Archive for March 2021

Substance abuse ______________- treatment services are staffed by designated addiction treatment and mental health personnel who provide a planned regimen of care in a 24 hour live in setting where patients can reside safely and where mutual and self help group meetings generally are available on site.

Substance abuse ______________- treatment services are staffed by designated addiction treatment and mental health personnel who provide a planned regimen of care in a 24 hour live in setting where patients can reside safely and where mutual and self help group meetings generally are available on site.



Answer: residential/ inpatient

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. 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



Answer: ITP individualized treatment plan

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 the quality of substance abuse treatment services

B. to define levels of care and the specific criteria that should be used in placing clients in a treatment setting

C. to assist in the development of a prospective payment system using reimbursment criteria based on level of care in which patieent is placed

D. to assist development of legislation and regulations governing the placement of patients who have been involutnarily committed to substance abuse treatment



Answer: B. to define levels of care and the specific criteria that should be used in placing clients in a treatment setting

______________ 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 though they refuse or cannot consent to the treatment.



A. detention

B. incarceration

C.Voluntary admission

D.involuntary commitment



Answer: D.involuntary commitment

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 commission

B. ASAM and SAMHSA

C. alcoholics anonymous and American psychiatric association

D. national institute on alcohol abuse and alcoholism and center for substance abuse prevention



Answer: A. CARF and joint commission

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 offered by most large companies in the U.S.

C. a recovery program sponsored by the american society of addition medicine

D. an organization of self help recovery groups that utilize a twelve step program



Answer: D. an organization of self help recovery groups that utilize a twelve step 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 met

B. assists the client with non treatment activities

C. Designs therapeutic recreational activities

D. oversees all treatment activities



Answer: B. assists the client with non treatment activities

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 hour live in setting ___  is called______________.



A. intensive outpatient treatment

B. partial hospitalization treatment

C. residential/inpatient treatment

D. medically managed intensive inpatient treatment



Answer: C. residential/inpatient treatment

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 goal in the behavioral plan

B. progress notes are important as documentation that a service was performed as a basis for reimbursement

C. the conditons of participation require that physicians in psychiatric hospitals write daily progress notes

D. progress notes are not included in electronic medical records for mental health and therefore are generally handwritten evem when the rest of the record is electronic



Answer: B. progress notes are important as documentation that a service was performed as a basis for reimbursement

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 regarding behaviors such as taking medications, remaining sober, and maintaining residence in a designated place is called______________.



A. continuity of care.

B. outpatient commitment

C. continuous quality improvement

D. delusion



Answer: B. outpatient commitment

Wrap around services __________

Wrap around services __________



A. include aggressive consistent implementation of specialsized and generic training, treatment, health services, and related services on a 24 hour daily schedule in an institutional setting

B. refer to a metting of the interdisciplinary team during which the individual program plan is reviewed and revised

C. focus on provision of an array of community support services for persons with mental illness sufficient to allow them to live in the least restrictive enviornment

D. Represent the predominant method of mental health service delivery to children with emotional disturbances and their families, utilizing professional services tailored to meet the specific needs of the child and family, often including the home and or school settings



Answer: D. Represent the predominant method of mental health service delivery to children with emotional disturbances and their families, utilizing professional services tailored to meet the specific needs of the child and family, often including the home and or school settings

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 legislature 

B. medical examination are not performed in jails

C. most jails have on site medical facilities

D. Jails may screen and continuously monitor intoxicated persons throughout the detoxification period



Answer: D. Jails may screen and continuously monitor intoxicated persons throughout the detoxification period

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 systems

B. established a right to health care for inmates

C. gave inmates the right to bring a lawsuit against a prison system 

D. made inamtes eligible for medicare and medicaid benefits



Answer: B. established a right to health care for inmates

Jails are operated by_________

Jails are operated by_________



A. international governements

B.state governements

C.federal governments

D. local governments



Answer: D. local governments

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 facilities may be increased by as much as 5%

B. payments to facilities that do not meet performance standards may be reduced by as much as 2%

C. payments to facilities significantly below performance standards may be denied

D. All of the above



Answer: B. payments to facilities that do not meet performance standards may be reduced by as much as 2%

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 days after admission to the dialysis facility or 4 outpatient hemodialysis 

B.30 calendar days after admission to the dialysis facility or 13 outpatient hemodialysis 

C. 90calendar days after admission to the dialysis facility or 37 outpatient hemodialysis 

D. 180 calendar days after admission to the dialysis facility or 75outpatient hemodialysis



Answer: B.30 calendar days after admission to the dialysis facility or 13 outpatient hemodialysis

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 expense is ____________



A. service regulation

B.enrollment management

C.financial supervision

D.Economic credentialing



Answer: A. service regulation

Medicare advantage (formerly medicare +choice) is _____________.

Medicare advantage (formerly medicare +choice) is _____________.


A.a medicare manged care program

B.the use of supplemental insurance to pay for medical expenses not covered under medicare

C.a program for physicians that allows them to choose to particpate in medicare or not

D. a federal health care prgram created by the patient protection and affordable care act to replace and expand traditional medicare.



Answer: A.a medicare manged care program

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. Determine the communication method he prefers.


b. Avoid using facial and hand gestures because most hearing-impaired people find this degrading.


c. Request a sign language interpreter before meeting with him to help facilitate the communication.


d. Speak loudly and with exaggerated facial movement when talking with him because doing so will help him lip read.

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 persons. What is the reason for this?



a. An aged person has a longer story to tell.


b. An aged person is usually lonely and likes to have someone with whom to talk.


c. Aged persons lose much of their mental abilities and require longer time to complete an interview.


d. As a person ages, he or she is unable to hear; thus the interviewer usually needs to repeat much of what is said.



Answer: A

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 to communicating with him?



a.


Use periods of silence to communicate respect for him.


b.


Be totally honest with him, even if the information is unpleasant.


c.


Tell him that everything that is discussed will be kept totally confidential.


d.


Use slang language when possible to help him open up.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?




Answer: B

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. Tell the child that the blood pressure cuff is going to give her arm a big hug.


b. Tell the child that the blood pressure cuff is asleep and cannot wake up.


c. Give the blood pressure cuff a name and refer to it by this name during the assessment.


d. Tell the child that by using the blood pressure cuff, we can see how strong her muscles are



Answer: D

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 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. Tickle the toddler, and get her to laugh.


b. Stoop down to her level, and ask her about the toy she is holding.


c. Continue to ignore her until it is time for the physical examination.


d. Ask the mother to leave during the examination of the toddler, because toddlers often fuss less if their parent is not in view.



Answer: B

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, he suddenly crosses his arms against his chest and crosses his legs. This changed posture would suggest that the parent is:



a. Simply changing positions.


b. More comfortable in this position.


c. Tired and needs a break from the interview.


d. Uncomfortable talking about his sons treatment



Answer: D

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 should:



a. Ask someone who knows the patient well to help interpret this discrepancy.


b. Focus on the patients verbal message, and try to ignore the nonverbal behaviors.


c. Try to integrate the verbal and nonverbal messages and then interpret them as an average.


d. Focus on the patients nonverbal behaviors, because these are often more reflective of a patients true feelings.



Answer: D

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, You dont smoke, drink, or take drugs, do you? This question is an example of:



a. Talking too much.


b. Using confrontation.


c. Using biased or leading questions.


d. Using blunt language to deal with distasteful topics.


Answer: C


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 and says, Im so afraid of, um, you know. The nurses most therapeutic response would be to say in a gentle manner:



a. Youre afraid you might lose your breast?


b. No, Im not sure what you are talking about.


c. Ill wait here until you get yourself under control, and then we can talk.


d. I can see that you are very upset. Perhaps we should discuss this later.



Answer: A

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 just dont know the best way to do it. What should I do? The nurses most appropriate response in this case would be:



a. Id quit if I were you. The doctor really knows what he is talking about.


b. Would you like some information about the different ways a person can quit smoking?


c. Stopping your dependence on cigarettes can be very difficult. I understand how you feel.


d. Why are you confused? Didnt the doctor give you the information about the smoking cessation program we offer?



Answer: B

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. 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. Therapeutic response. By sharing something personal, the nurse gives hope to this woman.


b. Nontherapeutic response. By providing false reassurance, the nurse actually cut off further discussion of the womans fears.


c. Therapeutic response. By providing information about the medications available, the nurse is giving information to the woman.


d. Nontherapeutic response. The nurse is essentially giving the message to the woman that labor cannot be tolerated without medication.



Answer: B

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 leave him. Using interpretation, the nurses best response would be:



a. You are going to leave him?


b. If you are afraid for your children, then why cant you leave?


c. It sounds as if you might be afraid of how your husband will respond.


d. It sounds as though you have made your decision. I think it is a good one.


Answer: C


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, because using interpretation can be demeaning for the patient.


b. Allow time for the patient to confirm or correct the inference.


c. Continue with the interview as though nothing has happened.


d. Immediately restate the nurses conclusion on the basis of the patients nonverbal response


Answer: B

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, 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. Mr. K., I know that you are lying.


b. Mr. K., come on, tell me how much you smoke.


c. Mr. K., I didnt realize your wife had died. It must be difficult for you at this time. Please tell me more about that.


d. Mr. K., you have said that you dont smoke, but I see that you have an open pack of cigarettes in your pocket.



Answer: D


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 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. You feel alone.


b. You cant believe he left you alone?


c. It must be so hard to face this all alone.


d. I would be angry, too; raising a child alone is no picnic.



Answer: C

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. I get so upset when that happens. The nurses best verbal response would be:



a. Go on, Im listening.


b. Fits? Tell me what you mean by this.


c. Yes, it can be upsetting when a child has a fit.


d. Dont be upset when he has a fit; every 2 year old has fits.



Answer: B

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 best response to this behavior?



a. Be silent, and allow him to continue when he is ready.


b. Smile at him and say, Dont worry about all of this. Im sure we can find out why youre having these pains.


c. Lean back in the chair and ask, You are looking at me kind of funny; there isnt anything wrong, is there?


d. Stand up and say, I can see that this interview is uncomfortable for you. We can continue it another time.



Answer: A

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 providers perspective. An example of a verbal response that focuses on the health care providers perspective would be:



a. Empathy.


b. Reflection.


c. Facilitation.


d. Confrontation.



Answer: D

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 about past hospitalizations is missing. At this point, which statement by the nurse would be most appropriate to gather these data?



a. Mr. Y., at your age, surely you have been hospitalized before!


b. Mr. Y., I just need permission to get your medical records from County Medical.


c. Mr. Y., you mentioned that you have been hospitalized on several occasions. Would you tell me more about that?


d. Mr. Y., I just need to get some additional information about your past hospitalizations. When was the last time you were admitted for chest pain?



Answer: D

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. What is the best choice for an opening phase of the interview with this patient?



a. Hello, Nancy, my name is Mrs. C.


b. Hello, Mrs. H., my name is Mrs. C. It sure is cold today!


c. Mrs. H., my name is Mrs. C. How are you?


d. Mrs. H., my name is Mrs. C. Ill need to ask you a few questions about what happened.



Answer: D

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 question is found at the __________ phase of the interview process.



a. Summary


b. Closing


c. Body


d. Opening or introduction



Answer: D

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 may impede the nurses observation of the patients nonverbal behaviors.


b. Note-taking allows the patient to continue at his or her own pace as the nurse records what is said.


c. Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level.


d. Note-taking allows the nurse to break eye contact with the patient, which may increase his or her level of comfort.



Answer: A

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 radios


b. Reduces the distance between the interviewer and the patient to 2 feet or less


c. Provides a dim light that makes the room cozy and helps the patient relax


d. Arranges seating across a desk or table to allow the patient some personal space



Answer: A

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 adolescent who came in for a sports physical

b. Recovering alcoholic who came in for a basic physical examination

c. Man whose wife has just been diagnosed with lung cancer

d. Man with a hearing impairment who uses sign language to communicate and who has an interpreter with him



Answer: C

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 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:



a. Excited about her pregnancy but nervous about the labor.


b. Exhibiting verbal and nonverbal behaviors that do not match.


c. Excited about her pregnancy, but her husband is not and this is upsetting to her.


d. Not excited about her pregnancy but believes the nurse will negatively respond to her if she states this.



Answer: B

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 guide performance.


b. Has an intuitive grasp of a clinical situation and quickly identifies the accurate solution.


c. Sees actions in the context of daily plans for patients.


d. Understands a patient situation as a whole rather than a list of tasks and recognizes the long-term goals for the patient.


Answer: D

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. Establish priorities.


b. Identify expected outcomes.


c. Evaluate the individuals condition, and compare actual outcomes with expected outcomes.


d. Interpret data, and then identify clusters of cues and make inferences.



Answer: C

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 interventions.


c.


Identifying negative health acts of the consumer.


d.


Helping the consumer choose a healthier lifestyle.



Answer: D

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 his health assessment is important to:



a. Identify the cause of his illness.


b. Make accurate disease diagnoses.


c. Provide cultural health rights for the individual.


d. Provide culturally sensitive and appropriate care.



Answer: D

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 nurse should:



a. Collect a follow-up data base and then check her blood pressure.


b. Ask her to read her health record and indicate any changes since her last visit.


c. Check only her blood pressure because her complete health history was documented 2 months ago.


d. Obtain a complete health history before checking her blood pressure because much of her history information may have changed.



Answer: A

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. Patient has a sudden and severe shortness of breath.


c. Patient is admitted to the hospital for surgery the following day.


d. Patient in an outpatient clinic has cold and influenza-like symptoms.



Answer: D

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 in this setting?



a. A follow-up data base to evaluate changes at appropriate intervals


b. An episodic data base because of the continuing, complex medical problems of this patient


c. A complete health data base because of the nurses primary responsibility for monitoring the patients health


d. An emergency data base because of the need to collect information and make accurate diagnoses rapidly


Answer: C

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 includes the:



a.

Patients history of allergies.


b. Patients use of medications at home.


c. Last menstrual period 1 month ago.


d. 2 5 cm scar on the right lower forearm.



Answer: D

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. The majority of deaths among Americans under age 65 years are not preventable.


c. Prevention places the emphasis on the link between health and personal behavior.


d. The means to prevention is through treatment provided by primary health care practitioners.



Answer: C

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 external environment.


b. The individual human is a closed system.


c. Nurses are responsible for a patients health state.


d.Holistic health views the mind, body, and spirit as interdependent.



Answer: D

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 studies.


c. Insufficient clinical skills of nurses.


d. Inadequate physical assessment skills.


Answer: A

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, discharge, and follow-up


b. Admission, assessment, diagnosis, treatment, and discharge planning


c. Admission, diagnosis, treatment, evaluation, and discharge planning


d. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation



Answer: D

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 with postoperative pain


b. Newly diagnosed patient with diabetes who needs diabetic teaching


c. Individual with a small laceration on the sole of the foot


d. Individual with shortness of breath and respiratory distress



Answer: D

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 practices.


b. EBP is simply the use of best practice techniques for the treatment of patients.


c. EBP emphasizes the use of best evidence with the clinicians experience.


d. The patients own preferences are not important with EBP.



Answer: C

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 of skills and experience from which to draw, are more likely to make their decisions using:



a. Intuition.


b. A set of rules.


c.Articles in journals.


d. Advice from supervisors



Answer: B

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 patients physician.


b. Document the sound exactly as it was heard.


c. Validate the data by asking a coworker to listen to the breath sounds.


d. Assess again in 20 minutes to note whether the sound is still present.


Answer: C

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, automatic log-off, and encryption and decryption of data?



A. audit control

B. person or entity authentication

C. transmission security

D. access control



Answer: D

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 laws and accreditation requirements when developing retention and destruction policies.

B. Keeping technology updated in order to retrieve data.

C. Ensuring that health information can be retrieved in a timely manner.

D. All of the above are challenges.



Answer: D

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 of the following would be the key advantage in using this type of data entry?


A. Enhanced databases will provide information for improved clinical care.

B. Training will be offered by the hospital.

C. Those physicians not in compliance will be denied admitting privileges.

D. Multiple users will not have access to the same information simultaneously.



Answer: A

The function of a(an) ___ is limited to data retrieval.

The function of a(an) ___ is limited to data retrieval.



A. electronic health record

B. executive information system 

C. database management system

D. clinical data repository



Answer: D

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 data without human or technical intervention. This is a(an) 



A. interfaced system.

B. integrated system.

C. OLAP.

D. standard.



Answer: A

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 following security measures can be implemented to prevent privacy violations in this computer system?


A. authentication

B. encryption

C. disaster recovery plan

D. all of the above



Answer: D

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 includes



A. strategies that consider accessibility, natural disasters, and innovations in storage technology.

B. strategies ensuring that inactive records are as secure as active records.

C. a retention plan for multiple volumes of records.

D. all of the above.



Answer: D

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 physician's pager number. Which one of the following is the medical staff using?



A. intranet

B. extranet 

C. Internet

D. clinical information system



Answer: D

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 administrator using?



A. electronic health record system

B. results reporting system

C. financial information system

D. executive information system



Answer: D

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 through the completion process. What departmental function is this most useful for?



A. release of information 

B. coding

C. chart tracking 

D. transcription


Answer: C

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 to verify that the software will work as marketed?



A. Visit corporate headquarters of the vendor.

B. Perform a vendor reference check.

C. Read consumer reports before buying.

D. Test the software prior to purchase.



Answer: D

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 staff for point-of-service input. Which one of the following reasons would NOT be included in the Director's response?



A. decreased clinical documentation errors

B. increased work efficiency

C. faster access to health data

D. elimination of the need for expensive desktop computers



Answer: D

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 would be MOST effective for this activity?



A. desktop publishing

B. word processing

C. database management system

D. command interpreter



Answer: C

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 you NOT consider as an option for storing health information?



A. light pen

B. optical disc

C. microfilm 

D. magnetic disk



Answer: A

What data cannot be retrieved from the MEDPAR?

What data cannot be retrieved from the MEDPAR?



A. ICD-9-CM diagnosis and procedure codes

B. Charges broken down by specific types of services 

C. Non-Medicare patient data

D. Data on the provider



Answer: C

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 levels and engage them appropriately.

B. Determine return on investment or cost-benefit analysis.

C. Identify system requirements.

D. Broaden the vendor field and select several vendors of choice.



Answer: D

Fetal monitoring strips are part of the record and should be maintained

Fetal monitoring strips are part of the record and should be maintained



A. newborn's; 10 years past the age of majority

B. mother's; according to the length of time required for a minor's records

C. newborn's; according to the time period specified in the state's statute of limitations

D. mother's; 10 years


Answer: B

An example of a primary data source is the

An example of a primary data source is the



A. physician index.

B. health record.

C. cancer registry.

D. hospital statistical report.



Answer: B

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 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. newborn records.

B. state bureau of vital statistics. 

C. maternal records.

D. birth defects registry.



Answer: D

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 hospital?


A. storing the records off-site at a cost of $25,000 per year

B. scanning all 250,000 records for a cost of $195,000

C. purging and storing all death records off-site at a cost of $20,000 per year

D. destroying all records older than 3 years for a cost of $50,000



Answer: B

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 following EXCEPT


A. state laws and licensing standards.

B. Communities of Practice requirements.

C. needs and wishes of patients.

D. Medicare requirements.



Answer: B

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 to follow? 



A. Security training is provided to all levels of staff.

B. Patients are not educated about their right to confidentiality of health information.

C. The information system encourages mass copying, printing, and downloading of patient records. 

D. When paper-based records areno longer needed, they are bundled and sent to a recycling center.



Answer: A

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. 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?


A. concurrency

B. access

C. integrity

D. cost



Answer: B

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 will establish the permitted and required uses and disclosures and include which of the following elements?


A. method of destruction or disposal

B. time that will elapse between acquisition and destruction or disposal

C. safeguards against breaches

D. all of the above



Answer: D

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 maintain accessibility, the department director should


A. be on call during the evening hours.

B. staff the file area with file clerks on all three shifts.

C. instruct medical staff in record retrieval.

D. instruct nurse supervisors in record retrieval.



Answer: B

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. issue a copy of the birth certificate from the patient's record.

B. direct the request to the state's office of vital records.

C. direct the request to the attending physician.

D. issue a copy of the newborn's record.



Answer: B

The main advantage of phonetic filing is

The main advantage of phonetic filing is


A. typographical errors are eliminated.

B. spelling accuracy is encouraged.

C. emphasis is placed on a foreign language.

D. names that sound alike are filed together.



Answer: D

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 for computerized data?



A. overwriting data with a series of characters

B. disk reformatting

C. magnetic degaussing

D. overwriting the backup tapes



Answer: C

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. age of majority plus statute of limitation

B. 10 years after the most recent encounter

C. 10 years after the age of majority

D. permanently



Answer: A

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. who completes the list of what records are to be stored

B. what are the billing terms

C. who will purge inactive files for transfer

D. confidentiality policies and liability concerns



Answer: D

A major consideration in a hospital or facility closure is to

A major consideration in a hospital or facility closure is to



A. notify all patients to pick up their original records by the date of closure.

B. seek approval for destruction of all records with a last date of treatment over 3 years ago.

C. ensure that authorized parties have access to the information as provided by law.

D. arrange for donating the records to an HIA/HIT education program for student use.



Answer: C

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 year. Where would the health information manager look for this information?



A. patient register

B. disease index

C. operation index 

D. birth defects register



Answer: C

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 to limit or restrict access to the area, you decide to




A. install a computerized access control panel.

B. hire a security guard to monitor entrance to the file area.

C. convert from a terminal digit filing system to serial unit filing.

D. utilize a sign-in and sign-out log for admittance to the file area.



Answer: A

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 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?


A. 1,800

B. 1,860

C. 4,340

D. 6,200



Answer: C

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 destruction based on all but which one of the following factors?


A. statute of limitations

B. volume of research

C. readmission rate

D. department staffing



Answer: D

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 privileges at another hospital?



A. National Practitioner Data Bank

C. MEDPAR file

B. Healthcare Integrity and Protection Data Bank

D. State Administrative Data Bank



Answer: A

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 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?



A. decentralized

B. unit record

C. centralized 

D. terminal digit



Answer: A

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 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. 2

B. 4

C. 6

D. 8



Answer: C

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 files


B. heavy objects placed in top file drawers


C. stepladders that are fully open and locked in place


D. plastic wastebasket for trash



Answer: C

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 to maintain accessibility, the Director of the HIM Department should



A. staff the department with personnel 24 hours a day.

B. be on call every evening and weekends for emergency requests.

C. train security guards to retrieve records after the department closes.

D. arrange for records to be retrieved at 7:00 AM every morning.



Answer: A

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 unit numbering system, which medical record number should be used given the following information?


Admitted 5/04/14 Patty Miller 23-33-56


Admitted 6/05/14 P. J. Miller 25-56-88


Admitted 9/27/14 Patricia Miller 27-12-12


A. Void the first and last numbers and file all admissions under 25-56-88.

B. Delete all previous numbers and assign a completely new number.

C. Void the first two numbers and file all admissions under 27-12-12.

D. Void the last two numbers and file all admissions under 23-33-56.



Answer: D

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 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?


A. Both records are combined under 07-10-47.

B. Both records are combined under 07-23-38.

C. Each admission is filed under its own number.

D. Previous records are brought forward and filed under the latest number issued.



Answer: C

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 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?



A. $8,531.25 B. $8,125.00


c. $853.25 D. $1,875.00



Answer: A

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 the system.

B. increases exchange time on the jukebox.

C. is resident on the jukebox.

D. is a way of defragmenting a WORM platter.



Answer: A

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. 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?


A. changing role of department functions and work flow

B. challenges of maintaining records that are partially paper and partially electronic

C. whether to scan older paper records

D. relationship with the microfilm vendor



Answer: D

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 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?



A. serial-unit

B. serial

C. unit

D. terminal digit



Answer: A

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, J.; Ferlazzo, Joshua; Ferlazzo, Joshua P.; Ferlazzo, Joshua Philip


C. Ferlazzo, Joshua; Ferlazzo, Joshua P.; Ferlazzo, J.; Ferlazzo, Joshua Philip


D. Ferlazzo, Joshua A.; Ferlazzo, B.; Ferlazzo, Joshua; Ferlazzo, Joshua Phillip



Answer: B

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 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. master patient index

B. physician index

C. disease index

D. operation index



Answer: C

Microfilmed records are considere

Microfilmed records are considered


A. inadmissible evidence.

B. never admissible as hearsay evidence.

C. acceptable as courtroom evidence.

D. not admissible as secondary evidence.



Answer: C

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 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. 11

B. 12

C. 13

D. 14



Answer: D

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 5 years. The minimum retention period for health records in your facility should be



A. 5 years. 

B. 7 years.

C. 10 years.

D. either 5 or 7 years, as determined by the facility.



Answer: B

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 patient health records be retained for at least ___ years unless a longer period is required by state or local laws.



A. 3

B. 5

C. 7

D. 10



Answer: B

What is the chief criterion for determining record inactivity?

What is the chief criterion for determining record inactivity?



A. Medicare's definition of inactivity

B. amount of space available for storage of newer records

C. efficiency of microfilming

D. preference of the medical staff



Answer: B

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 records to each individual patient.

B. Destroy records of all deceased patients.

C. Destroy inactive records that exceed the statute of limitations.

D. Maintain the records indefinitely in hard copy.



Answer: C

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 date of birth, social security number, medical record, or billing number.

B. It solves most space and retrieval problems.

C. It provides other departments with immediate access to the information maintained in the master patient index.

D. Duplication of patient registration can never occur.



Answer: D

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. Which of the following corrective actions would be most effective in reducing the delay in retrieval of requested records? 



A. Offer a prize to the employee who locates the requested records first.

B. Review and possibly reengineer the retrieval process to decrease retrieval time.

C. Allow the requesters to retrieve the record themselves.

D. Increase file area staff to include one additional file clerk devoted to pulling records for the emergency room.



Answer: B

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 several sites.

B. There is less duplication of effort to create, maintain, and store records.

C. Record control and security are easier to maintain.

D. There is decreased cost in space and equipment.



Answer: A

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 handling of patient health information?



A. Educate consumers about their rights and responsibilities regarding the use of their personal health information.

B. Extend privacy and security principles into all aspects of the data use, access, and control program adopted in the organization.

C. Honor the patient-centric direction of the national agenda.

D. Take a compromising position toward optimal interpretation of nonspecific regulations and laws.



Answer: D

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 manjishta

c. Dong quai and black cohosh

d. Wild yam and vitex



Answer: d. Wild yam and vitex

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 disease

b. An aid in the management of the symptoms of dysmenorrhea and PMS

c. Prevention of prostate cancer in men

d. Prevention of osteoporosis in post-menopausal women


Answer: 


a. Protection against heart disease

b. An aid in the management of the symptoms of dysmenorrhea and PMS

c. Prevention of prostate cancer in men

d. Prevention of osteoporosis in post-menopausal women

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