Quiz for Chapter 3 |
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Question 1
| Multiple-choice | |
Which health record format is most commonly used by healthcare settings as they transition to electronic records? | |
| Select the best answer | |
hybrid records |
present illness |
all of the above |
integrated health record |
| Multiple-choice | |
What is the end result of a review process that shows voluntary compliance with guidelines of an external, nonprofit organization? | |
| Select the best answer | |
integrated health record |
accreditation |
all of the above |
integrated |
| Multiple-choice | |
Which of the following is not an example of a data capture technology? | |
| Select the best answer | |
Medicare Conditions for Coverage |
integrated health record |
resident assessment protocol |
optical character readers |
| Multiple-choice | |
Which of the following factors should be considered when designing a data retrieval system for an EHR? | |
| Select the best answer | |
a. presentation of data |
The Health Insurance Portability and Accountability Act |
assisted living facilities |
Medicare Conditions for Coverage |
| Multiple-choice | |
Chapter 3 | |
| Select the best answer | |
Content and Structure of the Health Record |
any organization that treats Medicare or Medicaid patients |
assisted living facilities |
integrated health record |
| Multiple-choice | |
In which of the following ways can the patient’s consent to undergo treatment be expressed? | |
| Select the best answer | |
assisted living facilities |
present illness |
name of insurance company |
all of the above |
| Multiple-choice | |
Which of the following includes names of the surgeon and assistants, date, duration and description of the procedure and any specimens removed? | |
| Select the best answer | |
licensure standards |
name of insurance company |
integrated health record |
pathology report |
| Multiple-choice | |
Which of the following is a challenge in the implementation of computer-based records? | |
| Select the best answer | |
b. lack of a clear definition |
The Health Insurance Portability and Accountability Act |
patient’s instructions at discharge |
an authorization to release information |
| Multiple-choice | |
Which of the following statements is not true of the process that should be followed in making corrections in paper-based health record entries? | |
| Select the best answer | |
any organization that treats Medicare or Medicaid patients |
The incorrect information should be obliterated |
assisted living facilities |
Content and Structure of the Health Record |
| Multiple-choice | |
Which of the following creates a chronological report of the patient’s condition and response to treatment during a hospital stay? | |
| Select the best answer | |
all of the above |
integrated |
progress notes |
assisted living facilities |




