Question 1

A computerized system which allows physicians to request lab, radiology, or pharmacy services for their patients is known as

Accepted Answer

Computerized physician order entry (CPOE) is a computerized system that allows physicians to request lab, radiology, or pharmacy services for their patients.

Question 2

LaRhonda Howard is seen today by Dr. Bilkins for a chief complaint of recurrent abdominal pain and loss of appetite. Robert Drew is seen today by Dr. Bilkins for a chief complaint of follow-up for his poison ivy, which he was treated for last week. Which of these patients is likely to have a more extensive physical exam?

Accepted Answer

The answer of LaRhonda Howard is seen today by Dr....

Question 3

Dr. Clark has just documented his findings of a physical exam performed on Patti Wolfe. She was seen today for productive cough. These findings are considered what kind of findings, as they relate to the SOAP note?

Accepted Answer

The answer of Dr. Clark has just documented his findings...

Question 4

Which of the following is a benefit of CPOE?

Accepted Answer

CPOE (Computerized Provider Order Entry) allows for clinical decision support by providing alerts and reminders to healthcare providers, improving patient safety and care quality.

Question 5

Of the following, which is a benefit of ePrescribing?

Accepted Answer

The answer of Of the following, which is a benefit...

Question 6

In order for any test, procedure, or medication to be administered to a patient, there must be a

Accepted Answer

A care provider's order is necessary to administer any test, procedure, or medication to ensure it is medically justified and appropriately documented.

Question 7

Relating to dictation, the technology that does recognize individual voices and does not improve over time is which kind of technology?

Accepted Answer

The answer of Relating to dictation, the technology that does...

Question 8

Kelly is being seen by her physician today, and he is asking her if she's had any increase in or unusual headaches since her last visit, whether she has any blurred vision, and whether she has seen her eye doctor in the past year. The answers to these and other questions are documented in what part of the health record?

Accepted Answer

The answer of Kelly is being seen by her physician...

Question 9

In healthcare, when something is occurring at the time the patient is being seen, such as in ePrescribing, this is known as ____________________.

Accepted Answer

The answer of In healthcare, when something is occurring at...

Question 10

How a patient is feeling, any current complaints or concerns, weight loss or gain, appetite, sleep patterns or difficulties, and a recap of vital signs are documented in the general part of the ROS and is also known as what?

Accepted Answer

The answer of How a patient is feeling, any current...

Question 11

Of the following, which is an element of the history of present illness (HPI)?

Accepted Answer

The answer of Of the following, which is an element...

Question 12

Meaningful Use guidelines require the keeping of an up-to-date

Accepted Answer

Meaningful Use guidelines emphasize maintaining an up-to-date problem list to improve patient care and ensure accurate and comprehensive health records.

Question 13

The extent of a physical exam will depend largely on the reason for the patient's visit, which is otherwise known as what?

Accepted Answer

The answer of The extent of a physical exam will...

Question 14

Tiffany Randall is seen by her physician after falling off a piece of playground equipment. She has a laceration on her chin. This is part of which element of the history of present illness?

Accepted Answer

The answer of Tiffany Randall is seen by her physician...

Question 15

Emily Haver is being seen by Dr. Clark today for her annual physical exam. She has been a patient of his for many years. She is currently being treated for hypertension and type 2 diabetes mellitus. In the late 1990s she was treated on several occasions for poison ivy. She has been treated since 2003 with Zoloft for mild depression. Of the following, which will not appear on Emily Haver's problem list?

Accepted Answer

Poison ivy is a temporary condition and not a chronic problem, so it would not typically appear on a problem list, which usually includes ongoing or chronic conditions like hypertension, diabetes, and depression.

Question 16

In Prime Suite, as with many other electronic health record systems, healthcare professionals and healthcare providers can access a patient's health record to determine the status of orders for testing or prescriptions. This is known as

Accepted Answer

Order tracking refers to the ability to monitor and determine the status of orders for testing or prescriptions within an electronic health record system.

Question 17

If a computerized physician's order is sent to the local hospital for a blood test, and the physician's office has already been notified of the test findings, this order is

Accepted Answer

The order is considered "returned" because the test findings have already been sent back to the physician's office, indicating that the order has been completed and the results communicated.

Question 18

The fact that a patient has taken an over-the-counter medication and received relief of his pain is known as what in relation to the subjective documentation found in this patient's chart?

Accepted Answer

The answer of The fact that a patient has taken...

Question 19

In order for Dr. Reynolds to send a CPOE from her office computer system to the computer system at the local hospital, a/an ____________________ must exist between the two computer systems.

Accepted Answer

An interface is necessary to allow different computer systems to communicate and exchange data, such as sending a CPOE (Computerized Physician Order Entry) from one system to another.

Question 20

What is required in order for computerized physician order entry to occur between different healthcare facilities?

Accepted Answer

The answer of What is required in order for computerized...

Quiz 5: Content of the Health Recordthe Care Providers Responsibility