Module V – Flashcards
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Why is an ideal EHR system one that requires point-of-care charting? a. eases duplicate data entry burden b. eliminates intermediary paper forms c. reduces memory loss d. supports clinical decision making
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d. supports clinical decision making
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Which is a transition strategy to achieve and EHR: a. ancillary system support b. clinical data repository c. electronic document mgmt system d. results retrieval
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c. electronic document mgmt system
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To ensure that a CPOE system supports pt safety, what other system must also be in place? a. digital dictation b. electronic medication administration forms c. pharmacy info system d. point of care charting
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c. pharmacy info system
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When was the concept of an EHR 1st conceived? a. 1960s b. 1980s c. 1991 d. 2003
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a. 1960s
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The situation used to describe a combination of paper and EHR content is a. clinical data warehouse b. electronic medical record c. hybrid record d. personal health record
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c. hybrid record
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The federal govt envisions a regional health info organization to provide a. clinical decision support b. health information exchange c. mgmt of a central data bank d. population of health data
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b. health information exchange
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Electronic prescribing is a special case of a. CPOE b. EHR c. PDA d. RHIO
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a. CPOE
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Which is not a database? a. CDR b. CDW c. disease registry d. interface
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d. interface
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A vocabulary is described as being "controlled" when it a. achieves consensus on the meaning of terms b. limits terms able to be used in the EHR c. establishes meaning for terms used in the EHR d. uses a database mgmt system
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c. establishes meaning for terms used in the EHR
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LOINC is a terminology that is used for coding a. labs results and other observation b. language of medicine c. lay terms for describing conditions d. logical relationships in clinical decision support
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a. lab results and other observations
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Discrete data may be entered into an EHR via a. macro b. point and click c. voice command d. all of the above
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d. all of the above
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A local area network using Internet-based protocols is a. ethernet b. extranet c. internet d. intranet
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d. intranet
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RAID technology a. provides for server redundancy b. rapidly processes discrete data in a database c. reduces narrative notes to encoded form d. none of the above
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d. none of the above
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Natural language processing a. captures sounds and converts them to digital form b. converts narrative info to discrete data c. standardizes data content for database mgmt d. supports evidence based clinical decision support
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b. converts narrative info to discrete data
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Chart conversion includes a. changing narrative data into discrete data b. exchanging charts w/other providers c. deciding what paper-based content should be automated d. translating data from an old system for a new system
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c. deciding what paper based content should be automated
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Which element is NOT considered a basic component of every information system? a. software b. communication technology c. users d. none of the above
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d. none of the above
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The primary user of computerized provider order entry is a. nurse b. coder c. pharmacist d. physician
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d. physician
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Which is a snap shot in time and consolidates data from multiple sources to enhance decision making? a. DSS b. KMS c. EIS d. data warehouse
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a. DSS
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An information system consists of a. data b. people c. process d. all of the above
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d. all of the above
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Which should a systems analyst use to collect info about the requirements of an IS project? a. review existing forms b. review existing databases c. observe end users performing their jobs d. all of the above
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d. all of the above
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I am looking to purchase an information system that identifies patterns in data. What system should I purchase? a. data mart b. data warehouse c. data mining d. executive information system
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c. data mining
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What type of system will be used by phys. to order meds, tests, and other treatments and will also be used to generate alerts and reminders? a. clinical knowledge and treatment support system b. pt registration system c. clinical order entry results reports d. clinical provider order entry
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d. clinical provider order entry
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Which connects devices across a large geographical area, such as a state? a. intranet b. LAN c. Server d. WAN
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D. WAN
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An information system that alerts a phys. when a lab value is outside the normal range is called a ____. a. decision support system b. enterprise wide system c. mgmt info system d. transaction processing system
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a. decision support system
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What is the purpose of databases? a. to help computers communicate among themselves b. to connect computers together in a relatively small area c. to store and retrieve data d. to make the internet accessible
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c. to store and retrieve data
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Which enables computers on a network to communicate with each other? a. programming language b. HTML c. network protocols d. wide area networks
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c. network protocols
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Which is a type of computer network specifically designed to allow direct communication between the networks of separate companies? a. intranets b. extranets c. internet d. WAN
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b. extranets
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Indentification, authentication, and certification are standards that a. cover the use of personal ID #s that restrict the use to a system b. establish logging processes to identify failed log-on attempts c. cover mgmt or measuring systems d. require backup copies and physical security
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a. cover the use of personal ID #s that restrict the use to a system
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Systems testing of a new information system should be performed by a. the programmers who did the programming b. the information systems project team c. a team independent of the project team that developed the system d. executive mgmt of the organization
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a team independent of the project team that developed the system
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These computers are used to handle intensive input/output business transactions a. mainframe systems b. midrange systems c. microcomputers d. supercomputers
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a. mainframe systems
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Which documetn is typically sent to vendors 1st, an RFI or an RFP? a. request for information b. request for proposal
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a. request for information
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In addition to pt care, clinical information systems may be used for a. peer review b. research c. quality improvement d. all of the above
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d. all of the above
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In hospitals, automated systems for registering pts and tracking their encounters are commonly known as ___ systems a. MIS b. CDS c. ADT d. ABC
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c. ADT
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Which term is often used interchangeably w/ computer based pt record? a. DSS b. EMR c. MIS d. IOM
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b. EMR
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Which information system is considered an administrative information system? a. financial information system b. laboratory information system c. nursing information system d. radiology information system
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a. financial information system
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Which system focuses on providing reports and information to managers for day-to-day operations of the organization? a. executive info system b. clinical decision support system c. mgmt info system d. strategic decision support system
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c. management information system
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Which best describes strategic decision making? a. broad based info d. detailed data requirements c. structured decisions d. periodic reports
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a. broad based information
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Which best describes the function of a mgmt info systems? a. supports day-to-day activities b. supports long range planning c. provides unstructured decisions d. provides ad-hoc reports
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a. supports day-to-day activites
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Which is NOT a characteristic of a DSS? a. provides ad-hoc reports b. provides day-to-day reports c. uses statistical modeling d. answers what if questions
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b. provides day to day reports
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In the HL7 EHR model, the section that provides the functionality for public health and performance improvement is a. direct care b. information infrastructure c. administrative d. supportive
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d. supportive
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WHich is an example of data collected by a pt monitoring system? a. demographic info b. lab results c. vital signs d. radiology report
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c. vital signs
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As an HIM professional, I am involved in screen design and system functionality. What role do I have? a. electronic system design and development b. data quality c. data collection and analysis d. data management
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a. electronic system design and development
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Which best describes an EIS? a. produces, periodic, exception, and demand reports b. provides analytical tools and statistical methods to analyze data c. is used to solve problems in a narrowly focused knowledge area d. provides immediate access to info relating to the org's key success factors
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d. provides immediate access to info relating to the org's key success factors
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What system would you expect to p erform drug compatibility checks, provide contraindication info and inventory control? a. medication administration system b. order entry/results reporting system c. pharmacy info system d. EHR
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c. pharmacy information system
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As a nurse, there are clinical practice guidelines that I should follow in caring for my pts Where can I find these? a. In the administrative systems b. in the professional literature c. hospital policy and procedure manual d. embedded in the EHR
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d. embedded in the EHR
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I work for hospital chain that is purchasing 5 more hospitals. Many of these hospitals have different vendors supplying their info systems. This has resulted in concerns regarding a. point of care charting b. data mining c. supportive functions d. interoperability
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d. interoperability
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As an HIM professional I am involved in data collection, developing the data dictionary and building edits. What role do I have? a. electronic system design and development b. data quality c. data collection an analysis d. data mgmt
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b. data quality
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Which is an orgs planned response to protect int info in the case of a natural disaster? a. business continuity plan b. audit trail c. physical controls d. administrative controls
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a. business continuity plan
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Which is a software program that tracks every access to data in the computer system? a. access control b. audit trail c. edit check d. risk mgmt
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b. audit trail
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What is the biggest threat to the security of healthcare data? a. natural disasters b. fires c. equipment malfunctions d. employees
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d. employees
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Security controls built into a computer software program are a. physical controls b. administrative controls c. application controls d. media controls
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c. application controls
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Data security program include a variety of measure for safeguarding data and computer programs, including a. technical measures such as using pw protection b. mgmt practices such as prohibiting the sharing of pws c. physical safeguards such as locking computer rooms d. all of the above
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d. all of the above
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Some of the greatest threats to the security of health info and info systems come from ___. a. employees who make unintentional mistakes b. employees who steal computer equipment c. employees who deliberately introduce computer viruses to the system d. all of the above
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d. all of the above
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The primary reason that HC orgs develop business continuity plans is to minimize the effect of a. electrical power surges b. hardware and software malfunctions c. computer shutdowns during natural disasters d. deliberate damage to info systems caused by computer hackers
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c. computer shutdowns during natural disasters
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HIPAA represents an attempt to establish best practices and standards for health info security. yes/no
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yes
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An information system security program should include a. protections for data privacy b. protections for data integrity c. protections for data availability d. all of the above
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d. all of the above
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A risk analysis is useful for a. identify security threats b. identify which employees should have access to data c. establish pw controls d. establish audit controls
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a. identify security threats
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These are safeguards that protect equipment, media, and facilities a. administrative controls b audit controls c. physical access controls d. role based controls
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c. physical access controls
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Which is true regarding HIPAA security provisions? a. covered must appoint an individual who has the title of Chief Security Officer who is responsible for security mgmt b. covered entities must conduct employee security training every 6 months for every employee c. must establish contingency mgmt d. must conduct technical and nontechnical evaluation every 6 years
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c. must establish contingency mgmt plan
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Which technique should be sued to determine what info access privileges an employee should have? a. context bases b. role based c. user based d. any of the above
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d. any of the above
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The HIPAA data integrity standard requires that organizations a. keep documented logs of system access and access attempts b. assign access privileges on a role based technique c. establish workstation security d. conduct workforce training for correct data input
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a. keep documented logs of system access and access attempts
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Which is required by HIPAA standards? a. data must always be encrypted b. data must be encrypted only when going over a WAN c. data must be encrypted when deemed appropriate from the results of a risk assessment d. encryption is not addressed by HIPAA rules
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c. data must be encrypted when deemed appropriate from the results of a risk assessment
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Which is required by HIPAA standards? a. written contingency plan b. review of audit trails every 24 hrs c. use of pw for all transactions d. permanent bolting of workstation in public areas
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a. a written contingency plan
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WHich is an idealistic portrayal of what the org would like to be in the future? a. mission statement b. policy statement c. values statement d. vision statement
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d. vision statement
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Which is an example of a fixed cost? a. property insurance b. nursing staff c. cost of supplies d. utilities
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a. property insurance
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Which tool can be used to graphically depict an orgs formal structure? a. strategic plan b. org chart c. policies d. procedures
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b. organization chart
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Which is not considered a traditional function of mgmt? a. decision making b. systems thinking c. planning d. organization
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b. systems thinking
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Environmental assessments are peformed as part of which? a strategic planning b. operational planning c. quality improvement planning d. none of the above
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a. strategic planning
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Which is NOT a basic purpose of the employment interview? a. giving info to applicants about the orgs mission and goals b. giving applicants the chance to evaluate the org as a potential employer c. obtaining info about the applicants personalities and attitudes d. none of the above
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d. none of the above
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Because modern orgs emphasize teamwork and shared decision making, the role of individual leaders is not as important as it was in the past. yes/no
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no
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To be effective, the new employer's direct supervisor conducts the entire orientation and training process in most hc orgs. yes/no
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no
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The employee evaluation for coders specifies that coders are expected to code at least 28 inpt charts per day. This is an example of a performance standard. yes/no
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yes
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A transcription complaining of carpal tunnel syndrome is the result of poor ergonomics. yes/no
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yes
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Which describes the type of behavior the org wishes to encourage among its employees? a. mission statement b. policy statement c. values statement d. vision statement
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c. values statement
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Which should be the 1st step in any decision making process? a. analyzing the problem b. defining the problem c. developing alternative solutions d. deciding on the best solution
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b. defining the problem
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Modern mgmt theory is based on which of the following ideas? a. some people by their nature are poor performers b. the root of most performance problems is the employee c. people accomplish more working collectively than the do working individually d. controlling human resources is more effective than controlling processes
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c. people accomplish more working collectively than they do working individually
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The orgs mission a. is rarely referred to once developed b. is a realistic expression of what the org does c. expresses the beliefs held by the org d. is an idealistic portrayal of the desired future
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b. is a realistic expression of what the org does
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Conducting an environmental assesment is part of a. the budget process b. strategic planning c. developing the mission d. setting short term goals
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b. strategic planning
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Internal promotion is best used for a. motivate current employees to do a good job and learn new skills b. save money on advertising c. ensure that there is not too much change in the dept d. fill positions quickly
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a. motivate current employees to do a good job and learn new skills
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Items such as buildings, equipment, furniture, and computers are generally a. considered revenue b. part of the operating budget c. included in the capital budget d. not budgeted
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c. included in the capital budget
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Items such as buildings, equipment, furniture, and computers are generally a. considered revenue b. part of the operating budget c. included in the capital budget d. not budgeted
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c. included in the capital budget