RHIA Domain 1 Exam 1 Study Set Questions And Answers Well Illustrated.
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RHIA Domain 1
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RHIA Domain 1
RHIA Domain 1 Exam 1 Study Set Questions And Answers Well Illustrated.
Mildred Smith was admitted to a nursing facility with the following information: "Patient is being admitted for Organic Brain Syndrome." Underneath the diagnosis her medical information was listed along with a summa...
RHIA Domain 1 Exam 1 Study Set
Questions And Answers Well Illustrated.
Mildred Smith was admitted to a nursing facility with the following information: "Patient is
being admitted for Organic Brain Syndrome." Underneath the diagnosis her medical
information was listed along with a summary of the care already provided. This
information is documented on the:
a.) Admitting physical evaluation record
b.) Patient's rights acknowledgement form
c.) Release of Information form
d.) Transfer Record - correct answer. D. Transfer Record
For further explanation look at page 160
A 65 y/o white male was admitted to the hospital on a 1/15 complaining of abdominal
pain. The attending physician requested an upper GI series and a laboratory evaluation
of CBC and UA. The X-ray revealed possible cholelithiasis and the UA showed an
increase in white blood cell count. The patient was taken to surgery for an exploratory
laparoscopy and a ruptured appendix was discovered. The chief complaint was:
a. Abdominal pain
b. Cholelithiasis
c. Exploratory laparoscopy
d. Ruptured appendix - correct answer. A. Abdominal Pain
For further explanation look at page 160.
Mrs. Smith's admitting data indicates that her birthdate is 3-21-1948. On the discharge
summary, Mrs. Smith's birthdate is recorded as 7-21-1948. Which quality element is
missing from Mrs. Smith's health record?
a. Data completeness
b. Data consistency
c. Data accessibility
d. Data comprehensiveness - correct answer. B. Data Quality
For Further explanation see page 160.
, Data that have been grouped together into meaningful categories according to a
classification system are referred to as ___________ data.
a. Research
b. Reference
c. Coded
d. Demographic - correct answer. C. Coded Data
For further explanation see page 160.
Erin is the HIM director at Anywhere Hospital. She is teaching a class to clinicians about
proper documentation in the health record. Which of the following would she NOT
instruct them to do?
a. Obliterate errors
b. Leave existing entries intact
c. Label late entries as being late
d. Ensure the legal signature of an individual making a correction accompanies the
correction. - correct answer. A. Obliterate Errors
For further explanation see page 160.
All documentation entered in the medical record relating to the patient's diagnosis and
treatment are considered this type of data:
a. Clinical
b. Identification
c. Secondary
d. Financial - correct answer. A. Clinical
For further explanation see page 160.
In a long-term care setting, these are problem-oriented frameworks for additional patient
assessment based on problem identification items (triggered conditions):
a. Resident Assessment Protocols (RAPs)
b. Resident Assessment Instrument (RAIs)
c. Utilization Guidelines (UG)
d. Minimum Data Sets - correct answer. A. Resident Assessment Protocols (RAPs)
For further explanation see page 160.
Conducting an inventory of the facility's records, determining the format and location of
record storage, assigning each record a time period for preservation, and destroying
records that are no longer needed are all components of a:
a. Case mix index
b. Master Patient Index
c. Health record matrix
d. Retention Program - correct answer. D. Retention Program
For further explanation see page 160
What is the principal function of health records?
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