HW#11_NCMA (NCCT) Exam Prep #3 Flashcards Preview

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Flashcards in HW#11_NCMA (NCCT) Exam Prep #3 Deck (68)
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1

When a medical assistant witnesses a patient’s signature, it means that he or she verified:
The patient’s identity and watched the patient sign the form
That the information on the form is correct
That the patient is aware of the risks involved with the procedure to be performed
That the physician discussed informed consent with the patient

The patient’s identity and watched the patient sign the form

2

Which of the following need not be done when charting?
Begin each new entry on a separate line.
Include the patient’s name at the beginning of each entry.
Begin each phrase with a capital letter.
Include the date and time with each entry.

Include the patient’s name at the beginning of each entry.

3

Which of the following can be used to enter a health history into an electronic medical record?
The patient completes a paper form, and the medical assistant scans it into the computer.
The medical assistant enters information while asking the patient questions.
The patient completes a health history on a computer.
All of the above are correct.

All of the above are correct.

4

Which of the following services may be provided through home health care?
IV therapy
Respiratory care
Rehabilitation
Maternal-child care
All of the above

All of the above

5

A consent to treatment form is required for
Tuberculin skin testing
Sebaceous cyst removal
Ear irrigation
Blood pressure measurement

Tuberculin skin testing

6

Which of the following is not included in the patient registration record?
Date of birth
Allergies
Employer
Patient’s insurance company

Allergies

7

Flushed skin usually indicates
The patient is experiencing pain
An elevated temperature
The patient has chills
The patient has a rash

An elevated temperatur

8

What is the chief complaint?
The probable outcome of the patient’s condition
The symptom causing the patient the most trouble
A detailed description of the patient’s illness using medical terms
A tentative diagnosis of the patient’s condition

The symptom causing the patient the most trouble

9

Which of the following is not included in the social history?
Dietary history
Health habits
Occupation
Chronic illnesses

Chronic illnesses

10

What is an objective symptom?
A symptom that can be observed by another person
A symptom that precedes a disease
A symptom that is felt by the patient and cannot be observed by another
The symptom causing the patient the most trouble

A symptom that can be observed by another person

11

Which of the following is not an example of a diagnostic report?
Urinalysis report
Spirometry report
Colonoscopy report
Radiology report

Urinalysis report

12

What information is contained in the medical record?
Health history
Results of the physical examination
Laboratory reports
Progress notes
All of the above

All of the above

13

Which of the following reports consists of a macroscopic and microscopic description of tissue removed during surgery?
Laboratory report
Pathology report
Diagnostic imaging report
Operative report

Pathology report

14

The social history is important, because _____ may affect the patient’s condition.
Lifestyle
Familial diseases
Past injuries
Medications being taken by the patient

Lifestyle

15

A report of the analysis of body specimens is known as a _____ report.
Therapeutic
Diagnostic
Laboratory
Progress

Laboratory

16

The purpose of the tab on a file folder is to
Hold documents in place in the folder.
Identify the contents of the folder.
Prevent the folder from being misfiled.
Keep the folder closed when not in use.

Identify the contents of the folder.

17

A copy of the patient’s emergency department report is sent to the
Patient’s insurance company
Patient
Patient’s family physician
Laboratory

Patient’s family physician

18

Which of the following is not included in the medical history?
Accidents and injuries
Immunizations
Operations
Medications
Occupation

Occupation

19

Which of the following does not assist in the collection of data for a health history?
A quiet, comfortable room
Showing interest in the patient
Showing concern for the patient
Calling the patient “honey”

Calling the patient “honey”

20

What term is used to describe the process of making written entries about a patient in the medical record?
Charting
Registration
Scribbling
Documentation

Charting

21

Which of the following provides subjective data about a patient to assist the physician in arriving at a diagnosis?
Laboratory tests
Physical examination
Health history
Diagnostic tests

Health history

22

Which of the following reports consists of an account of the significant events of a patient’s hospitalization?
Emergency department report
Pathology report
History and physical report
Discharge summary report

Discharge summary report

23

Which of the following must be included in informed consent?
An explanation of risks involved with the procedure
Any alternative treatments or procedures available
The prognosis
The purpose of the recommended procedure
All of the above

An explanation of risks involved with the procedure

24

Data obtained from the patient are recorded in POR progress notes under:
Subjective data
Objective data
Assessment
Plan

Subjective data

25

Which of the following is an example of a subjective symptom?
Rash
Pain
Dyspnea
Bleeding

Pain

26

Why should a recording in the medical record never be erased or obliterated?
It makes it harder to read the chart.
The patient may not receive the proper care.
Credibility is reduced if the physician is involved in litigation.
It indicates the procedure was performed incorrectly.

Credibility is reduced if the physician is involved in litigation.

27

Which of the following is included on a medication record for medication administered at the office?
Name of the medication
Route of administration
Dosage administered
Number of refills
All of the above

Name of the medication

28

A yellow color of the skin that is first observed in the whites of the eyes is called
Cyanosis
Hepatitis
Pallor
Jaundice

Jaundice

29

The health history is taken
After the physician performs the physical examination
After laboratory test results are reviewed
Before the physician performs the physical examination
After the physician makes a diagnosis of the patient’s condition

Before the physician performs the physical examination

30

Which of the following can be performed by an electronic medical record software program?
Creation of a medical record
Storage of a medical record
Editing of a medical record
Retrieval of a medical record
All of the above

All of the above