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

Question 2
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

Question 3
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

Question 4
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
b. quick-search capabilities
c. need to know
d. analytical capabilities
e. all of the above

The Health Insurance Portability and Accountability Act

assisted living facilities

Medicare Conditions for Coverage

Question 5
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

Question 6
Multiple-choice

In which of the following ways can the patient’s consent to undergo treatment be expressed?
a. by his or her submission to treatment

Select the best answer

assisted living facilities

present illness

name of insurance company

all of the above

Question 7
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

Question 8
Multiple-choice

Which of the following is a challenge in the implementation of computer-based records?
a. lack of standardization

Select the best answer

b. lack of a clear definition
c. organizational and behavioral resistance
d. difficulty meeting the needs of multiple end users
e. all of the above

The Health Insurance Portability and Accountability Act

patient’s instructions at discharge

an authorization to release information

Question 9
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

Question 10
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

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