What is the purpose of the HIPAA Privacy Rule?
Provide patients with more control over the use and disclosure of their health information.
What term is used to describe a patient who has been admitted to the hospital for at least one overnight stay?
inpatient
What is the name for the review of the health status of blood relatives?
family history
What is the chief complaint?
The symptom causing the patient the most trouble
When is the health history taken?
Before the physician performs the physical examination.
What is the past medical history?
the patient’s previous diseases, injuries, and operations
What is the term used to describe raw, unorganized facts about subject matter presented to the computer for processing?
data
Give an example of a physical therapy service
hydrotherapy
What term might be used before there is enough information to make a definitive diagnosis?
medical impression
What is the physician’s interpretation of the patient’s condition is recorded in POR progress notes under?
assessment
Which of the following reports consists of an account of the significant events of a patient’s hospitalization?
The acronym for the format used to organize POR progress notes is:
soap
Which of the following provides subjective data about a patient to assist the physician in arriving at a diagnosis?
Why is it important to document any instructions provided to the patient?
To protect the physician legally if the patient is harmed by not following the instructions
Which of the following helps a patient with a disability learn new ways to perform skills such as dressing or cooking?
occupational therapy
Which of the following is an example of an output device?
printer
What is the review of systems (ROS)?
Systematic questions about each body system
Which of the following is an example of an operating system?
microsoft windows
Give three examples of things that can provided with home care
IV therapy
Rehab
respiratory care
How should the screen of the monitor be positioned to prevent back and neck tension?
2 to 3 inches above eye level
What feature do many physicians use to dictate progress notes directly into the electronic health record?
Voice recognition software
How does a privacy filter work?
Blocks the screen image to anyone not directly in front of it.
Which of the following protects a computer network from unauthorized access?
firewall
What may be stored in examination rooms in cupboards or drawers?
alcohol pads
What is a comfortable temperature for treatment rooms or special procedure rooms?
68-70