Test Bank for Clinical Procedures for Medical Assistants 11th Edition by Kathy Bonewit-West|978-0323758581| All Chapters 1-23| LATEST ||Complete A+ Guide

,Chapter 01: The Medical Record
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Bonewit-West: Clinical Procedures for Medical Assistants, 11th Edition
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MULTIPLE CHOICE f




1. What information is contained in the medical record?
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a. Health history report f f


b. Results of the physical examination f f f f


c. Laboratory reports f


d. Progress notes f


e. All of the above f f f




ANS: E f REF: pp. 2-3| CAAHEP Competency (2015): VI.4f f f f f f


OBJ: 2
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2. Which of the following is not a function of the medical record?
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a. To provide information for making decisions regarding the patient’s care
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b. To document the patient’s progress
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c. To serve as a legal document
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d. To share information between members of the patient’s family
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ANS: D f REF: p. 2| CAAHEP Competency (2015): VI.4 f f f f f f


OBJ: 1
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3. The purpose of the HIPAA Privacy Rule is to
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a. reduce exposure of patients to bloodborne pathogens.
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b. provide patients with betterNcU
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h.
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information.
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c. prevent the patient’s records from being copied. f f f f f f


d. encourage the patient to become more involved in preventive health care. f f f f f f f f f f




ANS: B f REF: p. 4 | CAAHEP Competency (2015): IX.3 f f f f f f f


OBJ: 2
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4. All of the following are characteristics of the Notice of Privacy Practices except:
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a. Was developed by the American Medical Association
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b. Must explain how a patient’s health information will be used and protected by the
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medical office
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c. Must be provided to each patient f f f f f


d. Must obtain a signed acknowledgment from the patient that he/she has received an
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NPP
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ANS: A f REF: p. 4| CAAHEP Competency (2015): IX.3 f f f f f f


OBJ: 2
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5. Health information in any form that contains patient identifiable information is known as
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a. PHI.
b. NPP.
c. OSHA.
d. HIPAA.

, ANS: A f REF: p. 4| CAAHEP Competency (2015): IX.3
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OBJ: 2
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6. In which of the following situations does HIPAA not require written consent for the use or
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disclosure of protected health information?
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a. Patient referral to a specialist f f f f


b. Emergency care provided at a hospital f f f f f


c. Determination of eligibility for insurance benefits f f f f f


d. Training of health care students f f f f


e. All of the above f f f




ANS: E f REF: p. 4| CAAHEP Competency (2015): IX.3
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OBJ: 2
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7. Which of the following is not an example of a medical office clinical document?
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a. Patient registration record f f


b. Physical examination report f f


c. Medication record f


d. Health history report f f




ANS: A f REF: pp. 2-3| CAAHEP Competency (2015): VI.4
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OBJ: 2
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8. Which of the following is not a characteristic of a laboratory report?
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a. It relays results of laboratory tests to the provider
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b. It consists of a report of the analysis or examination of body specimens
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c. It assists in diagnosing and treating disease
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d. It is a request for laboratoryNtU
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d by an outside laboratory f f f f f f f



ANS: D f REF: pp. 2-3| CAAHEP Competency (2015): VI.4
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OBJ: 2
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9. Which of the following is an example of a diagnostic procedure report?
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a. Electrocardiogram report f


b. Physical therapy report f f


c. Urinalysis report f


d. Pathology report f




ANS: A f REF: pp. 2-3| CAAHEP Competency (2015): VI.4
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OBJ: 2
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10. What is the name of the type of report that documents the assessments and treatments
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designed to restore a patient’s ability to function?
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a. Consultation report f


b. Diagnostic procedure report f f


c. Pathology report f


d. Therapeutic service report f f




ANS: D f REF: pp. 2-3| CAAHEP Competency (2015): VI.4
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OBJ: 2
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11. Which of the following is not an example of a hospital report?
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a. Operative report f

, b. Cytology report f


c. Discharge summary report f f


d. Emergency department report f f




ANS: B f REF: pp. 2-3| CAAHEP Competency (2015): VI.4
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OBJ: 2
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12. Which of the following is an example of a consent document?
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a. Patient registration record f f


b. Notice of Privacy Practices form f f f f


c. Release of medical information form f f f f


d. Patient instruction sheet f f




ANS: C f REF: pp. 2-3| CAAHEP Competency (2015): VI.4
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OBJ: 2
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13. Which of the following can be performed by an electronic medical record software program?
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a. Creation of a medical record f f f f


b. Storage of a medical record f f f f


c. Editing of a medical record f f f f


d. Retrieval of a medical record f f f f


e. All of the above f f f




ANS: E f REF: p. 3| CAAHEP Competency (2015): V.8f f f f f f


OBJ: 3
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14. All of the following are advantages of an electronic medical record (EMR) except
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a. an EMR does not have to be filed.
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b. documents in an EMR can N beUqRuS
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edO.M f f f f f f


c. more than one person can view an EMR at the same time.
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d. EMRs are exempt from the HIPAA regulations.
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ANS: D f REF: pp. 3, 6| CAAHEP Competency (2015): VI.12
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OBJ: 5
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15. Which of the following are used to enter data into an electronic medical record?
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a. Free-text entry f


b. Drop-down menus f


c. Radio buttons f


d. All of the above f f f




ANS: D f REF: p. 11| CAAHEP Competency (2015): V.8
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OBJ: 8
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16. How are paper documents entered into a patient’s electronic medical record?
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a. By scanning them into the computer
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b. By retyping them on the computer
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c. By photocopying them
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d. By transmitting them through a modem
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ANS: A f REF: p. 11| CAAHEP Competency (2015): VI.4
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OBJ: 8
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