E SOURCE- pp. 2-
3| CAAHEP Competencyi( ): VI.4OBJ: 2
3. The purpose of the HIPAA Privacy Rule is to
a. reduce exposure of clients to blood borne pathogens.
b. Provide clients with better control over the use and disclosure of their
health in formation.
c. Prevent the client’s records fromibeing copied.
d. Encourage the client to become more involved inipreventiveihealthicare.
CORRECT CHOICE✔✔ B
SOURCE- p. 4 | CAAHEP Competency ( ): IX.3
OBJ: 2
4. Alloftheifollowingarecharacteristics ofthe Notice of PrivacyPractices except:
a. Wasdeveloped bythe American Medical Association
b. Must explainhow a client’shealth informationiwill be usedand protected bytheme
dical office
c. Mustbe providedto each client
d. Mustiobtainaisignedacknowledgment fromthe client thatihe/she has received anNPP
CORRECT CHOICE✔✔ A
SOURCE- p. 4| CAAHEP Competency ( ): IX.3
OBJ: 2
5. Healthinformation inanyformthat icontainsclientidentifiableinformation isknown as
a. PHI.
b. NPP.
c. OSHA.
d. HIPAA.
, CORRE
SOURCE- p. 4| CAAHEP Competency ( ): IX.3
CT
CHOIC
E✔✔ A
OBJ: 2
6. In which ofthe followingisituationsdoes HIPAA not requireiwrittenconsent fortheuseordisc
losureof protected health information?
a. Clientreferral toa specialist
b. Emergencycare provided at a hospital
c. Determination ofeligibilityfor iinsurancebenefits
d. Trainingof health carestudents
e. Allof the above
CORRECT CHOICE✔✔ E
SOURCE- p. 4| CAAHEP Competency ( ): IX.3
OBJ: 2
7. Whichofthe followingiis not an exampleof a medical office clinical document?
a. Clientregistration record
b. Physical examination report
c. Medicationrecord
d. Healthhistoryreport
CORRECT CHOICE✔✔ A SOURCE- pp. 2-
3| CAAHEP Competency ( ): VI.4OBJ: 2
8. Whichofthe followingiis not acharacteristic of a laboratoryreport?
a. It relays results of laboratorytests to the provider
b. It consists of a report oftheanalysis or examination ofbodyspecimens
c. It assists indiagnosingandtreatingdisease
d. It is a request forilaboratorytests performediby an outsidelaboratory
CORRECT CHOICE✔✔ D SOURCE- pp. 2-
3| CAAHEP Competency ( ): VI.4OBJ: 2
9. Whichof the followingis an example of adiagnostic procedure report?
a. Electrocardiogram report
b. Physical therapyreport
c. Urinalysisreport
d. Pathologyreport
CORRECT CHOICE✔✔ A SOURCE- pp. 2-
3| CAAHEP Competency ( ): VI.4OBJ: 2
10. Whatisthe nameof the typeiofreport thatdocumentsthe assessments and treatmentsdesi
gned to restore a client’s abilityto function?
a. Consultationreport
b. Diagnostic procedure report
c. Pathologyreport
d. Therapeuticservice report
, CORRECT CHOICE✔✔ D SOURCE- pp. 2-
3| CAAHEP Competency ( ): VI.4OBJ: 2
11. Whichof theifollowingis not an exampleof a hospital report?
a. Operative report