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CDI EXAM QUESTIONS AND ANSWERS 2024(ANSWERED ACTUAL TEST QUESTIONS AND ANSWERS)
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CDI EXAM QUESTIONS AND ANSWERS 2024(ANSWERED ACTUAL TEST QUESTIONS AND ANSWERS)
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CDI Exam Questions and Answers 2022(Answered actual test questions and answers)Automated registration entries that generate erroneous patient identification—possibly leading to patient safety and quality of care issues, enabling fraudulent activity involving patient identity theft, or providing unjustified care for profit—is an example of a potential breach of:
a.Authorship integrity
b.Patient identification and demographic accuracy
c.Documentation integrity
d.Auditing integrity Ans- B. Patient identification and demographic accuracy
_________ is/are the origin of recorded information that is attributed to a specific individual or entity.
a.The health record
b.Authorship
c.Documentation
d.Progress notes Ans- b. authorship
_________ is an organization that develops standards for interoperability of health information technology.
A. The National Health Information Network
B. The National Committee on Vital and Health Statistics
C. Health Level Seven (HL7) International
D. The EHR Collaborative Ans- C. Health Level Seven (HL7) International
Copies of personal health records (PHRs) are considered part of the legal health record when:
a. Consulted by the provider to gain information on a consumer's health history
b. Used by the organization to provide treatment
c. Used by the provider to obtain information on a consumer's prescription history
d. Used by the organization to determine a consumer's DNR status Ans- b. Used by the
organization to provide treatment
Where do healthcare facilities collect and store clinical data for individual patients? a. On employees' personal computers
b. In health records
c. At the Centers for Medicare and Medicaid Services
d. In integrated healthcare networks Ans- b. In health records
What kind of indexes guide the locating of health records to conduct quality improvement and research studies, as well as for monitoring quality of care?
a. Facility-specific indexes
b.Master patient indexes
c. Disease indexes
d. Disease and operation indexes Ans- d. Disease and operation indexes
What term is used for a centralized database that captures, sorts, and processes patient
data and then sends it back to the user?
a. Clinical data repository
b. Data exchange standard
c. Central processor
d. Digital system Ans- a. Clinical data repository
General written guidelines that dictate behavior and/or direct and constrain decision making within the organization are known as what?
a. Procedures
b. Policies
c. Standards
d. Rules Ans- b. Policies
What is a systematic quality review process that evaluates the healthcare facility's performance against preestablished, written criteria, or standards?
a.Regulation
b.Credentialing
c.Privacy
d.Accreditation Ans- d. Accreditation
Inadequate functions that make it impossible to detect when an entry was modified or borrowed from another source and misrepresented as an original entry by an authorized
user is an example of a potential breach of:
a. Authorship integrity
b. Documentation integrity
c. Auditing integrity
d. Patient identification and demographic accuracy Ans- c. Auditing integrity HIM professionals sometimes monitor the records of current inpatients as well as closed
records after the patients have been discharged or transferred. What is this process called?
a. Qualitative record review
b. Legal record review
c. Quantitative record review
d. Ongoing record review Ans- d. Ongoing record review
Which of the following accreditation categories would the Joint Commission assign to a hospital that is not in substantial compliance with applicable standards and must remedy identified problem areas through preparation and submission of ESC and subsequently undergo on on-site, follow-up survey
a. Provisional accreditation
b. Preliminary accreditation
c. Accredited
d. Conditional accreditation Ans- d. Conditional accreditation
Within what period of time after admission to a LTCH must the history and physical be completed and placed in the health record?
a. 8 hours
b. 12 hours
c. 24 hours
d. 48 hours Ans- c. 24 hours
Ideally, instructions to patients should be communicated both verbally and in writing. Which of the items listed here is not recommended for patient instructions?
a. A copy of the written instructions should be filed in the health record.
b. The healthcare professional should sign the record to indicate that he or she issued the verbal instructions.
c. The person receiving the instructions should sign the instructions to verify receipt and
understanding.
d. Patient comments or questions should be documented, along with the clarifications the healthcare professional offered in response.
e. A copy of the instructions should be faxed to all patient providers. Ans- c. The person
receiving the instructions should sign the instructions to verify receipt and understanding
Patients that require specialized care, including intensive therapies and nursing care are
known as:
a. Stroke patients
b. Medically complex patients
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