TESTBANK FOR CLINICAL PROCEDURES FOR
MEDICAL ASSISTANTS 11TH EDITION/ALL CHAPTERS 1-
23/COMPLETE GUIDE 2024-2025
,CH 01: The Medical Record
Bonewit-West: Clinical Procedures for Medical Assistants, 11th Edition
MULTIPLE CHOICE
1. Which of the following is not a function of the medical record?
a. To provide information for making decisions regarding the client’s care
b. To document the client’s progress
c. To serve as a legal document
d. To share information between members of the client’s family
CORRECT ANS:- D REF: p. 2| CAAHEP Competency (2015): VI.4
OBJ: 1
2. What information is contained in the medical record?
a. Health history report
b. Results of the physical examination
c. Laboratory reports
d. Progress notes
e. All of the above
CORRECT ANS:- E REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2
3. The purpose of the HIPAA Privacy Rule is to
a. reduce exposure of clients to bloodborne pathogens.
b. provide clients with b e t t e rNcUo nRt S
r oIl N
ovGeT
r tBh.
e uCsO
e Mand disclosure of their health
information.
c. prevent the client’s records from being copied.
d. encourage the client to become more involved in preventive primary health care.
CORRECT ANS:- B REF: p. 4 | CAAHEP Competency (2015): IX.3
OBJ: 2
4. All of the following are characteristics of the Notice of Privacy Practices except:
a. Was developed by the American Medical Association
b. Must explain how a client’s health information will be used and protected by the
medical office
c. Must be provided to each client
d. Must obtain a signed acknowledgment from the client that he/she has received an
NPP
CORRECT ANS:- A REF: p. 4| CAAHEP Competency (2015): IX.3
OBJ: 2
5. Health information in any form that contains client identifiable information is known as
a. PHI.
b. NPP.
c. OSHA.
d. HIPAA.
, CORRECT ANS:- A REF: p. 4| CAAHEP Competency (2015): IX.3
OBJ: 2
6. In which of the following situations does HIPAA not require written consent for the use or
disclosure of protected health information?
a. Client referral to a specialist
b. Emergency care provided at a hospital
c. Determination of eligibility for insurance benefits
d. Training of primary health care students
e. All of the above
CORRECT ANS:- E REF: p. 4| CAAHEP Competency (2015): IX.3
OBJ: 2
7. Which of the following is not an example of a medical office clinical document?
a. Client registration record
b. Physical examination report
c. Medication record
d. Health history report
CORRECT ANS:- A REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2
8. Which of the following is not a characteristic of a laboratory report?
a. It relays results of laboratory tests to the provider
b. It consists of a report of the analysis or examination of body specimens
c. It assists in diagnosing and treating illness
d. It is a request for labo ratoryNtUesRt sStI
oNbeGpTeBrf.
orCmOeM
d by an outside laboratory
CORRECT ANS:- D REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2
9. Which of the following is an example of a diagnostic procedure report?
a. Electrocardiogram report
b. Physical therapy report
c. Urinalysis report
d. Pathology report
CORRECT ANS:- A REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2
10. What is the name of the type of report that documents the assessments and treatments
designed to restore a client’s ability to function?
a. Consultation report
b. Diagnostic procedure report
c. Pathology report
d. Therapeutic service report
CORRECT ANS:- D REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2
11. Which of the following is not an example of a hospital report?
a. Operative report
, b. Cytology report
c. Discharge summary report
d. Emergency department report
CORRECT ANS:- B
REF: pp. 2-3| CAAHEP Competency (2015): VI.4 OBJ: 2
12. Which of the following is an example of a consent document?
a. Client registration record
b. Notice of Privacy Practices form
c. Release of medical information form
d. Client instruction sheet
CORRECT ANS:- C REF: pp. 2-3| CAAHEP Competency (2015): VI.4
OBJ: 2
13. Which of the following can be performed by an electronic medical record software program?
a. Creation of a medical record
b. Storage of a medical record
c. Editing of a medical record
d. Retrieval of a medical record
e. All of the above
CORRECT ANS:- E REF: p. 3| CAAHEP Competency (2015): V.8
OBJ: 3
14. All of the following are advantages of an electronic medical record (EMR) except
a. an EMR does not have to be filed.
b. documents in an EMR can NURSINGTB.COM
be quickly retrieved.
c. more than one person can view an EMR at the same time.
d. EMRs are exempt from the HIPAA regulations.
CORRECT ANS:- D REF: pp. 3, 6| CAAHEP Competency (2015): VI.12
OBJ: 5
15. Which of the following are used to enter data into an electronic medical record?
a. Free-text entry
b. Drop-down menus
c. Radio buttons
d. All of the above
CORRECT ANS:- D REF: p. 11| CAAHEP Competency (2015): V.8
OBJ: 8
16. How are paper documents entered into a client’s electronic medical record?
a. By scanning them into the computer
b. By retyping them on the computer
c. By photocopying them
d. By transmitting them through a modem
CORRECT ANS:- A REF: p. 11| CAAHEP Competency (2015): VI.4
OBJ: 8
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