exam

HIM professionals ensure complete and accurate information for patient care and provide coded information to bill for services provided to the patient.

true

Patient health records are the property of the hospital that created them; however, the personal information contained within them belongs to the patient.

true

The medical record is a legal document describing the care you received.

true

Your health information is used to pay for the care you receive.

true

Documentation that describes surgery performed is a pathology report.

false

Everyone has one medical record.

false

Lab reports are a description of the findings of x-rays and scans.

false

Parents are always entitled to access their child's medical records.

false

Your medical records cannot be sent to a physician out of the state.

false

An opinion about your condition made by a physician other than your primary care physician is a consultation.

true

Community trends in illness are tracked through information provided to public health agencies.

true

The MAR is included in the medical record. Correct! True False Question 21 / 1 pts Pharmacists provide critical safety and drug quality checks to prevent harmful drug interactions or reactions and potential mistakes. Correct! True False Question 31 / 1 pts Hospital pharmacists monitor patients for drug-drug interactions. Correct! True False Question 41 / 1 pts Metformin is an epileptic medication listed on the formulary. True Correct! False Question 51 / 1 pts To prevent medication errors, patients should learn the names of prescribed drugs as well as their dosage. Correct! True False Question 61 / 1 pts Prevacid is an approved proton pump inhibitor medication listed on the TRICARE formulary. You Answered True Correct Answer False Question 71 / 1 pts To avoid accidental poisonings, you should always turn on the light when taking medications. Correct! True False Question 81 / 1 pts The CDC says that 50% of accidental poisonings occur in the home. True Correct! False Question 91 / 1 pts A formulary lists the medications that are available to be dispensed. Correct! True False Question 101 / 1 pts Medication dosages do not depend on the patient's weight. True Correct! False Question 111 / 1 pts Toprol XL is a medication used to treat angina listed on the formulary. Correct! True False Question 120 / 1 pts Hospital pharmacists help manage charges for medications. Correct Answer True You Answered False Question 131 / 1 pts Pneumococcal vaccine is given annually. True Correct! False Question 141 / 1 pts Over the counter medications in foreign countries are the same as those sold in the U.S. True Correct! False Question 151 / 1 pts Generally, water is the best liquid to drink when taking medications. Correct! True False

d

A Data Dictionary is Correct! a descriptive list of data elements to be collected in an information system or database whose purpose is to ensure consistency of terminology. where the hardware and software for electronic information systems are held. the process of extracting information from a database and then qualifying and filtering discrete, structured data. an internal or external recipient of services, products, or information. Question 21 / 1 pts A simple data dictionary can be managed in a spreadsheet or table. Correct! True False Question 31 / 1 pts What is a personal health record (PHR)? Correct! An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed and controlled by the individual Information system that allows patient to login to obtain information, register and perform other functions. AN alphabetic code assigned to CPT/HCPCS codes to indicate whether a service or procedure is to be reimbursed under the Medicare outpatient prospective payment system ANy hardware device connected to a computer Question 41 / 1 pts Data sets are typically developed by groups of people who have legitimate use for collecting the data. Correct! True False Question 51 / 1 pts Medications is an example of a Field Name. Correct! True False

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A progressive care unit is for patients who need more care than provided in an intensive care unit. Correct! False Question 21 / 1 pts AORN defines the term "perioperative nursing" as the practice of nursing directed toward patients undergoing operative and other invasive procedures. Correct! True Question 30 / 1 pts The AACN purpose is to promote the health and welfare of those experiencing minor illness. Correct Answer False Question 41 / 1 pts The American Society of PeriAnesthesia Nurses represents nurses practicing in pain management. Correct! True Question 50 / 1 pts In the nursing process, the evaluation includes input from the patient. Correct Answer True Question 61 / 1 pts The Emergency Nurses Association aims to define the standards of excellence for emergency nursing. Correct! True Question 71 / 1 pts The AACN started as two separate organizations, one located on the east coast and the other on the west coast. Correct! False Question 81 / 1 pts Medical surgical nursing is a pediatric specialty. Correct! False Question 91 / 1 pts Nursing diagnoses include current and potential problems which need to be addressed. Correct! True Question 101 / 1 pts In the nursing process, the data collection step is evaluation. Correct! False Question 111 / 1 pts The mission of the National Association of Orthopaedic Nurses is to advance the quality of musculoskeletal healthcare by promoting excellence in research, education and nursing practice. Correct! True Question 121 / 1 pts Recent advances in patient care have brought computers to the bedside. Nurses are increasingly using: Correct! "point-of-care" information systems to record patient data. Question 131 / 1 pts In almost all countries, nursing practice is defined and governed by: Correct Answer the caring relationship between nurse and the person in his/her care. Question 150 / 1 pts The Center for the Advancement of Nursing Practice: Correct Answer promotes scholarship in clinical practice promotes patient's rights Question 160 / 1 pts Nursing has existed in various forms in every culture although the definition of the term and the practice of nursing has remained constant over time. Correct Answer False

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AORN defines the term "perioperative nursing" as the practice of nursing directed toward patients undergoing operative and other invasive procedures. Correct! True Question 30 / 1 pts The AACN purpose is to promote the health and welfare of those experiencing minor illness. Correct Answer False Question 41 / 1 pts The American Society of PeriAnesthesia Nurses represents nurses practicing in pain management. Correct! True Question 50 / 1 pts In the nursing process, the evaluation includes input from the patient. Correct Answer True Question 61 / 1 pts The Emergency Nurses Association aims to define the standards of excellence for emergency nursing. Correct! True Question 71 / 1 pts The AACN started as two separate organizations, one located on the east coast and the other on the west coast. Correct! False Question 81 / 1 pts Medical surgical nursing is a pediatric specialty. Correct! False Question 91 / 1 pts Nursing diagnoses include current and potential problems which need to be addressed. Correct! True Question 101 / 1 pts In the nursing process, the data collection step is evaluation. Correct! False Question 111 / 1 pts The mission of the National Association of Orthopaedic Nurses is to advance the quality of musculoskeletal healthcare by promoting excellence in research, education and nursing practice. Correct! True Question 121 / 1 pts Recent advances in patient care have brought computers to the bedside. Correct! "point-of-care" information systems to record patient data. Question 131 / 1 pts In almost all countries, nursing practice is defined and governed by: Correct! law Question 140 / 1 pts Nursing practice is primarily: Correct Answer the caring relationship between nurse and the person in his/her care. Question 150 / 1 pts The Center for the Advancement of Nursing Practice: Correct Answer promotes scholarship in clinical practice promotes patient's rights Question 160 / 1 pts Nursing has existed in various forms in every culture although the definition of the term and the practice of nursing has remained constant over time. Correct Answer False

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After taking an H&P, the doctor may come up with a list of differential diagnoses. Correct! True False Question 21 / 1 pts Lab tests may be used to evaluate the pateint's response to treatment. Correct! True False Question 30 / 1 pts Performing autopsies is the main part of the pathologist's job. You Answered True Correct Answer False Question 41 / 1 pts Blood cultures are done to detect bacteria or yeast. Correct! True False Question 50 / 1 pts Your doctor uses laboratory tests to help diagnose a disease or condition before you have symptoms. Correct Answer True You Answered False Question 61 / 1 pts The basic metabolic panel is a group of six specific tests that have been approved as a panel by Medicare. True Correct! False Question 71 / 1 pts The Clinical Laboratory Improvement Amendments are used by CMS to regulate laboratory testing. Correct! True False Question 81 / 1 pts Electrolytes help keep the body's fluid levels in balance and are necessary to help muscles, heart and other organs work properly. Correct! True False Question 91 / 1 pts CBC is a panel of tests that examines different parts of the blood. Correct! True False Question 101 / 1 pts Pathologists examine cells taken in a Pap smear. Correct! True False Question 110 / 1 pts BUN is the most important test measure of how well the liver is working. You Answered True Correct Answer False Question 121 / 1 pts All lab test results must be interpreted in the context of the overall health of the patient. Correct! True False Question 131 / 1 pts Lab tests are only performed on blood samples. True Correct! False Question 141 / 1 pts Race is a factor which can affect your lab test results. Correct! True False Question 151 / 1 pts All clinical laboratories must be CLIA certified to receive any reimbursement. Correct! True

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At ORH, a compliance issue may be reported by filing an incident report. Correct! True False Question 20 / 1 pts Subjective assessments are the mainstay of a CEO's performance evaluation. You Answered True Correct Answer False Question 30 / 1 pts At ORH, corporate compliance is synonymous with risk management. You Answered True Correct Answer False Question 41 / 1 pts At ORH, team members are encouraged to make assumptions about what is proper conduct rather than ask questions about compliance. True Correct! False Question 51 / 1 pts CEOs are evaluated by the employees of the hospital. True Correct! False Question 60 / 1 pts True or False. Successful organizations are much safer to wait for Payment for Performance to become final. You Answered True Correct Answer False Question 70 / 1 pts Team members at ORH are encouraged to go directly to the Director of Compliance if they observe an actual compliance issue. You Answered True Correct Answer False Question 81 / 1 pts Efforts to improve community health should be included in a CEO's performance evaluation. Correct! True False Question 91 / 1 pts Organizational performance is not a measure for CEO performance. True Correct! False Question 101 / 1 pts All communications with Corporate Compliance at ORH must be formal and in writing. True Correct! False Question 111 / 1 pts Which assessment questions need to be made concerning preparing for the change of payment for performance? Are solid payer-provider relationships developed? How will funding such programs be accomplished? What are the legal barriers? How will hospitals increase reimbursement? Correct! A,B,& C Question 120 / 1 pts Examples of various legal concerns associated with value-based purchasing, which organizations need to be aware of are: Integrity of data malpractice issues security of patient information Correct Answer A & B You Answered All of the above Question 130 / 1 pts True or False. It generally is defined as providers supplying data on specified quality measures and purchasers paying for health services differentially based on the outcomes resulting from those preset measures. Correct Answer True You Answered False Question 140 / 1 pts True or False. Information systems capable of supporting value-based purchasing, solid payer-provider developed relationships, and consulting a HIPAA specialist are some assessments which are important in preparing for change in Payment for Performance. You Answered True Correct Answer False

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Florida law requires licensed health care risk managers to implement programs of continuing quality assessment and improvement, and assuring greater patient safety in hospitals. Correct! True False Question 20 / 1 pts A Code 15 Report means hospitals must report all risk management activities to AHCA every 15 days. You Answered True Correct Answer False Question 30 / 1 pts CMS and the Joint Commission (formerly JCAHO) require reporting of CAP, but their reporting periods differ, so the posted results may vary for the same hospital. Correct Answer True You Answered False Question 41 / 1 pts Florida Hospital is considered a tertiary referral hospital meaning they treat high numbers of the "sickest of the sick". Correct! True False Question 50 / 1 pts A staff member may request modification in his/her staff member category or status at any time. Correct Answer True You Answered False Question 61 / 1 pts Severity adjustment is a method that allows hospitals to account for factors like age or coexisting conditions such as heart disease or diabetes. Correct! True False Question 70 / 1 pts According to "Altered and Lost Medical Records" in the Articles link of AHCA, medical record entries that are compressed into an available space may seem suspicious. Correct Answer True You Answered False Question 80 / 1 pts The Health Information Management Department notifies each nursing station when a staff member is suspended for incomplete records. Correct Answer True You Answered False Question 90 / 1 pts If a physician is denied medical staff membership, he/she must wait one year from the date of the notice of final adverse decision before reapplying for staff privileges. You Answered True Correct Answer False Question 101 / 1 pts Community acquired pneumonia is pneumonia acquired after admission to the hospital. True Correct! False Question 111 / 1 pts According to "Altered and Lost Medical Records" in the Articles link of AHCA, the proper method to correct an error in the medical record is with an erasure. True Correct! False Question 121 / 1 pts Applications for medical staff membership must include malpractice claims history. Correct! True False Question 131 / 1 pts According to the March 25, 2005 FH Health Care Quality Brief, The % of patients who got advice about stopping smoking while in the hospital at Florida Hospital ranged from 64.7% to 89.2%. Correct! True False Question 140 / 1 pts Revision of total knee replacement is one of the procedures being measured for post surgical infections by the Surgical Infection Prevention Standards. You Answered True Correct Answer False Question 150 / 1 pts When applying for hospital privileges, a physician must inform the hospital of professional liability insurance coverage. Correct Answer True You Answered False

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The Physician Health Committee reviews physicians who have been reported to have chemical dependence. Correct! True False Question 21 / 1 pts A patient with hypertension admitted for oral surgery by a dentist requires an H&P by a physician. Correct! True False Question 31 / 1 pts An invitational staff member with clinical psychology status may admit patients. True Correct! False Question 41 / 1 pts Newborns must have lab tests as required by state law. Correct! True False Question 51 / 1 pts Physicians must live in the geographic area of the hospital to be considered for active status on the attending staff. Correct! True False Question 61 / 1 pts All tissues removed at surgery except scars and placenta must be submitted to the lab for pathological evaluation. Correct! True False Question 71 / 1 pts A medical staff member may hold two offices simultaneously. True Correct! False Question 81 / 1 pts The Continuing Medical Education Committee evaluates the needs of the hospital's medical library services. Correct! True False Question 91 / 1 pts Podiatrists are responsible for a podiatric history and physical. Correct! True False Question 101 / 1 pts The APGAR score must be recorded on the obstetric chart. True Correct! False Question 111 / 1 pts Physicians are suspended if medical records are not completed in a timely fashion. Correct! True False Question 121 / 1 pts An invitational staff member with contract practitioner status may be located out of state. True Correct! False Question 130 / 1 pts A contract practitioner is considered part of the Attending Staff. You Answered True Correct Answer False Question 141 / 1 pts Emergency room medical records are not incorporated into the patient's hospital record. True Correct! False Question 151 / 1 pts Attending staff with active status may admit up to 100 patients per calendar year. True Correct! False

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Social workers coordinate the non-medical aspects of a patient's care. Correct! True False Question 21 / 1 pts Arterial blood gases are performed by a physical therapist. True Correct! False Question 31 / 1 pts A post glossectomy patient would have no need for a speech therapist. True Correct! False Question 41 / 1 pts Vestibular balance disorders are treated with respiratory therapy. True Correct! False Question 50 / 1 pts A video fluoroscopic swallowing study is performed for dysphasia. You Answered True Correct Answer False Question 61 / 1 pts Speech therapists are licensed by the state of Florida. Correct! True False Question 71 / 1 pts Inability to speak because of stroke or head injury is dysphasia. True Correct! False Question 81 / 1 pts Physical therapy programs use modalities such as moist heat and cold therapy. Correct! True False Question 91 / 1 pts Physical therapy programs are designed to decrease mobility, function, range of motion, strength and/or coordination. True Correct! False Question 101 / 1 pts Physical therapists provide instruction in the use of a cane or walker. Correct! True False Question 111 / 1 pts Lymphedema is a bacterial infection. True Correct! False Question 121 / 1 pts Money management would be addressed by an occupational therapist. Correct! True False Question 131 / 1 pts Occupational therapy provides functional evaluation and training for activities of daily living. Correct! True False Question 141 / 1 pts A patient experiencing stuttering would seek services of speech therapy. Correct! True False Question 151 / 1 pts Patients with cochlear implants are part of an oral rehabilitation program. True Correct! False

f

A progressive care unit is for patients who need more care than provided in an intensive care unit.

false

Copies of birth certificates are available at the hospital.

false

Dental records are not a part of your personal health record.

false

Interventional radiology means dye is injected prior to an x-ray. True Correct! False Question 21 / 1 pts A cystogram is an exam used to check for problems of the gallbladder. True Correct! False Question 31 / 1 pts With a PET scan, doctors can see how the brain works. Correct! True False Question 41 / 1 pts A myelogram can show problems of the spinal cord, the spinal canal and the spinal nerve roots. Correct! True False Question 50 / 1 pts An aneurysm may be treated with a stent-graft. Correct Answer True You Answered False Question 61 / 1 pts DEXA scan is a routine screening x-ray in young premenstrual females. True Correct! False Question 71 / 1 pts X-rays are pictures made by passing radiant beams through an object and capturing the imaging on the other side. Correct! True False Question 81 / 1 pts Vertebroplasty is treatment for fracture of a backbone. Correct! True False Question 91 / 1 pts A barium swallow studies the pharynx and esophagus. Correct! True False Question 101 / 1 pts Vertebroplasty provides pain relief by strengthening the vertebra. Correct! True False Question 110 / 1 pts Renal ultrasound can include the kidneys, bladder and blood vessels in the kidneys. Correct Answer True You Answered False Question 120 / 1 pts 3-D imaging of the bones can be done with MRI. Correct Answer True You Answered False Question 131 / 1 pts An advantage of IMRT is the lowest level of patient comfort with more side effects from radiation. True Correct! False Question 140 / 1 pts CT scans bounce sound waves off objects in the body. You Answered True Correct Answer False Question 151 / 1 pts A HIDA scan is used to check for abnormalities of the spleen and stomach. True Correct! False

n

A medical record is compiled by doctors, hospitals and other health care providers.

true

A personal health record should include organ donation authorization.

true