QUESTION: 41

Under which of the following conditions can an original patient health record by physically removed from the hospital?

when the patient is brought to the hospital emergency department following a motor vehicle accident and, after assessment, is transferred with his health record to a trauma designated emergency department at another hospital
when the directory of health records is acting in response to a subpoena duces tecum and takes the health record to court
when the patient is discharged by the physician and at the time of discharge is transported to a long-term care facility with his health record
when the record is taken to a physician's private office for a follow-up patient visit postdischarge

Answer(s): B

QUESTION: 42

According to the following table, the most serious record delinquency problem occurred in which of the following months?

April
May.
June
cannot determine from this data.

Answer(s): A

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QUESTION: 43

Using the SOAP style of documenting progress notes, choose the "subjective" statement from the following.

sciatica unimproved with hot pack therapy
patient moving about very cautiously, appears to be in pain
adjust pain medication; begin physical therapy tomorrow
patient states low back pain is as severe as it was on admission

Answer(s): D

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QUESTION: 44

In 1987, OBRA helped shift the focus in long-term care to patient outcomes. As a result, core assessment data elements are collected on each resident as defined in the

UHDDS.
MDS.
Uniform Clinical Data Set.
Uniform Ambulatory Core Data.

Answer(s): B

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QUESTION: 44

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