RHIT Exam (MS, HD, Privacy)

alleviating ir eliminating distressing symptoms of the disease

A 63-year-old patient with terminal pancreatic cancer has started palliative chemotherapy. Palliative means

meningitis due to Neisseria meningitidis-positive cerebrospinal fluid

A 19-year-old college student, who lives on campus in a dormitory, is brought to the ER by his roommates, complaining of serve headache, nuchal rigidity, fever, and photophobia. The ER physician performs an LP and orders a CSF analysis with bacterial culture and sensitivity. The young man is admitted to the ICU with provisional diagnosis of

destroy inactive records that exceed the statue of limitations

A 200-bed acute care hospital currently has 15 years of paper health records and filing space is limited. What action should be taken?

14

A HIM Department, currently using 2,540 linear filing inches to store records, plan to purchase new open-self filing units. Each of the shelves in a inches 6-shelf unit measures 36 linear filing inches. It is estimated that an additional 400 filling inches should be planned for to allow for 5-year expansion needs. How many new file shelving units should be purchased?

12

A new Health Information Department has purchased 200 units of 6-self files and plans to implement a terminal digit filing system. How many shelves should be allocated to each primary number?

pandemic

A new strain of influenza, H1N1, is a highly virulent strain that spread all over the world. This type of epidemiological disease pattern is referred to as a(n)

bladder

A pathological diagnosis of transitional cell carcinoma is made. The examined tissue was removed from teh

a group A beta-hemolytic streptococcal throat infection

A pharyngeal culture is taken from a 13-year-old male patient presenting to the ER with fever, painful cervical lymph nodes, purulent tonsillar exudate, and difficulty swallowing. A blood agar culture plate shows complete hemolysis around Streptococcus pyogenes bacterial colonies. The patient is given a prescription for erythromycin. The diagnosis is this case is

patient care is an exception to the minimum necessary rule, so process the request as written

A physician office has requested PHI for continued care. The release of information clerk wants to limit the information provided because of the minimum necessary rule. What should the supervisor tell the clerk?

noncompliance with Joint Commission standards

A qualitative review of a health record reveals that the history and physical for a patient admitted on June 26 was performed on June 30 and transcribed on July 1. Which of the following statements regarding the history and physical is true in this situation. Completion and charting of the H&P indicates

incident report

A risk manager needs to locate a full report of a patient's fall from his bed, including witness reports and probable reasons for the fall. She would most likely find this information in the

93.99%

Out of 2,543 records requested from the HIM Department, 2,375 were located. What is the filing accuracy rate?

00-00-31

According to terminal digit filing, what would be the number of the record immediately after record number 99-99-30?

preparing a summary

HIPAA allows health care providers to charge patients reasonable cost-based charges. Which of the following is allowed when determining the charge?

contaminated foods

All of the following are examples of direct transmission of a disease EXCEPT: contaminated foods, coughing or sneezing, droplet spread, physical contact

identity theft

An employee in the admission department stole the patient's name, Social Security number, and other information and used it to get a charge card in the patient's name. This is an example of

ONC

As a working HIM professional, you are investigating the workforce development projections of electronic health record specialists as outlined by ARRA and HITECH. In order to keep abreast of changes in this program, you will need to regularly access the web site of this governmental agency.

developing a plan for reporting privacy complaints

As chief privacy officer for Premier Medical Center, you are responsible for which of the following?

marking the surgical site

As part of Joint Commission's National Patient Safety Goal initiative, acute care hospitals are now required to use a preoperative verification process to confirm the patient's true identity, and confirm that necessary documents such as x-rays or medical records are available. They must also develop and use a process for

authentication

Before a user is allowed to access protected health information, the system confirms that this is a valid user. This is known as

carcinoma

Cancer derived from epithelial tissue is classified as a(n)

misfiles

Color coding of record folders is used to assist in the control of

disaster planning

Contingency planning includes which of the following processes?

significant findings during hospitalization

Discharge summary documentation must include

cancer

Dr. Zambrano ordered a CEA test for Mr. Logan, a 67 year-old African American male patient. Dr Zambrano may be considering a diagnosis of

achieving meaningful use of the EHR's

Engaging patients and their families in health care decisions is one of the core objectives for

5

How many years does the CMS regulations require that health records be maintained? Medicare's Conditions of Participation for Hospitals requires that patient health record be retained for at least years unless a longer period is required by state or local laws.

my friends and family can find out my room number

I have been asked if I want to be in the directory. The admission clerk explains that if I am in the directory,

2.4%

If there are 150,000 records and the HIM Department receives 3,545 requests for records within a given period time, what is the request rate?

date of birth

If there is more than one patient with the identical last name, first name, and middle initial, the master index entries are then arranged according to

reduce clinical denials for medical necessity

Improving clinical outcomes and optimal continuity of care for patients are common goals of clinical documentation improvement programs in acute care hospitals. Additionally, CDI programs may work together with UM programs to

business continuity plan

In case your system crashes, your facility has defined the policies and procedures necessary to keep your business going. This is known as:

pathology report

In preparation for an EHR, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The unnamed document in front of you includes a microscopic description of tissue excised during surgery. The document type you are most likely to give this form is

00-06-26

In terminal digit filing system, what would be the record number immediately in front of record number 01-06-26

T-H-O-M-A-S-J-O-N-E-S, J-I-L-L

In the master patient index, which is filed by last name, Jill Thomas-Jones would be

use of prohibited or "dangerous" abbreviations

In the past, Joint Commission standards have focused on promoting the use of a facility-approved abbreviation list to be used by hospital care providers. With the advent of the Commission's national patient safety goals, the focus has shifted to the

health record

Information found in which of the following would not be considered secondary data?

antibiotic

Ingrid Anderson presents with a skin infection that began as a raised, itchy bump, resembling an insect bite. Within 1 to 2 days, it developed into a vesicle. Now it is a painless ulcer, about 2 cm in diameter, with a black necrotic area in the center. During the history, her doctor learns that she has recently returned from an overseas vacation and becomes concerned that she may have become infected with anthrax. He will prescribe an

straight numeric

Which filing system would provide the most convenient method for the record retrieval of 200 patients consecutively admitted to the hospital?

interns or medical students

Joint Commission requires the attending physician to countersign health record documentation that is entered by

route the request to the physician who wrote the note in question to determine appropriateness of the admentment

Kyle, the HIM Director, has received a request to amend a patient's health record. The appropriate action for him to take is

Lyme disease

Many bacterial disease are transmitted directly from person to person. Which of the diseases listed next is a bacterial disease transmitted by way of tick vector

increased blood supply

Mary Mulholland has diabetes. Her physician has told her about some factors that put her more at risk for infections.Which of the following factors would probably NOT be applicable?

cocktail

Mary Smith, a 48-year-old patient, is receiving an IV mixture of four different medications to treat stage 2 invasive ductal breast carcinoma. Each of the medications acts upon a different aspect of the cancer cells. This mixture is typically termed a(n)

Mary is not required to release the extra documentation because the facility has the right to interpret a request and apply the minimum standard rule

Mary processed a request for information and mailed it out last week. Today, the requestor, an attorney, called and said that all of the requested information was not provided. Mary pulls the documentation, including the authorization and what was sent. She believes that she sent everything that was required based on what was requested. She confirms this with her supervisor. The requestor still believes that some extra documentation is required. Given the above information, which of the following statements is true?

acceptable as courtroom evidence

Microfilmed records are considered

Notify the patient

Mountain Hospital has discovered a security breach. Someone hacked into the system and viewed 50 medical records. According to ARRA, what is the responsibility of the covered entity in a reasonable time not to exceed 60 days?

follow the daily surgical patient listing for the surgical patient listing for the surgery suite if the patient has been sedated

One of the Joint Commission National Patient Safety Goals (NSPGs) requires that healthcare organizations eliminate wrong-site, wrong-patient, and wrong-procedure surgery. In order to accomplish this, which of the following would not be considered part of a preoperative verification process?

meaningful use requirements

One of the patients at your physician group practice has asked for an electronic copy of her medical record. Your electronic computer system will not allow you to accommodate this request. Chances are, you are NOT in compliance with

cognitive patterns

Patient data collection requirements vary according to health care setting. A data element you would expect to be collected in the MDS, but NOT in the UHDDS would be

A three-shot vaccination series protects against the types of HPV that cause most cervical cancer cases

Which of the following BEST summarizes the current treatment of cervical cancer

de-identify health information

Which of the following can be released without consent or authorization?

a hacker

Someone accessed the covered entity's electronic health record and sold the information that was accessed. This person is known as which of the following?

review and possibly reengineer the retrieval process to decrease retrieval time

The HIM Department at General Hospital has been experiencing an average of 30-minute delay in the retrieval of records requested by the Emergency Department. Which of the following corrective actions would be most effective in reducing the delay in retrieval of requested records?

nurses using bedside terminals to record vital signs

The best example of point-of-care service and documentation is

Coronavirus

The cause for serve acute respiratory syndrome is a

rubella

The childhood viral disease that unvaccinated women should be prevented from contracting because it may be passed to the fetus, thus causing congenital anomalies such as mental retardation, blindness, and deafness is

MDS

The federally mandated resident assessment instrument used in long-term care facilities consists of three basic components, including the new care assessment, utilization guidelines, and the

simply document a written or oral agreement from a parent or guardian before releasing the immunization record to the school

The final HITECH Omnibus Rule expanded some of HIPAA's original requirements, including changes in immunization disclosures. As a result, where states require immunization records of a minor prior to admitting a student to a school, a covered entity is permitted to

interdisciplinary plan of care

The foundation for communicating all patient care goals in long-term care setting is the

state law

The minimum length of time for retaining original medical records is primarily governed by

Hepatitis C

The most common blood-borne infection in the United States is

Rocky Mountain spotted fever

The most common rickettsial disease in the United States is

small cell cancer

The most fatal type of lung cancer is

protozoa

The organism transmitted by a mosquito bit that causes malaria us a

60

The patient has requested an amendment to her heath record. The facility, after review with the physician, has decided to deny the request. According to HIPAA, the patient must be notified within how many days?

disclosing information to family member who is directly involved in care

The patient has the right to agree or object in which of the following situations?

privacy

The patient has the right to control access to his or her health information. This is known as

Hodgkin's disease

The patient's pathology report revealed the presence of Reed-Sternberg cells. This is indicative of

the overall quality of documentation in the record

The performance of ongoing record reviews is an important tool in ensuring data quality. These reviews evaluate

physical safeguard

The physician office has set the information systems so that they will log out after 5 minutes of inactivity. This is an example of which of the following?

Memory Cells

The prevention of illness through vaccination occurs due to the formation of

use

The research coordinator viewed 10 patients' records for a research study being conducted. Select the term used for this practice.

All answers apply

There has been a significant increase in the number of cases and deaths from pertussis. Health care professionals attribute this disease trend to which of the following: A decrease in the number of people immunized with TDaP, an increase in the virulence of the bacteria, drug-resistant of the bacteria

attending physician

Ultimate responsibility for the quality and completion of entries in patient health record belongs to the

are required to be documented in health record

Under the Patient Self-Determination Act of 1990, evidence of advance directives

All answers apply

United States health care providers are concerned about a possible pandemic of avian flu because

amount of space available for storage of newer records

What is the chief criterion for determining record inactivity?

straight numeric

What type of filling system is being used if records are filed in the following order:12-23-75, 12-3429, 12-35-71, 13-42-14, and 14-32-79?

Hodgkin's disease

Which disease is a malignancy of the lymphatic system?

release to the patients family

Which of the following disclosures would require patient authorization?

there is less transportation time and effort when a facility operates from several sites

Which of the following is NOT an advantage of a centralized filing system?

monitoring the computer access activity of the user

Which of the following is an example of administrative safeguards under the security rule?

the hospital provides patient names and addresses to pharmaceutical to be used in a mass mailing tree of free drug samples

Which of the following situations violates a patient's privacy?

"Mary, at work yesterday I saw that Susan had a hysterectomy."

Which of the following statements demonstrates a violation of protected health information?

it applies to the federal government

Which of the following statements is true about the Privacy Act of 1974?

bar codes

Which of the following technologies works best with automated record-tracking systems to speed the data entry process?

release of information company

Which of the following would be a business associate?

take a compromising position toward optimal interpretation of nonspecific regulations and laws

Which one of the following actions would NOT be included in the professional obligations of the health information practitioner that lead to responsible handling of patient health information?

duplication of patient registration can never occur

Which one of the following is NOT an advantage of a computerized master patient index?

assigning all records the same retention period

Which one of the following is NOt a step in developing a health record retention

pancreas

Which organ listed below has endocrine and exocrine functions?

57-78-00, 57-78-01, 56-78-99

Which set of records filed consecutively on a shelf displays terminal digit filing order?

context-based

You are a nurse who works on 3West during the day shift. One day, you had to work the night shift because they were shorthanded. However, you were unable to access the EHR. What type of access control(s) are being used?

risk assessment

You are reviewing your privacy and security policies, procedures, training program, and so on, and comparing them to the HIPAA and ARRA regulations. You are conducting a

operation index

You have been asked by a peer review committee to print a list of the medical record numbers of all patients who had CABGs performed in the past year at you acute care hospital. Which secondary data source be used to quickly gather this information.

disease index

You have been asked to identify every reportable cause of cancer from the previous year. A key resource will be the facility's

write the patient and tell hi that you need a 30-day extension

Your department was unable to provide a patient with a copy of his record within the 30-day limitation. What should you do?

7 Years

Your state regulations require health records to be kept for a statute of limitations period of 7 years. Federal law requires records to be maintained for 5 years. The minimum retention period for health records in your facility should be

Basal cell carcinoma, malignant melanoma

__________ is the most type of skin cancer and ______ is the most deadly type of skin cancer.