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WorksheetsUnit 3 Test — Career Pathways in Health Professions
Total questions: 57
Worksheet time: 45mins
Which role assigns standardized codes to diagnoses and procedures for reimbursement and data purposes?
Health educator
Medical coding specialist
Speech-language pathologist
Pharmacist
Which component is NOT typically part of a medical record?
Chief complaint
Family history
Operative reports
Personal opinions about the patient’s personality
What is the main reason feedback is essential in communication with patients?
It shortens appointments.
It ensures the message was understood accurately.
It helps providers avoid documentation.
It replaces written instructions.
Which statement about Electronic Health Records (EHRs) is TRUE?
They cannot be accessed by multiple providers.
They are identical to Personal Health Records (PHRs).
They support continuity of care across providers and facilities.
They make HIPAA no longer necessary.
In the claims process, the Explanation of Benefits (EOB) is a document that:
Lists a patient’s diagnoses and treatments.
Shows what the insurance will pay and why.
Provides medication instructions.
Schedules the next appointment.
Which informatics guideline BEST protects privacy when faxing?
Skip a cover sheet to save time.
Leave pages in the machine for the next shift.
Use a cover sheet and verify the recipient number.
Send the entire chart to avoid follow-ups.
A 'late entry' in an electronic chart should be:
Deleted after correction.
Entered with an addendum and authenticated with a digital signature.
Rewritten to replace the original note.
Left unmarked to avoid confusion.
Which informatics career most likely requires strong computer science and data science knowledge to improve patient care?
Health information management clerk
Health informaticist
Medical assistant
Home health aide
11. The BEST example of technical writing in a medical office is:
A detailed patient progress note documenting symptoms and treatment.
A personal letter to a friend about your day at work.
A creative story about a doctor's adventure.
A flyer advertising a local restaurant.
Which government act strengthened HIPAA security and incentivized EHR use?
EMTALA
HITECH Act
Hill-Burton Act
OSHA
Which pathway is primarily concerned with direct patient treatment?
Health Informatics
Therapeutic Services
Biotechnology Research
Health Information Technology
Which personal trait is MOST essential for therapeutic services workers?
Indifference to patient feelings
Impatience to increase speed
Empathy and tact
Avoiding feedback
Which nursing team model assigns specific tasks to each nurse for all patients?
Primary nursing
Case manager model
Functional nursing
Team nursing (RN leader)
16. Standard precautions recommend:
Hand hygiene before and after patient contact
Wearing a mask at all times
Using antibiotics for all patients
Isolating every patient
Which action BEST supports patient interaction guidelines?
Entering without knocking to save time.
Using first names regardless of preference.
Placing the call light within reach before leaving.
Leaving bed rails down for comfort.
Which statement about scope of practice is TRUE?
Workers may perform any task if supervised.
Workers must perform within the skills they are trained and credentialed to do.
Scope applies only to physicians.
Students are exempt from scope limitations.
What is malpractice MOST often caused by?
Negligence (unintentional failure to meet duty)
Fraud
Libel
Battery
Which credential is legally required in many health professions and is managed by states?
Certification
Registry
Licensure
Associate degree
21. Which SBAR element focuses on 'What is happening right now?'
Situation
Background
Assessment
Recommendation
During a patient interview, which strategy BEST reduces communication barriers?
Use medical jargon to be precise.
Ask open-ended questions and verify understanding.
Avoid eye contact to speed up the process.
Limit the patient’s responses to yes/no.
Which filing system arranges charts alphabetically by last name?
Numeric
Geographic
Chronologic
Alphabetic
Which coding system is primarily used to report procedures to payers?
ICD
CPT
DRG
EPO
Which statement about teams is MOST accurate?
Multidisciplinary teams rarely share records or coordinate closely.
Interdisciplinary teams never collaborate.
Primary care teams only work in hospitals.
Secondary care teams never involve specialists.
The MOST appropriate step in appointment-scheduling is:
Confirming the date and time with the patient
Ignoring patient preferences
Scheduling without checking provider availability
Double-booking appointments
Which is the BEST example of protecting PHI on screens?
Leaving screens open while away.
Using strong passwords and screen privacy filters.
Sharing passwords with coworkers.
Posting screenshots for training with identifiers.
Select ALL correct precautions for sharps safety:
Activate safety device and dispose in sharps container
Recap needles using two hands
Report needlesticks promptly
Do not overfill sharps containers
HIPAA applies only to paper records, not electronic or verbal communication.
True
False
An interdisciplinary team collaborates across roles to coordinate patient treatment.
True
False
Feedback is critical in patient communication because it ensures understanding and improves care. Which of the following is a technique to obtain feedback?
Ask the patient to repeat the information in their own words.
Ignore the patient's response.
Speak more quickly to save time.
Avoid asking questions during the conversation.
Which of the following are actions that protect PHI when using email or fax in a clinic?
Encrypting emails and using cover sheets for faxes
Sharing passwords with coworkers and leaving documents unattended
Sending PHI to personal email accounts and using public fax machines
Posting PHI on social media and using unsecured Wi-Fi
Which roles are involved in correcting and preventing repeated coding errors in a clinic, and which process controls can be used?
Medical coding specialist, HIM/HIT, and informaticist; using checklists and EHR alerts
Only the medical coding specialist; using manual review only
HIM/HIT and informaticist; using paper records and verbal reminders
Informaticist only; using random audits and staff meetings
Scenario CR-2 (Therapeutic Services): Before leaving the room of a patient with limited mobility, which of the following is a correct step to take, and when is hand hygiene with soap and water required instead of alcohol gel?
Ensure the call light is within reach and use soap and water after contact with bodily fluids such as feces.
Leave the bed rails down and use alcohol gel after every patient contact.
Turn off the lights and use soap and water after touching the patient's gown.
Close the door and use alcohol gel after touching medical equipment.
Which of the following findings is most consistent with the initial presentation of the 45-year-old male patient described in the SOAP note activity?
Chest tightness and shortness of breath with elevated BP and HR
Fever and productive cough with normal vital signs
Abdominal pain and vomiting with low blood pressure
Headache and blurred vision with bradycardia
____ is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.
Current Procedural Terminology (CPT)
International Classification of Diseases (ICD)
Current Pathology Terminology (CPT)
______ is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States.
The Current Procedural Terminology (CPT) code
The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
The International Category of Diseases, Tenth Revision, CLinical Modification (ICD-10-CM)
The NP treated a patient for fever, cough, and general malaise. After reviewing a patient's record, the health insurance specialist assigns an ICD-10 code to the:
charges
diagnosis
procedures
supplies
The acronym PASS stands for _____.
Pinch, aim, spray, stop
Pull, aim, sweep, spray
Pin, aim, shake, squeeze
Pull, aim, squeeze, sweep
Is it allowed for Jack's son to obtain a copy of his father's medical chart from Dr. Adams without any formal procedure?
Yes, immediate family members have the legal right to view charts
Yes, but only if Jack Thompson is made aware and signs a release form
No, only the healthcare team can have access to the chart
Yes, if the son gets a letter from a lawyer requesting the chart
Clinics, hospitals, nursing homes, and private offices are all typical work environments for what occupation?
Photographer
Coach
Police Officer
Physical Therapist
Medicare and Medicaid are programs that follow standards from which federal agency?
CDC
CMS
OBRA
DHSR
A patient's diagnosis is a grade two sprain of the anterior cruciate ligament. What is the main term for the ICD-10 code?
anterior
ligament
grade two
sprain
The job description of a _________ involves typing medical information provided by a physician.
cardiologist
medical transcriptionist
medical technician
medical sonographer
The respiratory therapist performed chest physiotherapy on a patient one week after the patient's CABG. What type of CPT code would be assigned by the health insurance specialist?
medical charges
supplies used
a diagnosis
a procedure
Why is it important for a medical assistant to understand insurance billing procedures?
To provide medical advice to patients
To ensure the facility receives payment for services rendered
To reduce the need for patient interaction
To increase the workload of the billing department
What is the primary goal of insurance billing procedures in a medical office?
To minimize patient interaction
To ensure timely reimbursement from insurance providers
To increase paperwork
To complicate the billing process
Which of the following is NOT a common method of insurance billing?
Electronic billing
Paper billing
Direct patient billing
Phone billing
An example of verbal communication is:
Phone conversation
Posture
Eye contact
Writing an email
The individual who initiates or delivers a message.
sender
receiver
clarification
Which of the following is a key aspect of active listening?
Interrupting the speaker to provide your opinion
Waiting for your turn to speak while thinking about what to say next
Making eye contact and nodding to show understanding
Focusing on formulating a rebuttal while the other person speaks
A medical_________contains patient information collected over time
Report
Record
Reason
Rating
What Act outlines the use of Electronic Health Records?
Equal Pay Act
Affordable Care Act
Health Care Reform Act
HITECH Act
Pharmacist
Dentist
Pediatrician
Registered Nurse
Building Linkages in IT Occupations Framework: For Entry Level,Technical, and Professional Careers Related to the Design,Development, Support and Management of Hardware, Software,Multimedia, and Systems Integration Services.
