question

A graph that shows an individual patient's weight fluctuations over time would be least helpful when performing which of the following tasks?

answer

Determining if the patient has a genetic predisposition to obesity

question

Which of the following statements about the tabs in Patient Management is not correct?

answer

To sort data within the Vitals tab, click on the Sort button.

question

Which of the following is least likely to require or use a longitudinal patient record?

answer

Acute care hospital

question

using Patient Management, how would a clinician indicate that the treatment plan for a specific patient problem was working?

answer

The clinician would select Well Controlled from the Problem List tab drop-down list to record the status.

question

Where does the data that appears in the Med/Surg tab of the Patient Management section come from?

answer

Past History

question

Which of the following statements about the Patient Management section of the Student Edition software is incorrect?

answer

The Medications tab displays medication information that has been ordered by the patient's primary care provider and no one else.

question

A nurse practitioner sees a patient who is normally seen by a physician within a medical office. The patient says she had a series of tests done earlier in the week, but hasn't heard anything yet. The nurse practitioner would:

answer

click on Pending Orders in Patient Management to find out the status of the patient's tests.

question

In what tab does the Patient Management feature automatically open?

answer

Problems

question

What does choosing "resolved" for a particular problem do automatically?

answer

It moves the problem to the patient's history.

question

Certain wellness conditions may be included as part of the Problem List based on which patient information?

answer

Gender

question

The process of comparing information, such as test results, over a period of time is called:

answer

trending

question

Which of the following problems would be considered "Acute Self-Limiting"?

answer

Rhinitis

question

All of the following are available as options on the Graph menu except:

answer

Blood pressure

question

A lab order is marked "preliminary." This means that the:

answer

results show an early indication of the test, but they are not verified.

question

Before a provider writes a prescription for a patient, he or she should always check:

answer

Allergies and medications

question

What is a Problem List?

answer

An up-to-date list of a patient's diagnoses and conditions

question

A patient indicates she is using an herbal supplement to ease her menopausal symptoms. This information would be displayed within which Patient Management section of the Student Edition software?

answer

Medications

question

You want to create a flow sheet that is based on a specific problem. To accomplish this task, what do you need to do first?

answer

Click on the Manage tab

question

Jared Peeters has type 2 diabetes, hypertension, and a new diagnosis of macular degeneration. When his provider sees Jared during an encounter, which of the following is the most likely scenario?

answer

The macular degeneration flow sheet will not have columns for previous encounters.

question

On which of the following devices is an anatomical drawing the easiest to utilize and navigate?

answer

Tablet PC

question

An EHR system that allows a clinician to select findings related to a sprained ankle by viewing an anatomic illustration of the foot would be useful because:

answer

it allows the clinician to zero in on the appropriate findings quickly.

question

In which of the following positions should the buttons be in if you wish to view the narrative of an encounter from within a flow sheet?

answer

Cite Off

question

You are viewing a flow sheet for a patient and wish to see details from a previous encounter. You do this by clicking:

answer

on the date of the previous encounter.

question

What happens to a handwritten note that a clinician adds to an annotated anatomical drawing in an EHR?

answer

The note is not searchable by the EHR.

question

What is a flow sheet?

answer

A feature of the software that presents data from multiple encounters in column format that resembles a spreadsheet.

question

Line drawing tool would be most useful to accomplish which of the following when annotating a drawing within the EHR?

answer

Connect elements on the drawing

question

Which of the following is true about a form-based flow sheet?

answer

It displays all of the findings that match the form.

question

What does the Cite feature do?

answer

It brings forward findings from a previous encounter into the current encounter.

question

You have invoked a flow sheet from a form using the Student Edition software. What does this mean?

answer

The first column of the flow sheet is populated by findings pertinent to the selected form.

question

Which of the following statements is correct about flow sheets?

answer

EHR systems will vary on how they implement flow sheets.

question

When you are working with a flow sheet, how do you know that the Cite button is on?

answer

The mouse pointer will change to a large question mark.

question

A patient has had a new cholesterol test result, and you are using the Cite window to record this finding. You should remember that:

answer

the data you enter will post to the current patient encounter.

question

A problem-oriented flow sheet would not include which of the following?

answer

Findings that are related to other problems the patient has

question

A pediatrician's office would be least likely to use a flow sheet for which of the following?

answer

Pregnancy

question

Jeremy's pediatrician notes that he is in the 75th percentile for his height. What does this mean?

answer

Jeremy is shorter than 25 percent of the reference population for boys.

question

To make sure preventive care services are delivered appropriately, __________ should be available at the point of care.

answer

All of the above

question

Carly is a 10-month-old patient at your practice. This means that based on the Recommended Immunization Schedules for Persons Aged 0 to 18 Years she is still too young to receive which of the following vaccines?

answer

MMR

question

At which point do both males and females begin using the same BMI chart?

answer

After age 20

question

The CDC provides a weight-for-stature clinical growth chart for people in which of the following age categories?

answer

Preschoolers, 2 to 5 years

question

You need to record the vital signs of your 7-month-old patient during a wellness check. Which of the following is incorrect?

answer

You will assess your patient's growth by measuring his height.

question

Which of the following is an example of FS Hx and to whom does this relate?

answer

Tobacco; parents

question

In which of the following ways would an EHR form that was created for a well-baby check be different from a form used for an adult patient?

answer

It is intended for a narrowly defined age group.

question

Joyce has been keeping a graph of her blood pressure at home for a few months. This means that Joyce:

answer

is better able to tell if her current treatment is effective.

question

Which of the following statements is not true?

answer

Babies who are breastfed do not require immunization.

question

An EHR can create specific preventive screening or health maintenance guidelines based on all of the following information about a patient except:

answer

Personal preferences

question

Molly is an obese 8-year-old. How might a pediatric growth chart generated by an EHR system be useful in educating Molly's parents about Molly's condition?

answer

The growth chart places Molly's measurements in context with other 8-year-old girls.

question

Which of the following would not be considered an advantage of giving a patient a copy of an exam note at the end of an office visit?

answer

A patient who has a copy of an exam note will have an easier time filling a prescription than a patient who does not have that information.

question

Which of the following vaccines is recommended to be given at birth?

answer

HepB

question

Janice made an appointment for her regular mammogram. This is an example of:

answer

Preventive screening

question

All of the following are true about "evidence-based guidelines" except:

answer

They are mainly useful for dealing with demographic groups in general.

question

What does the acronym DTaP stand for?

answer

Diphtheria, Tetanus, Pertussis

question

Which of the following statements about an EDI transaction is not true?

answer

HIPAA requires the provider to mail a signed copy following the transmission of all data.

question

Which of the following is not an example of a Security Awareness and Training standard implementation specification?

answer

Response and Reporting

question

Which of the following best describes a security official?

answer

An employee who has overall responsibility for the HIPAA Security Rule

question

Mrs. Smothers, a resident in an assisted living facility, wants to review her medical record. What does this request mean to the facility?

answer

They may charge the resident for costs associated with supplying the record.

question

All of the following were the main objectives of the Health Insurance Portability and Accountability Act except:

answer

Promoting the widespread adoption of EHR

question

Uniform identifiers are a component of which of the following?

answer

Administrative Simplification Subsection

question

Which of the following would most likely be considered a breach of PHI?

answer

A business associate of a health care provider uses PHI to find out the addresses of patients who live in a certain region.

question

When does a covered entity need to notify the media about a breach of unsecured PHI?

answer

If the security breach affects more than 500 residents

question

Which of the following is the first step when a health care provider begins implementation of the Administrative Safeguards portion of the Security Rule?

answer

The Security Management Process

question

Which of the following statements is true about digital signatures?

answer

Digital signatures require the use of cryptography and PKI.

question

Mr. Juarez signed an authorization form giving his cardiologist permission to use his PHI for a research study. What does this mean?

answer

Mr. Juarez understands the reason his cardiologist wishes to use his PHI.

question

Which of the following government agencies is charged with enforcing the Privacy Rule?

answer

OCR

question

Which of the following statements is true about the HIPAA Security Rule?

answer

It supplements the Privacy Rule in many areas.

question

What does the term user authentication mean in relation to criteria for electronic signatures?

answer

That the person who receives the document can verify that the document was signed by a real person

question

Under the revised HIPAA Privacy Rule, a health care entity may disclose a patient's PHI without the patient's prior consent or authorization in all of the following situations except:

answer

in situations where the patient's employer requires the PHI for benefits.

question

Which of the following is not a covered entity under the HIPAA Privacy Rule?

answer

Business associates

question

A patient would expect to find all of the following in a medical office's HIPAA privacy policy except:

answer

details about the different entities with whom the medical office typically shares PHI, including how to contact them directly.

question

Which of the following would be an example of store-and-forward telemedicine?

answer

Voice mail message to a referring physician

question

An E-visit would work best in which of the following situations?

answer

Treating a patient who has seasonal allergies

question

Ideally, a patient's personal health record (PHR) contains information for the person's _______.

answer

lifetime

question

Which of the following is not true of a PHR?

answer

It is must be maintained by a patient's health care provider.

question

The Internet can best be described as a(n) _________.

answer

public network

question

Which of the following is not one of the ONC committee's criteria for defining its meaningful use objectives?

answer

Patients should be able to correct or edit their electronic health data in real time.

question

Which of the following is a survey instrument that is used to measure a patient's perspectives on health care?

answer

HCAHPS

question

Which of the following is an advantage of synchronous telemedicine?

answer

It allows the provider and the patient to meet in real-time.

question

Which of the following is not a characteristic of an E-visit?

answer

It is free.

question

Store-and-forward telemedicine would not be suited to which of the following situations?

answer

Performing arthroscopic surgery in real time

question

Dana has sent an e-mail to her provider with a question about recent blood work results. According to the HIPAA Security Rule, Dana's provider must:

answer

not send any PHI if replying by e-mail.

question

Typically, an e-mail communication between a patient and a provider:

answer

is not reimbursed as an E&M.

question

A patient who arrives for an annual physical brings along some information on healthy cholesterol levels he obtained from the Internet. How should the provider handle this situation?

answer

Discuss the information with the patient to find out if it seems accurate while also suggesting some reliable sources of online information.

question

Jorge is a physician at a busy practice within a large suburban area; he is on-call for emergencies one night each week and needs access to the records of all the patients seen by his practice. Which of the following will Jorge need for direct access to his office computer while away from his medical office?

answer

VPN

question

Per the HITECH Act incentives for promoting the use of an EHR system, patients must receive electronic access to lab results within _______ hours of the information being available to the provider.

answer

96

question

A patient who uses Instant Medical History when visiting her primary care provider:

answer

has more face-to-face time with her provider during the visit.

question

A physician has advised her patient to take ibuprofen to manage pain from a sprained ankle. Into which risk level within the medical decision making (MDM) component of the E&M calculator would this management option fall?

answer

Low

question

How many PFSH elements are required for the Level of History to be Problem Focused within the History component of the Evaluation and Management Calculator?

answer

None

question

Which of the following E&M code level has the lowest "allowed payment" amount?

answer

Level 1

question

Which of the following is considered one of the key components of a patient encounter in determining the level of an E&M service?

answer

Medical decision making

question

HCPCS codes are used for all of the following except:

answer

dermatological consults.

question

Which of the following is required for all levels of the History component of an E&M code?

answer

CC

question

Most health care facilities that use an EHR system that is integrated with billing software:

answer

hold codes as pending until they are reviewed.

question

An established patient has a History Level 2 (Expanded Problem Focused), and Exam Level 1 (Problem Focused), and an MDM Level 1 (Low Complexity). What E&M code level will this result in?

answer

Level 1

question

On what is reimbursement for most inpatient hospitals based?

answer

DRGs

question

Which of the following is not part of face-to-face time?

answer

Calling a patient to remind him of an appointment

question

An obstetrician orders a fetal contraction stress test for a patient. This procedure would fall under the ________ level of risk.

answer

Moderate

question

A practice that uses a paper-based record system is more likely to ______ than a practice that uses an EHR system.

answer

undercode

question

Which of the following is not one of the government's meaningful use requirements?

answer

A health care facility reports all its prescriptions electronically.

question

Which of the following is not considered one of the HPI characteristics within the Evaluation and Management Calculator?

answer

Extended

question

The _______ level of the ROS within the Evaluation and Management Calculator requires that the physician has reviewed at least ten organ systems that are directly related to problems.

answer

Complete

question

Which of the following statements about the Physical Examination component level of an E&M service is not true?

answer

A problem-focused examination includes the affected body system and other related symptoms or organ systems.

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