QUESTION 1: The best color ink to use for medical records is blue or black. True False QUESTION 2: What does the mnemonic FLOAT stand for? a. Factual, Legal, Objective, Accurate, and Timely b. Factual, Legible, Objective, Accurate, and Timely c. Fidelity, Legible, Objective, Accurate, and Timely d. Factual, Legible, Observed, Accurate, and Timely QUESTION 3: Match each part of the FLOAT method to its correct explanation FACTUAL LEGIBLE OBJECTIVE ACCURATE TIMELY a. This suggests impartiality and fairness. Personal opinions have no place in the medical record. b. This is of the essence in medical accountability. When you are with a patient, you should be making notes immediately to ensure the most accurate information. c. A medical record, if brought into a legal case, will be reviewed and possibly presented as evidence. The phrase “not recorded . . . did not happen” will be enforced. d. This is can be the difference between a patient experiencing improved health and one experiencing a life-threatening situation. You should always double-check to assure that you have the correct medical record before beginning to document—a simple, yet costly mistake. e. This is important because people can misinterpret information because of poor handwriting. If people cannot read your writing, they cannot assess patient information.
QUESTION 1: The best color ink to use for medical records is blue or black.
True
False
QUESTION 2: What does the mnemonic FLOAT stand for?
| a. |
Factual, Legal, Objective, Accurate, and Timely |
|
| b. |
Factual, Legible, Objective, Accurate, and Timely |
|
| c. |
Fidelity, Legible, Objective, Accurate, and Timely |
|
| d. |
Factual, Legible, Observed, Accurate, and Timely |
QUESTION 3: Match each part of the FLOAT method to its correct explanation
|
|
QUESTION 4: The Joint Commission's (TJC) mission is “to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value".
True
False
QUESTION 5: The medical record is not considered a legal document.
True
False
QUESTION 6: Autonomy is a person’s ability to make decisions concerning his or her own personal well-being, including health care.
True
False
QUESTION 7: Match each part of the SOAP charting method to its explanation
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|
QUESTION 8: All of the following are ethical issues concerning the electronic medical record (EMR) except:
| a. |
Retention |
|
| b. |
Trust |
|
| c. |
Fidelity |
|
| d. |
Autonomy |
QUESTION 9: What does Stage 1 of the Meaningful Use Regulations (MUR) address?
| a. |
health outcomes |
|
| b. |
exchange of information |
|
| c. |
advancing clinical processes and ensuring that the meaningful use of EHRs supported the aims and priorities of National Quality Strategy |
|
| d. |
requirements for data acquisition and providing patients with electronic copies of their health information |
QUESTION 10: What information that is to be included in a patient medical record?
| a. |
Personal information |
|
| b. |
HIPPA Forms |
|
| c. |
Telephone conversations between office staff or physicians |
|
| d. |
All of the above |
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