Question 1

CMS allows some patients to stay in the hospital up to 48 hours for monitoring without being admitted. This is called _____________ status.

Accepted Answer

A)  elective 
B)  observation 
C)  emergency 
D)  urgent 
A)  elective 
B)  observation 
C)  emergency 
D)  urgent

Question 2

Which of the following would NOT be found on an admission record or face sheet?

Accepted Answer

A)  admitting diagnosis 
B)  patient name 
C)  nursing progress notes 
D)  attending physician 
A)  admitting diagnosis 
B)  patient name 
C)  nursing progress notes 
D)  attending physician

Question 3

The first page, also known as the face sheet, in a paper record is usually the ___________.

Accepted Answer

The answer of The first page, also known as the...

Question 4

The best place to look to determine what medications a patient has received is the:

Accepted Answer

A)  Physician's orders 
B)  Physician's progress notes 
C)  Nursing medication administration record 
D)  Discharge summary 
A)  Physician's orders 
B)  Physician's progress notes 
C)  Nursing medication administration record 
D)  Discharge summary

Question 5

If a hospital wanted to correspond with a patient after discharge, the appropriate source of the patient's current address would be the:

Accepted Answer

A)  Discharge summary 
B)  Attending physician's office records 
C)  History and physical 
D)  Latest admission record 
A)  Discharge summary 
B)  Attending physician's office records 
C)  History and physical 
D)  Latest admission record

Question 6

The physician's operative report must be completed:

Accepted Answer

A)  Prior to the procedure 
B)  During the procedure 
C)  Immediately after the procedure 
D)  Within 30 days of the patient's discharge from the hospital 
A)  Prior to the procedure 
B)  During the procedure 
C)  Immediately after the procedure 
D)  Within 30 days of the patient's discharge from the hospital

Question 7

Name and describe the four scenarios that inpatient admissions correspond to.

Accepted Answer

Emergent: Unexpected, in which case the

Question 8

In caring for a patient, an attending physician may request a(n) ___________ from another physician or health care professional who specializes in the patient's problem.

Accepted Answer

The answer of In caring for a patient, an attending...

Question 9

What is one distinguishing factor between emergent and urgent care?

Accepted Answer

A)  Patient presents with life-threatening condition 
B)  Social status 
C)  Health insurance coverage 
D)  Patient has appointment 
A)  Patient presents with life-threatening condition 
B)  Social status 
C)  Health insurance coverage 
D)  Patient has appointment

Question 10

Routine documentation of the nurse's interaction with a patient is recorded in the __________.

Accepted Answer

nursing pr

CMS allows some patients to stay in the hospital up to 48 hours for monitoring without being admitted. This is called _____________ status.

Which of the following would NOT be found on an admission record or face sheet?

The first page, also known as the face sheet, in a paper record is usually the ___________.

The best place to look to determine what medications a patient has received is the:

If a hospital wanted to correspond with a patient after discharge, the appropriate source of the patient's current address would be the:

The physician's operative report must be completed:

Name and describe the four scenarios that inpatient admissions correspond to.

In caring for a patient, an attending physician may request a(n) ___________ from another physician or health care professional who specializes in the patient's problem.

What is one distinguishing factor between emergent and urgent care?

Routine documentation of the nurse's interaction with a patient is recorded in the __________.

Health Care Delivery Systems

Collecting Health Care Data

Electronic Health Records

Health Information Management Processing

Code Sets

Reimbursement

Health Information Management Issues in Other Care Settings

Managing Health Records

Statistics

Quality and Uses of Health Information

Confidentiality and Compliance

Him Department Management

Training and Development

Filters

Exam 4: Acute Care Records

CMS allows some patients to stay in the hospital up to 48 hours for monitoring without being admitted. This is called _____________ status.

Which of the following would NOT be found on an admission record or face sheet?

The first page, also known as the face sheet, in a paper record is usually the ___________.

The best place to look to determine what medications a patient has received is the:

If a hospital wanted to correspond with a patient after discharge, the appropriate source of the patient's current address would be the:

The physician's operative report must be completed:

Name and describe the four scenarios that inpatient admissions correspond to.

In caring for a patient, an attending physician may request a(n) ___________ from another physician or health care professional who specializes in the patient's problem.

What is one distinguishing factor between emergent and urgent care?

Routine documentation of the nurse's interaction with a patient is recorded in the __________.

Health Care Delivery Systems

Collecting Health Care Data

Electronic Health Records

Health Information Management Processing

Code Sets

Reimbursement

Health Information Management Issues in Other Care Settings

Managing Health Records

Statistics

Quality and Uses of Health Information

Confidentiality and Compliance

Him Department Management

Training and Development

Filters