Chapter: 5&6
Which of the following describes a list?
A subset of the nomenclature
On which of the following toolbar buttons will you find the Otherwise Normal function?
Actions
A hospital patient needs an x-ray of her lung. From which of the following does the order for this image originate?
CPOE
How could you identify which concepts in the workspace came from a list?
Click the list name in the Content pane and see which findings are highlighted.
CPOE systems will help do all of the following to improve workflow processes except:
Eliminate medication shortages.
Why are radiology reports rarely available as a codified EHR record?
Most radiology reports are dictated.
John Brown leaves his doctor's office with a referral diagnosis for rheumatoid arthritis. What does this mean?
Mr. Brown's physician needs more information before confirming the diagnosis.
A physician has selected the diagnosis transient ischemic attack. This diagnosis relates to which of the following body systems?
Neurological
Which of the following is not true about check boxes when they appear in a form within an EHR?
Once a box has been checked, it is difficult to deselect.
A physician determines that her patient needs blood work done. Which of the following is the first step when using a CPOE system?
Ordering a lab test at the point of care
Which of the following types of diagnostic images uses the injection of a radioactive substance called a tracer as part of the imaging process?
PET
A patient indicates that he is currently taking no medications except multivitamins. In what section of the encounter note would this information be recorded?
Past Medical History
What was the doctor's assessment (diagnosis) of Charles Green in Chapter 5?
Pneumonia
What Details field is used to indicate an admission diagnosis?
Prefix
The best way to ensure that you will find a word quickly using the Search feature is to:
Spell the word correctly.
Which of the following statements is not true about laboratory tests?
An EHR system is only able to track lab orders once the patient has had the test performed.
What does the abbreviation CPOE stand for?
Computerized provider order entry
A component of a pharmacy computer system that checks for potential medication dosing errors is known as:
DUR
The Search feature in the Student Edition software:
Finds and shows the highest level match for the word that is being searched.
Mary Clark needs to have a CBC as part of her annual physical; this means Mary will most likely:
Have her blood drawn by a nurse or phlebotomist.
Which of the following is not a characteristic of a Form?
It can only display concepts by category.
Which of the following statements about a hospital's closed loop of medication administration is correct?
It helps support the five rights of medication administration.
Which of the following is not true of an EHR system when used in a physician's office?
It makes the physician's interaction with the patient less personal.
You have selected Review of Systems and clicked the Otherwise Normal button. This feature will:
Record previously unentered symptoms in the ROS section as normal.
You ask about all symptoms on the encounter, but your patient only has a few of them. Which of the following would be the fastest way to document the pertinent negatives for this patient encounter?
Select the Review of Systems heading and use the Otherwise Normal feature.
Which of the following EHR features can only be used once per patient encounter?
Template
When using the Student Edition software, how do you know if the Review of System section is selected?
The ROS section is outlined.
Where will you find the Search feature in the Student Edition software?
The Toolbar
Which of the following would not be considered a benefit of electronic lab orders?
The provider may order an unlimited number of tests for a patient.
Why are the Lists and Forms features in an EHR system useful to a clinician when seeing a patient?
They present the most frequently used concepts needed to document the patient's condition.
