Substance abuse ______________- treatment services are staffed by designated addiction treatment and mental health personnel who provide a planned regimen...
The _________ is a written plan developed by a clients treatment team that is used to identify the type and frequency of services needed by the client. it includes measurable goals and objectives that address the problems identified in the clinical assessment and should be updated periodically as the clients treatment needs change
The _________ is a written plan developed by a clients treatment team that is used to identify the type and frequency of services needed by the client....
__________-clients have both a substance abuse disorder and a chronic mental illness and typically have a special treatment needs.
__________-clients have both a substance abuse disorder and a chronic mental illness and typically have a special treatment needs.Answer: Dual d...
_______ is a mode of treatment for serious mental illness that focuses on provision of an array of community support services.
_______ is a mode of treatment for serious mental illness that focuses on provision of an array of community support services.Answer: psycho social...
The ____ is a system by which each state mental health authority reports aggregate data to SAMHSA
The ____ is a system by which each state mental health authority reports aggregate data to SAMHSAAnswer: URS uniform reporting sys...
The _____ is an individual responsible for the administration and operation of health services within a prison system or department of correction
The _____ is an individual responsible for the administration and operation of health services within a prison system or department of correctionAnswer: HSD...
With regard to frequency of reassessment, stale dialysis patients must be reassessed at least
With regard to frequency of reassessment, stale dialysis patients must be reassessed at leastAnswer: Mont...
________ is the process of cleansing the blood as it circulates through an artificial kidney machine outside the patient's body.
________ is the process of cleansing the blood as it circulates through an artificial kidney machine outside the patient's body.Answer: Hemodial...
________is calculated value that serves as a means of measuring the adequacy of dialysis.
________is calculated value that serves as a means of measuring the adequacy of dialysis.Answer: k...
The _________ is an ongoing project of CMS implemented through the ESRD networks to measure and report the quality of renal dialysis services provided under the medicare program.
The _________ is an ongoing project of CMS implemented through the ESRD networks to measure and report the quality of renal dialysis services provided...
Most common form of outpatient treatment for substance abuse disorders is ____.
Most common form of outpatient treatment for substance abuse disorders is ____.A. group therapyB. Family therapy.C. individual therapy.D. drug therapy.Answer: C....
What is the purpose of the American society of addiction medicines patient placement criteria manual?
What is the purpose of the American society of addiction medicines patient placement criteria manual?A. to establish criteria for measuring and improving...
______________ is a legal process by which individuals who are deemed to be a danger to themselves or others may be admitted to a treatment program even though they refuse or cannot consent to the treatment.
______________ is a legal process by which individuals who are deemed to be a danger to themselves or others may be admitted to a treatment program even...
Two voluntary accreditation organizations that set standards for substance abuse treatments facilities are _______________
Two voluntary accreditation organizations that set standards for substance abuse treatments facilities are _______________A. CARF and joint commissionB....
What is alcoholics anonymous?
What is alcoholics anonymous?A. a regulation described in 42 CFR, pt. 2, confidentiality of drug and alcohol abuse records.B. an employee assistance program...
What is the roles of a case manager in substance abuses treatment settings?
What is the roles of a case manager in substance abuses treatment settings?A. ensures that all documentations requirements are metB. assists the client...
Substance abuse treatment services staffed by designated addiction treatment and mental health personnel who provide a planned regimen of care in a 24 hour live in setting ___ is called______________.
Substance abuse treatment services staffed by designated addiction treatment and mental health personnel who provide a planned regimen of care in a 24...
Which of the following was not a fact in the 2005 implementation of the inpatient psychiatric facility prospective payment system(IPF PPS)
Which of the following was not a fact in the 2005 implementation of the inpatient psychiatric facility prospective payment system(IPF PPS)A. assessment...
With regard to progress notes in mental health records,_______________
With regard to progress notes in mental health records,_______________A. accreditation surveyors often check to see that every progress note has a corresponding...
Judicial diversion of a person who has been certified as in need of psychiatric care to some other form of treatments that is community based with stipulating regarding behaviors such as taking medications, remaining sober, and maintaining residence in a designated place is called______________.
Judicial diversion of a person who has been certified as in need of psychiatric care to some other form of treatments that is community based with stipulating...
Wrap around services __________
Wrap around services __________A. include aggressive consistent implementation of specialsized and generic training, treatment, health services, and related...
Which of the following terms can be equally applied either to mental illness and intellectual disability in the same person or to mental illness and chemical dependency in the same person
Which of the following terms can be equally applied either to mental illness and intellectual disability in the same person or to mental illness and chemical...
Which of the following statements is true regarding health care in jails ?
Which of the following statements is true regarding health care in jails ?A. the provision of health services in jails is the responsibility of the state...
Which term describes a formal, administrative procedure whereby inmates may file complaints against a correctional facility for review by a panel?
Which term describes a formal, administrative procedure whereby inmates may file complaints against a correctional facility for review by a panel?A. Malpractice...
Estelle v. gamble was a U.S. supreme court case that_____________.
Estelle v. gamble was a U.S. supreme court case that_____________.A. upheld the privatization of prison systemsB. established a right to health care for...
Jails are operated by_________
Jails are operated by_________A. international governementsB.state governementsC.federal governmentsD. local governmentsAnswer: D. local governm...
One effect that the quality incentives program could have on medicare payments to dialysis facilities is that ______________
One effect that the quality incentives program could have on medicare payments to dialysis facilities is that ______________A. payments to high performing...
The fundamental payment in medicares prospective payment system for dialysis facilities is made on a ______________.
The fundamental payment in medicares prospective payment system for dialysis facilities is made on a ______________.A.per diem basisB.per treatment basisC....
The timeline for completion of the comprehensive patient assessment and initial implementation of the plan of care is within ______________
The timeline for completion of the comprehensive patient assessment and initial implementation of the plan of care is within ______________A.10 calendar...
Unstable dialysis patients should be reassessed by the interdisciplinary team at least_______________.
Unstable dialysis patients should be reassessed by the interdisciplinary team at least_______________.A.dailyB.weekly.C.MonthlyD.AnnuallyAnswer: ...
Which of the following is a document prepared by the interdisciplinary team that evaluates the patient in at least thirteen required areas?
Which of the following is a document prepared by the interdisciplinary team that evaluates the patient in at least thirteen required areas?A. patient...
Which of the following types of caregivers would most likely to see the in center dialysis patient at every treatment?
Which of the following types of caregivers would most likely to see the in center dialysis patient at every treatment?A. social workerB.dietitianCphysician D....
In _________ the patients blood circulates outside his body through an artificial kidney that removes metabolic wastes and helps maintain homeostasis.
In _________ the patients blood circulates outside his body through an artificial kidney that removes metabolic wastes and helps maintain homeostasis.A.artificial...
The 20 percent expense that is the responsibility of the insured under an indemnity insurance policy is called___________
The 20 percent expense that is the responsibility of the insured under an indemnity insurance policy is called___________A.coinsuranceB.copaymentC.self...
Ensuring that a provider is not underutilizing services and compromising the health of managed care members or overutilizing services and creating unnecessary expense is ____________
Ensuring that a provider is not underutilizing services and compromising the health of managed care members or overutilizing services and creating unnecessary...
The authorization to receive a specific health service from a specific health provider is called a __________.
The authorization to receive a specific health service from a specific health provider is called a __________.A. transferB. encounterC. referralD. remittanceAnswer: B....
Mid level providers are often used in managed care to provide illness related services to patients, they include ________.
Mid level providers are often used in managed care to provide illness related services to patients, they include ________.A.physicians B. case managersC.health...
Verifying medical necessity of tests and procedures ordered during an inpatient hospitalization is called_________
Verifying medical necessity of tests and procedures ordered during an inpatient hospitalization is called_________A. concurrent review B. CoinsuranceC.GatekeepingD.CredentialingAnswer: A....
Medicare advantage (formerly medicare +choice) is _____________.
Medicare advantage (formerly medicare +choice) is _____________.A.a medicare manged care programB.the use of supplemental insurance to pay for medical...
The nurse is interviewing a male patient who has a hearing impairment. What techniques would be most beneficial in communicating with this patient?
The nurse is interviewing a male patient who has a hearing impairment. What techniques would be most beneficial in communicating with this patient?a....
A 75-year-old woman is at the office for a preoperative interview. The nurse is aware that the interview may take longer than interviews with younger persons. What is the reason for this?
A 75-year-old woman is at the office for a preoperative interview. The nurse is aware that the interview may take longer than interviews with younger...
A 16-year-old boy has just been admitted to the unit for overnight observation after being in an automobile accident. What is the nurses best approach to communicating with him?
A 16-year-old boy has just been admitted to the unit for overnight observation after being in an automobile accident. What is the nurses best approach...
During an examination of a 3-year-old child, the nurse will need to take her blood pressure. What might the nurse do to try to gain the childs full cooperation?
During an examination of a 3-year-old child, the nurse will need to take her blood pressure. What might the nurse do to try to gain the childs full cooperation?a....
A mother brings her 28-month-old daughter into the clinic for a well-child visit. At the beginning of the visit, the nurse focuses attention away from the toddler, but as the interview progresses, the toddler begins to warm up and is smiling shyly at the nurse. The nurse will be most successful in interacting with the toddler if which is done next?
A mother brings her 28-month-old daughter into the clinic for a well-child visit. At the beginning of the visit, the nurse focuses attention away from...
During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his sons treatment, however, he suddenly crosses his arms against his chest and crosses his legs. This changed posture would suggest that the parent is:
During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his sons treatment, however,...
When observing a patients verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse should:
When observing a patients verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse...
A nurse is taking complete health histories on all of the patients attending a wellness workshop. On the history form, one of the written questions asks, You dont smoke, drink, or take drugs, do you? This question is an example of:
A nurse is taking complete health histories on all of the patients attending a wellness workshop. On the history form, one of the written questions asks,...
As the nurse enters a patients room, the nurse finds her crying. The patient states that she has just found out that the lump in her breast is cancer and says, Im so afraid of, um, you know. The nurses most therapeutic response would be to say in a gentle manner:
As the nurse enters a patients room, the nurse finds her crying. The patient states that she has just found out that the lump in her breast is cancer...
During a visit to the clinic, a patient states, The doctor just told me he thought I ought to stop smoking. He doesnt understand how hard Ive tried. I just dont know the best way to do it. What should I do? The nurses most appropriate response in this case would be:
During a visit to the clinic, a patient states, The doctor just told me he thought I ought to stop smoking. He doesnt understand how hard Ive tried. I...
A pregnant woman states, I just know labor will be so painful that I wont be able to stand it. I know it sounds awful, but I really dread going into labor. The nurse responds by stating, Oh, dont worry about labor so much. I have been through it, and although it is painful, many good medications are available to decrease the pain. Which statement is true regarding this response? The nurses reply was a:
A pregnant woman states, I just know labor will be so painful that I wont be able to stand it. I know it sounds awful, but I really dread going into labor....
During an interview, a woman says, I have decided that I can no longer allow my children to live with their fathers violence, but I just cant seem to leave him. Using interpretation, the nurses best response would be:
During an interview, a woman says, I have decided that I can no longer allow my children to live with their fathers violence, but I just cant seem to...
The nurse has used interpretation regarding a patients statement or actions. After using this technique, it would be best for the nurse to:
The nurse has used interpretation regarding a patients statement or actions. After using this technique, it would be best for the nurse to:a. Apologize,...
A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead. As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and drug use. When the nurse asks him about tobacco use, he states, I quit smoking after my wife died 7 years ago. However, the nurse notices an open pack of cigarettes in his shirt pocket. Using confrontation, the nurse could say:
A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead. As the nurse works through the interview,...
A 17-year-old single mother is describing how difficult it is to raise a 3-year-old child by herself. During the course of the interview she states, I cant believe my boyfriend left me to do this by myself! What a terrible thing to do to me! Which of these responses by the nurse uses empathy?
A 17-year-old single mother is describing how difficult it is to raise a 3-year-old child by herself. During the course of the interview she states, I...
A woman is discussing the problems she is having with her 2-year-old son. She says, He wont go to sleep at night, and during the day he has several fits. I get so upset when that happens. The nurses best verbal response would be:
A woman is discussing the problems she is having with her 2-year-old son. She says, He wont go to sleep at night, and during the day he has several fits....
When taking a history from a newly admitted patient, the nurse notices that he often pauses and expectantly looks at the nurse. What would be the nurses best response to this behavior?
When taking a history from a newly admitted patient, the nurse notices that he often pauses and expectantly looks at the nurse. What would be the nurses...
In using verbal responses to assist the patients narrative, some responses focus on the patients frame of reference and some focus on the health care providers perspective. An example of a verbal response that focuses on the health care providers perspective would be:
In using verbal responses to assist the patients narrative, some responses focus on the patients frame of reference and some focus on the health care...
A patient has finished giving the nurse information about the reason he is seeking care. When reviewing the data, the nurse finds that some information about past hospitalizations is missing. At this point, which statement by the nurse would be most appropriate to gather these data?
A patient has finished giving the nurse information about the reason he is seeking care. When reviewing the data, the nurse finds that some information...
During an interview, the nurse states, You mentioned having shortness of breath. Tell me more about that. Which verbal skill is used with this statement?
During an interview, the nurse states, You mentioned having shortness of breath. Tell me more about that. Which verbal skill is used with this statement?a....
A woman has just entered the emergency department after being battered by her husband. The nurse needs to get some information from her to begin treatment. What is the best choice for an opening phase of the interview with this patient?
A woman has just entered the emergency department after being battered by her husband. The nurse needs to get some information from her to begin treatment....
The nurse asks, I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here. This question is found at the __________ phase of the interview process.
The nurse asks, I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here. This...
In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking?
In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking?a. Note-taking...
The nurse makes which adjustment in the physical environment to promote the success of an interview?
The nurse makes which adjustment in the physical environment to promote the success of an interview?a. Reduces noise by turning off televisions and radiosb....
Receiving is a part of the communication process. Which receiver is most likely to misinterpret a message sent by a health care professional?
Receiving is a part of the communication process. Which receiver is most likely to misinterpret a message sent by a health care professional?a.Well-adjusted...
The nurse is conducting an interview with a woman who has recently learned that she is pregnant and who has come to the clinic today to begin prenatal care. The woman states that she and her husband are excited about the pregnancy but have a few questions. She looks nervously at her hands during the interview and sighs loudly. Considering the concept of communication, which statement does the nurse know to be most accurate? The woman is:
The nurse is conducting an interview with a woman who has recently learned that she is pregnant and who has come to the clinic today to begin prenatal...
Which statement best describes a proficient nurse? A proficient nurse is one who:
Which statement best describes a proficient nurse? A proficient nurse is one who:a. Has little experience with a specified population and uses rules to...
The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action?
The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action?a....
In the ________________ model_, the focus of the health professional is on helping the consumer choose a healthier lifestyle.
In the ________________ model_, the focus of the health professional is on helping the consumer choose a healthier lifestyle.Answer: health prom...
In the health promotion model, the focus of the health professional includes:
In the health promotion model, the focus of the health professional includes:a.Changing the patients perceptions of disease.b.Identifying biomedical model...
A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in his health assessment is important to:
A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in...
A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should:
A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The...
Which situation is most appropriate during which the nurse performs a focused or problem-centered history?
Which situation is most appropriate during which the nurse performs a focused or problem-centered history?a. Patient is admitted to a long-term care facility.b....
A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of data base is most appropriate to collect in this setting?
A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of data base is most appropriate to collect...
The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the:
The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment...
The nurse recognizes that the concept of prevention in describing health is essential because:
The nurse recognizes that the concept of prevention in describing health is essential because:a. Disease can be prevented by treating the external environment.b....
When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these?
When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these?a. Disease originates from the...
What step of the nursing process includes data collection by health history, physical examination, and interview?
What step of the nursing process includes data collection by health history, physical examination, and interview?a. Planningb. Diagnosisc. Evaluationd....
Barriers to incorporating EBP include:
Barriers to incorporating EBP include:a. Nurses lack of research skills in evaluating the quality of research studies.b. Lack of significant research...
Which of these would be formulated by a nurse using diagnostic reasoning?
Which of these would be formulated by a nurse using diagnostic reasoning?a. Nursing diagnosisb. Medical diagnosisc. Diagnostic hypothesisd. Diagnostic...
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems?
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these...
The nursing process is a sequential method of problem solving that nurses use and includes which steps?
The nursing process is a sequential method of problem solving that nurses use and includes which steps?a. Assessment, treatment, planning, evaluation,...
The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the __________ diagnosis.
The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the __________ diagnosis.a. Nursingb....
Which critical thinking skill helps the nurse see relationships among the data?
Which critical thinking skill helps the nurse see relationships among the data?a. Validationb. Clustering related cuesc. Identifying gaps in datad. Distinguishing...
When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?
When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?a. Low self-esteemb....
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem?
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem?a. Patient...
The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?
The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?a. EBP relies on tradition for support of best...
Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as:
Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as:a.Intuition.b....
The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses, without a background of skills and experience from which to draw, are more likely to make their decisions using:
The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses, without a background...
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to:
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to:a. Immediately notify the...
The patients record, laboratory studies, objective data, and subjective data combine to form the:
The patients record, laboratory studies, objective data, and subjective data combine to form the:a.Data base.b. Admitting data.c. Financial statement.d....
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:A. ObjectiveB. ReflectiveC. subjectiveD....
After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These...
Which of the following is NOT a factor to consider when developing a record retention program?
Which of the following is NOT a factor to consider when developing a record retention program?A. legal requirements as determined by statute of limitationsB....
When implementing the electronic health record, what is the technical security standard that requires unique user identification, emergency access procedures, automatic log-off, and encryption and decryption of data?
When implementing the electronic health record, what is the technical security standard that requires unique user identification, emergency access procedures,...
Which of the following is a major management challenge in the storage and retention of electronic health record systems?
Which of the following is a major management challenge in the storage and retention of electronic health record systems?A. Following state and federal...
A 16-year-old female delivers a stillborn infant in Mercy Hospital. The clinical documentation on the stillborn infant would
A 16-year-old female delivers a stillborn infant in Mercy Hospital. The clinical documentation on the stillborn infant wouldA. be filed in a health record...
University Hospital, a 900-bed tertiary health care organization, is undergoing an information systems development. What system would best meet its needs?
University Hospital, a 900-bed tertiary health care organization, is undergoing an information systems development. What system would best meet its needs?A....
The Director of the HIM Department is explaining incentives to physicians for entering their clinical documentation in the electronic health record. Which of the following would be the key advantage in using this type of data entry?
The Director of the HIM Department is explaining incentives to physicians for entering their clinical documentation in the electronic health record. Which...
The function of a(an) ___ is limited to data retrieval.
The function of a(an) ___ is limited to data retrieval.A. electronic health recordB. executive information system C. database management systemD....
Health Informatics, Inc. is a vendor with a large collection of clinical information systems and hospital information systems that are designed to share data without human or technical intervention. This is a(an)
Health Informatics, Inc. is a vendor with a large collection of clinical information systems and hospital information systems that are designed to share...
As HIM director, you must ensure a means to regulate access and ensure preservation of data in the health care facility's computer system. Which of the following security measures can be implemented to prevent privacy violations in this computer system?
As HIM director, you must ensure a means to regulate access and ensure preservation of data in the health care facility's computer system. Which of the...
The HIM practitioner's duty to retain health information by archiving and storage of health data includes
The HIM practitioner's duty to retain health information by archiving and storage of health data includesA. strategies that consider accessibility, natural...
University Hospital has the messaging technology to securely route an alert for a patient's possible drug interaction or abnormal lab result to the appropriate physician's pager number. Which one of the following is the medical staff using?
University Hospital has the messaging technology to securely route an alert for a patient's possible drug interaction or abnormal lab result to the appropriate...
The hospital administrator is making a strategic decision by querying various institutional databases for information. What type of system is the hospital administrator using?
The hospital administrator is making a strategic decision by querying various institutional databases for information. What type of system is the hospital...
The Assistant Director of HIM is evaluating software that would use electronic logging of the location of incomplete and delinquent records as they move through the completion process. What departmental function is this most useful for?
The Assistant Director of HIM is evaluating software that would use electronic logging of the location of incomplete and delinquent records as they move...
Lewis-Beck Medical Center has been collecting data on patient satisfaction for six months. It is ready to start retrieving data from the database to improve clinical services. Which tool should be used?
Lewis-Beck Medical Center has been collecting data on patient satisfaction for six months. It is ready to start retrieving data from the database to improve...
Concern for health data loss and misuse within the HIM department requires that the health information practitioner evaluate
Concern for health data loss and misuse within the HIM department requires that the health information practitioner evaluateA. security controls and access...
The Assistant Director of Record Processing is evaluating software packages for a chart tracking system in the HIM Department. What is the BEST method to verify that the software will work as marketed?
The Assistant Director of Record Processing is evaluating software packages for a chart tracking system in the HIM Department. What is the BEST method...
The Director of Health Information Management has been asked by the Board of Trustees to justify support for the use of handheld devices by the medical staff for point-of-service input. Which one of the following reasons would NOT be included in the Director's response?
The Director of Health Information Management has been asked by the Board of Trustees to justify support for the use of handheld devices by the medical...
General Hospital utilizes various related files that include clinical and financial data to generate reports such as MS-DRG case mix reports. What application would be MOST effective for this activity?
General Hospital utilizes various related files that include clinical and financial data to generate reports such as MS-DRG case mix reports. What application...
As the record retention supervisor, you are evaluating storage devices for a new health information management system Which one of the following would you NOT consider as an option for storing health information?
As the record retention supervisor, you are evaluating storage devices for a new health information management system Which one of the following would...
What data cannot be retrieved from the MEDPAR?
What data cannot be retrieved from the MEDPAR?A. ICD-9-CM diagnosis and procedure codesB. Charges broken down by specific types of services C. Non-Medicare...
How many years does the Food and Drug Administration require research records pertaining to cancer patients be maintained?
How many years does the Food and Drug Administration require research records pertaining to cancer patients be maintained?A. 5B. 7C. 30D. permanently...
Which one of the following would NOT be a strategy when purchasing an electronic health record system?
Which one of the following would NOT be a strategy when purchasing an electronic health record system?A. Recognize stakeholders from different organizational...
Fetal monitoring strips are part of the record and should be maintained
Fetal monitoring strips are part of the record and should be maintainedA. newborn's; 10 years past the age of majorityB. mother's; according to the length...
Which of the following is NOT considered a challenge in the adoption of an electronic health record system?
Which of the following is NOT considered a challenge in the adoption of an electronic health record system?A. design of the work flow and processesB....
An example of a primary data source is the
An example of a primary data source is theA. physician index.B. health record.C. cancer registry.D. hospital statistical report.Answer:&nbs...
A health care facility has received a request to participate in a statewide study on cleft lip and cleft palate. This study would include data from the past year and subsequent years. Given that each of the data sources cited below contains the necessary information, the initial data would be most easily collected from the
A health care facility has received a request to participate in a statewide study on cleft lip and cleft palate. This study would include data from the...
The steps in developing a record retention program include all but which of the following?
The steps in developing a record retention program include all but which of the following?A. determining the storage format and locationB. notifying the...
For a health care facility to meet its document destruction needs, the certificate of destruction should include all but which of the following elements?
For a health care facility to meet its document destruction needs, the certificate of destruction should include all but which of the following elements?A....
According to AHIMA's recommended retention standards, which of the following types of health information does NOT need to be retained permanently?
According to AHIMA's recommended retention standards, which of the following types of health information does NOT need to be retained permanently?A. physician...
A quality control measure that should be established for the filing, storage, and retrieval of health records includes criteria for the
A quality control measure that should be established for the filing, storage, and retrieval of health records includes criteria for theA. accuracy of...
The total number of records filed during the month is 2,500 and, upon completion of a filing accuracy study, 90 records were not found. What is the accuracy rate for filing?
The total number of records filed during the month is 2,500 and, upon completion of a filing accuracy study, 90 records were not found. What is the accuracy...
What would be the most cost-effective and prudent course of action for the storage or disposition of 250,000 records at a large teaching and research hospital?
What would be the most cost-effective and prudent course of action for the storage or disposition of 250,000 records at a large teaching and research...
When engaging the services of a microfilm vendor, all but which one of the following factors should be included in the contract?
When engaging the services of a microfilm vendor, all but which one of the following factors should be included in the contract?A. who performs record...
Which one of the following is NOT a data retrieval tool?
Which one of the following is NOT a data retrieval tool?A. colorB. soundC. point-and-click fieldsD. iconsAnswer:&nbs...
The HIM Department maintains 500,000 records and responds to 5,000 requests for records in a given period of time. What is the record usage rate?
The HIM Department maintains 500,000 records and responds to 5,000 requests for records in a given period of time. What is the record usage rate?A. 0.01%B....
Which of the following issues would be of LEAST concern when storing health records in off-site storage?
Which of the following issues would be of LEAST concern when storing health records in off-site storage?A. operating hours of the storage facilityB. safety...
Which of the following is NOT an alternative storage method for paper-based records?
Which of the following is NOT an alternative storage method for paper-based records?A. microfilmB. optical imagingC. computer D. outguideAnswer:...
What type of plan is a Joint Commission-accredited facility required to maintain to protect health information from catastrophes such as fire, flooding, bomb threats, and theft?
What type of plan is a Joint Commission-accredited facility required to maintain to protect health information from catastrophes such as fire, flooding,...
Case finding methods for patients with diabetes include a review of all but which one of the following?
Case finding methods for patients with diabetes include a review of all but which one of the following? A. health plansB. CPT diagnostic codesC....
When health care facilities close or medical practices dissolve, procedures for disposition of patient records should take into consideration all of the following EXCEPT
When health care facilities close or medical practices dissolve, procedures for disposition of patient records should take into consideration all of the...
Which one of the following features should NOT be considered when designing screens capture quality health data?
Which one of the following features should NOT be considered when designing screens capture quality health data?A. a prompt for more informationB. built-in...
When operating under the Health Insurance Portability and Accountability Act of 1996, what is a basic tenet in information security for health care professionals to follow?
When operating under the Health Insurance Portability and Accountability Act of 1996, what is a basic tenet in information security for health care professionals...
The clinical laboratory department staff can use a database that allows them to see what laboratory tests were conducted and the results of those tests. By contrast, the billing department staff can only see that portion of the database that lists the laboratory tests that generate a charge, but they cannot see the test results. What kind of control is this an example of?
The clinical laboratory department staff can use a database that allows them to see what laboratory tests were conducted and the results of those tests....
Under the HIPAA Privacy Rule, when destruction services are outsourced to a business associate, the contract must provide that the business associate will establish the permitted and required uses and disclosures and include which of the following elements?
Under the HIPAA Privacy Rule, when destruction services are outsourced to a business associate, the contract must provide that the business associate...
When evaluating an outside contract microfilm company, all but which of the following are important factors to rate?
When evaluating an outside contract microfilm company, all but which of the following are important factors to rate?A. cost B. emergency returnsC....
A file area has limited space, medium file activity, and two file clerks. The HIM department would benefit from choosing which type of storage equipment?
A file area has limited space, medium file activity, and two file clerks. The HIM department would benefit from choosing which type of storage equipment?A....
The HIM Department is located in a hospital that provides health record access 24 hours a day, 7 days a week. To secure the file area and continue to maintain accessibility, the department director should
The HIM Department is located in a hospital that provides health record access 24 hours a day, 7 days a week. To secure the file area and continue to...
Where in the health record would the following statement be located? "Microscopic Diagnosis: Liver (needle biopsy), metastatic adenocarcinoma"?
Where in the health record would the following statement be located? "Microscopic Diagnosis: Liver (needle biopsy), metastatic adenocarcinoma"?A. operative...
Which of the following is NOT a consideration in file folder size and design?
Which of the following is NOT a consideration in file folder size and design?A. reinforced top and side panels C. vendor locationB. scoring on folder...
A surgeon requests the name of a patient he admitted on January 11, 2013. Which of the following would be used to retrieve this information?
A surgeon requests the name of a patient he admitted on January 11, 2013. Which of the following would be used to retrieve this information?A. master...
The HIM Department receives a request for a certified copy of a birth certificate on a patient born in the hospital 30 years ago. The Department should
The HIM Department receives a request for a certified copy of a birth certificate on a patient born in the hospital 30 years ago. The Department should A....
If the department staff are having trouble locating the terminal digit sections quickly, the supervisor could add more
If the department staff are having trouble locating the terminal digit sections quickly, the supervisor could add moreA. outguides.B. file guides.C. requisitions.D....
Electronic health record built-in tools that can make data capture easier include all but which one of the following?
Electronic health record built-in tools that can make data capture easier include all but which one of the following?A. data dictionariesB. flow process...
The main advantage of phonetic filing is
The main advantage of phonetic filing isA. typographical errors are eliminated.B. spelling accuracy is encouraged.C. emphasis is placed on a foreign language.D....
Which of the following is a disadvantage of terminal digit filing as compared to straight numeric filing?
Which of the following is a disadvantage of terminal digit filing as compared to straight numeric filing?A. File personnel are crowded in the highest...
Which of the following statements would be found in the laboratory report section of the health record?
Which of the following statements would be found in the laboratory report section of the health record?A. BUN reported as 20 mgB. Morphine sulfate gr....
A health care facility has made a decision to destroy computerized data. AHIMA recommends which one of the following as the preferred method of destruction for computerized data?
A health care facility has made a decision to destroy computerized data. AHIMA recommends which one of the following as the preferred method of destruction...
Unless state or federal laws require longer time periods, AHIMA recommends that patient health information for minors be retained for at least how long?
Unless state or federal laws require longer time periods, AHIMA recommends that patient health information for minors be retained for at least how long?A....
Which index is used by the HIM department to link the patient's name and number in relation to access and retention of the clinical record?
Which index is used by the HIM department to link the patient's name and number in relation to access and retention of the clinical record?A. physician...
In negotiating a contract with a commercial storage company for storage of inactive records, what would be the most important issue to clarify in writing?
In negotiating a contract with a commercial storage company for storage of inactive records, what would be the most important issue to clarify in writing?A....
What follow-up rate does the American College of Surgeons mandate for all cancer cases to meet approval requirements as a cancer program?
What follow-up rate does the American College of Surgeons mandate for all cancer cases to meet approval requirements as a cancer program?A. 70%B. 80%C....
A major consideration in a hospital or facility closure is to
A major consideration in a hospital or facility closure is toA. notify all patients to pick up their original records by the date of closure.B. seek approval...
The Chief of the Medical Staff requests a report on the number of coronary artery bypass grafts performed by a particular physician in April of the previous year. Where would the health information manager look for this information?
The Chief of the Medical Staff requests a report on the number of coronary artery bypass grafts performed by a particular physician in April of the previous...
What technical security controls do electronic health record systems employ that are different from paper-based health record systems?
What technical security controls do electronic health record systems employ that are different from paper-based health record systems?A. audit trailsB....
As Director of the HIM Department you have become aware of instances of unauthorized access to the record file area. After considering several options to limit or restrict access to the area, you decide to
As Director of the HIM Department you have become aware of instances of unauthorized access to the record file area. After considering several options...
Palm Beach Healthcare Center has been in operation for 13 years. It has 6,000 admissions per year. The facility has expanded and will allow for 200 more admissions per year from now on. There are 2,500 linear feet of filing space available and half is being used. The facility expects a 30% readmission rate. If a unit numbering/filing system is used, how many file folders will be needed for the next year?
Palm Beach Healthcare Center has been in operation for 13 years. It has 6,000 admissions per year. The facility has expanded and will allow for 200 more...
Which of the following items is the Health Information Manager primarily concerned with when purchasing file guides?
Which of the following items is the Health Information Manager primarily concerned with when purchasing file guides?A. cost and color B. durability...
Which one of the following is NOT an electronic document management system component?
Which one of the following is NOT an electronic document management system component?A. scannerB. file serverC. laser printerD. reader-printerAnswer:...
Which one of the following is an advantage of straight numeric filing over terminal digit filing?
Which one of the following is an advantage of straight numeric filing over terminal digit filing?A. All sections of the file expand uniformly.B. The training...
Which of the following is NOT a benefit of the electronic document management system in the HIM Department?
Which of the following is NOT a benefit of the electronic document management system in the HIM Department?A. online availability of informationB. multiuser...
A health information manager develops a formal plan . or record retention schedule for the automatic transfer of records to inactive storage and potential destruction based on all but which one of the following factors?
A health information manager develops a formal plan . or record retention schedule for the automatic transfer of records to inactive storage and potential...
Which type of patient information system does the Joint Commission suggest that hospitals use?
Which type of patient information system does the Joint Commission suggest that hospitals use?A. unit recordB. computer-based patient recordC. protocol...
Dr. Gray has applied for medical staff privileges at your hospital. What database would you research to determine if he has been denied medical staff privileges at another hospital?
Dr. Gray has applied for medical staff privileges at your hospital. What database would you research to determine if he has been denied medical staff...
The master patient index must, at a minimum, include sufficient information to
The master patient index must, at a minimum, include sufficient information toA. summarize the patient's medical history.B. list all physicians who have...
Brian Hills was discharged from the hospital after a 3-day hospitalization and instructed to return to the outpatient department for follow-up care. On his first visit as an outpatient, a new record was created and he was assigned a new record number. Following completion of the outpatient appointment, his outpatient record is filed permanently in the outpatient department. What is the filing system used in this situation?
Brian Hills was discharged from the hospital after a 3-day hospitalization and instructed to return to the outpatient department for follow-up care. On...
Which of the following microform types is the least expensive to prepare and results in the greatest storage density?
Which of the following microform types is the least expensive to prepare and results in the greatest storage density?A. microfilm jacketsB. roll microfilmC....
A HIM Department wants to buy new open-shelf filing units for its file expansion. Each of the shelves in a new 6-shelf unit measures 33 linear filing inches. There will be an estimated 1,000 records to file. The average record is 1-inch thick. How many filing units should be purchased?
A HIM Department wants to buy new open-shelf filing units for its file expansion. Each of the shelves in a new 6-shelf unit measures 33 linear filing...
Which of the following is NOT a safety hazard in the HIM Department?
Which of the following is NOT a safety hazard in the HIM Department?A. tightly packed open-shelf filesB. heavy objects placed in top file drawersC. stepladders...
As a prerequisite to phasing in a new imaging system, what process would facilitate automatic indexing?
As a prerequisite to phasing in a new imaging system, what process would facilitate automatic indexing?A. redesigning forms to include bar codesB. removing...
The health care providers in an acute care hospital require access to paper health records 24 hours a day, 7 days a week. To secure the area and continue to maintain accessibility, the Director of the HIM Department should
The health care providers in an acute care hospital require access to paper health records 24 hours a day, 7 days a week. To secure the area and continue...
The same patient was admitted on three different occasions and assigned a new medical record number each time. In order to correct this situation in a unit numbering system, which medical record number should be used given the following information?
The same patient was admitted on three different occasions and assigned a new medical record number each time. In order to correct this situation in a...
On his 12/23/14 admission to Metropolitan Hospital, David Robinson was assigned the medical record number 07-23-38. The previous record number assigned to Mr. Robinson during a 9/1/14 admission was 07-10-47. In a serial numbering/ filing system, how would these records be filed?
On his 12/23/14 admission to Metropolitan Hospital, David Robinson was assigned the medical record number 07-23-38. The previous record number assigned...
At Community Hospital the average admission will create a file that will take up 0.25 inch of file space. Each new ER record requires 0.125 inch of file space. Approximately 25,000 new patients are admitted per year and 15,000 ER patients are treated per year. The shelving cost is $1.05 per filing inch. How much money should be allocated for storage space in next year's budget?
At Community Hospital the average admission will create a file that will take up 0.25 inch of file space. Each new ER record requires 0.125 inch of file...
In retrieval of optical image files, cache memory
In retrieval of optical image files, cache memory A. decreases access time for all users on the system.A. decreases access time for all users on...
What microform should the HIM practitioner select if the records must be unitized and color-coded for filing purposes?
What microform should the HIM practitioner select if the records must be unitized and color-coded for filing purposes?A. roll microfilm B. cartridgeC....
Capital Health Center is moving to a new facility in December 2015. The CEO is projecting a conversion to an electronic health record system by then. This new facility will not include space for the filing of paper-based health records. Which of the following items would not be considered when planning this conversion?
Capital Health Center is moving to a new facility in December 2015. The CEO is projecting a conversion to an electronic health record system by then....
Mary Schnering was admitted to Community Hospital on 10/3/14 and assigned a record number of 54-47-53. The patient was later admitted on 1/14/15 and assigned the number 54-88-42. Both records were eventually filed under 54-88-42 What type Of nUmbering/filing system is being used at Community Hospital?
Mary Schnering was admitted to Community Hospital on 10/3/14 and assigned a record number of 54-47-53. The patient was later admitted on 1/14/15 and assigned...
Which of the following lists is in correct alphabetical order?
Which of the following lists is in correct alphabetical order?A. Ferlazzo, Joshua; Ferlazzo, Joshua P.; Ferlazzo, Joshua Philip; Ferlazzo, J.B. Ferlazzo,...
Which of the following is NOT a consideration when implementing a disaster plan?
Which of the following is NOT a consideration when implementing a disaster plan?A. Include disaster training in staff orientation.B. Establish a plan...
If the HIM Department has purchased 100 units of 8-shelf files and plans to use the terminal digit filing system, how many shelves should be allocated to each primary number?
If the HIM Department has purchased 100 units of 8-shelf files and plans to use the terminal digit filing system, how many shelves should be allocated...
Which of the following should not be included in the documentation of record destruction?
Which of the following should not be included in the documentation of record destruction?A. statement that records were destroyed in the normal course...
In a manual record-tracking system, no record should be removed from the file without being replaced by a(n)
In a manual record-tracking system, no record should be removed from the file without being replaced by a(n)A. 81/2 x Il-inch charge-out slip.B. empty...
How many inches are recommended for aisles between file units when using stationary open-shelf files?
How many inches are recommended for aisles between file units when using stationary open-shelf files?A. 24B. 36C. 60D. 72Answer:&nbs...
A research request has been received by the HIM Department from the Quality Improvement Committee. The Committee plans to review the records of all patients who were admitted with CHF in the month of January 2014. Which of the following indices would be the best source in locating the needed records?
A research request has been received by the HIM Department from the Quality Improvement Committee. The Committee plans to review the records of all patients...
Microfilmed records are considere
Microfilmed records are consideredA. inadmissible evidence.B. never admissible as hearsay evidence.C. acceptable as courtroom evidence.D. not admissible...
A HIM Department, currently using 2,540 linear filing inches to store records, plans to purchase new open-shelf filing units. Each of the shelves in a new 6-shelf unit measures 36 linear filing inches. It is estimated that an additional 400 filing inches should be planned for to allow for 5-year expansion needs. How many new file shelving units should be purchased?
A HIM Department, currently using 2,540 linear filing inches to store records, plans to purchase new open-shelf filing units. Each of the shelves in a...
Which of the following technologies works best with automated record-tracking systems to speed the data entry process?
Which of the following technologies works best with automated record-tracking systems to speed the data entry process?A. discharge listsB. bar codesC....
Your state regulations require health records to be kept for a statute of limitations period of 7 years. Federal law requires records to be retained for 5 years. The minimum retention period for health records in your facility should be
Your state regulations require health records to be kept for a statute of limitations period of 7 years. Federal law requires records to be retained for...
How many years does the CMS regulations require that health records be maintained? Medicare's Conditions of Participation for Hospitals requires that patient health records be retained for at least ___ years unless a longer period is required by state or local laws.
How many years does the CMS regulations require that health records be maintained? Medicare's Conditions of Participation for Hospitals requires that...
According to terminal digit filing, what would be the number of the record immediately after record number 99-99-30?
According to terminal digit filing, what would be the number of the record immediately after record number 99-99-30?A. 99-98-30B. 00-00-31c. 01-00-31 D....
In the master patient index, which is filed by last name, Jill Thomas-Jones would be
In the master patient index, which is filed by last name, Jill Thomas-Jones would beA. J-I-L-L-T-H-O-M-A-S-J-O-N-E-SB. T-H-O-M-A-S-J-O-N-E-S, J-I-L-LC....
Which set of records filed consecutively on a shelf displays terminal digit filing order?
Which set of records filed consecutively on a shelf displays terminal digit filing order?A. 00-79-99, 00-79-01, 99-78-99B. 57-78-00, 57-78-01, 56-78-99C....
Out of 2,543 records requested from the HIM Department, 2,375 were located. What is the filing accuracy rate?
Out of 2,543 records requested from the HIM Department, 2,375 were located. What is the filing accuracy rate?A. 6.61%B. 75.33%C. 89.01% D. 93.39...
What is the chief criterion for determining record inactivity?
What is the chief criterion for determining record inactivity?A. Medicare's definition of inactivityB. amount of space available for storage of newer...
Which filing system would provide the most convenient method for the record retrieval of 200 patients consecutively admitted to the hospital?
Which filing system would provide the most convenient method for the record retrieval of 200 patients consecutively admitted to the hospital?A. terminal...
A 200-bed acute care hospital currently has 15 years of paper health records and filing space is limited. What action should be taken?
A 200-bed acute care hospital currently has 15 years of paper health records and filing space is limited. What action should be taken?A. Return inactive...
A new Health Information Department has purchased 200 units of 6-shelf files and plans to implement a terminal digit filing system. How many shelves should be allocated to each primary number?
A new Health Information Department has purchased 200 units of 6-shelf files and plans to implement a terminal digit filing system. How many shelves should...
Under the Patient Self-Determination Act of 1990, evidence of advance directives
Under the Patient Self-Determination Act of 1990, evidence of advance directivesA. are required to be documented in the health record.B. are not required...
Which of the following would not be considered secondary data?
Which of the following would not be considered secondary data?A. disease index B. implant registryC. health recordD. National Practitioner DataA...
Color coding of record folders is used to assist in the control of
Color coding of record folders is used to assist in the control ofA. record tracking.B. loose reports.C. record completion.D. misfiles.Answer:&nbs...
Which one of the following is NOT an advantage of a computerized master patient index?
Which one of the following is NOT an advantage of a computerized master patient index?A. It allows access to data alphabetically, phonetically, or by...
The HIM Department at General Hospital has been experiencing an average 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?
The HIM Department at General Hospital has been experiencing an average 30-minute delay in the retrieval of records requested by the Emergency Department....
In a terminal digit filing system, what would be the record number immediately in front of record number 01-06-26?
In a terminal digit filing system, what would be the record number immediately in front of record number 01-06-26?A. 00-06-26B. 02-06-26c. 03-06-26 D....
Which of the following is NOT an advantage of a centralized filing system?
Which of the following is NOT an advantage of a centralized filing system?A. There is less transportation time and effort when a facility operates from...
If there are 150,000 records and the HIM Department receives 3,545 requests for records within a given period of time, what is the request rate?
If there are 150,000 records and the HIM Department receives 3,545 requests for records within a given period of time, what is the request rate?A. 2.4%B....
What type of filing system is being used if records are filed in the following order: 12-23-75, 12-34-29, 12-35-71, 13-42-14, and 14-32-79?
What type of filing system is being used if records are filed in the following order: 12-23-75, 12-34-29, 12-35-71, 13-42-14, and 14-32-79?A. terminal...
Which one of the following is NOT a step in developing a health record retention schedule?
Which one of the following is NOT a step in developing a health record retention schedule?A. conducting an inventory of the facility's recordsB. determining...
If there is more than one patient with the identical last name, first name, and middle initial, the master patient index entries are then arranged according to the
If there is more than one patient with the identical last name, first name, and middle initial, the master patient index entries are then arranged according...
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?
Which one of the following actions would NOT be included in the professional obligations of the health information practitioner that lead to responsible...
True or False: The mechanisms of action of phytoestrogens are understood.
True or False: The mechanisms of action of phytoestrogens are understood.a. Trueb. FalseAnswer: b. Fa...
True or False: Xenoestrogens are naturally occurring chemicals found in the mineral kingdom that act like hormones in the body.
True or False: Xenoestrogens are naturally occurring chemicals found in the mineral kingdom that act like hormones in the body.a. Trueb. FalseAnswer: b....
True or False: Phytohormones are real hormones from plant sources.
True or False: Phytohormones are real hormones from plant sources.a. Trueb. FalseAnswer: b. Fa...
True or False: A woman with kapha-type infertility would benefit from emmenogogues to purify the artavavaha srota while trying to become pregnant.
True or False: A woman with kapha-type infertility would benefit from emmenogogues to purify the artavavaha srota while trying to become pregnant.a. Trueb....
Two herbs that may have progesterone-like actions are
Two herbs that may have progesterone-like actions are a. Shatavari and red clover b. Soy and manjishtac. Dong quai and black cohoshd. Wild yam...
True or False: There is not enough evidence to conclude that phytoestrogens either play a contributing role in the cause of breast cancer or that they exacerbate existing breast cancer.
True or False: There is not enough evidence to conclude that phytoestrogens either play a contributing role in the cause of breast cancer or that they...
Phytoestrogens have been found to possibly have which of the following actions:
Phytoestrogens have been found to possibly have which of the following actions: a. Protection against heart diseaseb. An aid in the management of...
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