Matching (20) Match items in column A to column B

Column a Column b
1.
A.
Which of the following would not be considered clinical data?
a. progress notes
2.
B.
Progress notes of physicians, nurses, therapists and other authorized individuals would be found together in chronological sequence in a(n) ____________ paper record
3.
C.
The federal Conditions of Participation apply to which type of healthcare organization?
a. any organization that is accredited
4.
D.
Which of the following factors should be considered when designing a data retrieval system for an EHR?
5.
E.
Which of the following includes names of the surgeon and assistants, date, duration and description of the procedure and any specimens removed?
6.
F.
Which of the following is an example of an advance directive?
a. a living will
7.
G.
Which of the following clinical data elements is not usually documented in the acute care health record?
8.
H.
Which of the following determines who can receive and transcribe verbal orders?
9.
I.
Which of the following federal laws resulted in the new privacy regulations for healthcare organizations?
10.
J.
Which of the following types of healthcare facilities may seek accreditation from the Joint Commission?
11.
K.
Which regulations are most commonly applied in end stage renal disease treatment?
12.
L.
Which health record format is most commonly used by healthcare settings as they transition to electronic records?
13.
M.
Which part of a medical history documents the nature and duration of the symptoms that caused a patient to seek medical attention as stated in that patient’s own words?
14.
N.
Which of the following creates a chronological report of the patient’s condition and response to treatment during a hospital stay?
15.
O.
Which of the following types of facility is not governed by Medicare long-term care documentation standards?
16.
P.
Which of the following statements is not true of the process that should be followed in making corrections in paper-based health record entries?
17.
Q.
Which of the following is not a function of the discharge summary?
18.
R.
Which of the following is not a traditional health record format?
19.
S.
In which of the following ways can the patient’s consent to undergo treatment be expressed?
a. by his or her submission to treatment
20.
T.
Which of the following is a function of the health record?