Chapter 01: The Medical Record Bonewit-West: Clinical Procedures for Medical Assistants, 10th 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 patient’s care b. To document the patient’s progress c. To serve as a legal document d. To share information between members of the patient’s family 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 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 patients to bloodborne pathogens. b. provide patients with betterNcUonRtSroIl NovGeTr tBh.e CusOeMand disclosure of their health information. c. prevent the patient’s records from being copied. d. encourage the patient to become more involved in preventive health care. 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 patient’s health information will be used and protected by the medical office c. Must be provided to each patient d. Must obtain a signed acknowledgment from the patient that he/she has received an NPP ANS: A REF: p. 4| CAAHEP Competency (2015): IX.3 OBJ: 2 5. Health information in any form that contains patient identifiable information is known as a. PHI. b. NPP. c. OSHA. d. HIPAA.

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