TESTBANK FOR CLINICAL PROCEDURES FOR

TESTBANK FOR CLINICAL PROCEDURES FOR

MEDICAL ASSISTANTS 11

TH

EDITION/ALL CHAPTERS 1 -

23/COMPLETE GUIDE 2024-2025

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CH 01: The Medical Record

Bonewit-West: Clinical Procedures for Medical Assistants, 11th Edition

MULTIPLE CHOICE

• Which of the following is not a function of the medical record?
• To provide information for making decisions regarding the client’s care
• To document the client’s progress
• To serve as a legal document
• To share information between members of the client’s family

CORRECT ANS:- D REF: p. 2| CAAHEP Competency (2015): VI.4

OBJ: 1

• What information is contained in the medical record?
• Health history report
• Results of the physical examination
• Laboratory reports
• Progress notes
• All of the above

CORRECT ANS:- E REF: pp. 2-3| CAAHEP Competency (2015): VI.4

OBJ: 2

• The purpose of the HIPAA Privacy Rule is to
• reduce exposure of clients to bloodborne pathogens.
• provide clients with betterNcUonRtSroIl NovGeTr tBh.e uCsOe Mand disclosure of their health

information.

• prevent the client’s records from being copied.
• encourage the client to become more involved in preventive primary health care.

CORRECT ANS:- B REF: p. 4 | CAAHEP Competency (2015): IX.3

OBJ: 2

• All of the following are characteristics of the Notice of Privacy Practices except:
• Was developed by the American Medical Association
• Must explain how a client’s health information will be used and protected by the

medical office

• Must be provided to each client
• Must obtain a signed acknowledgment from the client that he/she has received an

NPP CORRECT ANS:- A REF: p. 4| CAAHEP Competency (2015): IX.3

OBJ: 2

• Health information in any form that contains client identifiable information is known as
• PHI.
• NPP.
• OSHA.
• HIPAA. 2 / 4

CORRECT ANS:- A REF: p. 4| CAAHEP Competency (2015): IX.3

OBJ: 2

• In which of the following situations does HIPAA not require written consent for the use or

disclosure of protected health information?

• Client referral to a specialist
• Emergency care provided at a hospital
• Determination of eligibility for insurance benefits
• Training of primary health care students
• All of the above

CORRECT ANS:- E REF: p. 4| CAAHEP Competency (2015): IX.3

OBJ: 2

• Which of the following is not an example of a medical office clinical document?
• Client registration record
• Physical examination report
• Medication record
• Health history report

CORRECT ANS:- A REF: pp. 2-3| CAAHEP Competency (2015): VI.4

OBJ: 2

• Which of the following is not a characteristic of a laboratory report?
• It relays results of laboratory tests to the provider
• It consists of a report of the analysis or examination of body specimens
• It assists in diagnosing and treating illness
• It is a request for laboratoryNtUesRtsStIo NbeGpTeBrf.orCmOeMd by an outside laboratory

CORRECT ANS:- D REF: pp. 2-3| CAAHEP Competency (2015): VI.4

OBJ: 2

• Which of the following is an example of a diagnostic procedure report?
• Electrocardiogram report
• Physical therapy report
• Urinalysis report
• Pathology report

CORRECT ANS:- A REF: pp. 2-3| CAAHEP Competency (2015): VI.4

OBJ: 2

• What is the name of the type of report that documents the assessments and treatments

designed to restore a client’s ability to function?

• Consultation report
• Diagnostic procedure report
• Pathology report
• Therapeutic service report

CORRECT ANS:- D REF: pp. 2-3| CAAHEP Competency (2015): VI.4

OBJ: 2

• Which of the following is not an example of a hospital report?
• Operative report 3 / 4

NURSINGTB.COM

• Cytology report
• Discharge summary report
• Emergency department report

CORRECT ANS:- B

REF: pp. 2-3| CAAHEP Competency (2015): VI.4 OBJ: 2

• Which of the following is an example of a consent document?
• Client registration record
• Notice of Privacy Practices form
• Release of medical information form
• Client instruction sheet

CORRECT ANS:- C REF: pp. 2-3| CAAHEP Competency (2015): VI.4

OBJ: 2

• Which of the following can be performed by an electronic medical record software program?
• Creation of a medical record
• Storage of a medical record
• Editing of a medical record
• Retrieval of a medical record
• All of the above

CORRECT ANS:- E REF: p. 3| CAAHEP Competency (2015): V.8

OBJ: 3

• All of the following are advantages of an electronic medical record (EMR) except
• an EMR does not have to be filed.
• documents in an EMR can be quickly retrieved.
• more than one person can view an EMR at the same time.
• EMRs are exempt from the HIPAA regulations.

CORRECT ANS:- D REF: pp. 3, 6| CAAHEP Competency (2015): VI.12

OBJ: 5

• Which of the following are used to enter data into an electronic medical record?
• Free-text entry
• Drop-down menus
• Radio buttons
• All of the above

CORRECT ANS:- D REF: p. 11| CAAHEP Competency (2015): V.8

OBJ: 8

• How are paper documents entered into a client’s electronic medical record?
• By scanning them into the computer
• By retyping them on the computer
• By photocopying them
• By transmitting them through a modem

CORRECT ANS:- A REF: p. 11| CAAHEP Competency (2015): VI.4

OBJ: 8

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