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Q91. Which of the following agencies is responsible for protecting the health of all Americans?
A. Department of Health and Human Services
B. Occupational Safety and Health Administration
C. Food and Drug Administration
D. The Joint Commission
Answer: A
Explanation: The Department of Healthand Human Services (HHS) is the United States government's principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves. Answer: B is incorrect. Occupational Safety and Health Administration (OSHA) is as the purpose of this agency is to ensure safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education and assistance. Answer: D is incorrect. The Joint Commission is as the purpose of this agency is to continuously improve health care for the public by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. Answer: C is incorrect., Food and Drug Administration is as the purpose of this agency is to protect the public health by assuring the safety, efficacy, and security of human and veterinary drugs, biological products, medical devices, our nation's food supply, cosmetics, and products that emit radiation, and by regulating the manufacture, marketing, and distribution of tobacco products.
Q92. You are working on installing a new workstation in an area in which medical assistants interact with patients and the public. What are two physical safeguards you can do during installation of the system to help keep protected health information safe at this workstation?
A. Video surveillance of the area surrounding the workstation, and role based access control programs installed on the machine.
B. Configuring the server to deny access on to the machine after several failed attempts to log on with a user name, and preventing a workstation from being installed facing into a busy corridor.
C. Installing a privacy screen to prevent viewing from the side or above and user-based access control programs installed on the machine.
D. Installing a privacy screen to prevent viewing from the side or above, preventing a workstation from being installed facing into a busy corridor
Answer: D
Explanation: Simple physical safeguards in a busy public or semi-public area where PHI may be access can include privacy screens installed around a workstation monitor that prevent anyone other than the authorized user directly in front of the screen from viewing the information on the screen. Also, making the simple precaution of checking where a monitor would be facing during use and installing the workstation so that the monitor or display does not face out into a busy corridor is another simply way of protecting PHI. Answer: A is incorrect. Also video surveillance is considered a physical safeguard to prevent theft of PHI, it is not usually in a Healthcare IT technicians ability to implement this system during the installation of the workstation. Also, the installation of a role based access control program is not a physical safeguard, but a technical safeguard involving software, likely at the server level. Answer: C is incorrect. As said about Option A, privacy screens are an excellent physical safeguard for installation in a new workstation to added protection for PHI, but access control programs of any kind are not a physical safeguard but a technical safeguard, and likely to be installed and maintained at the server level. Answer: B is incorrect. Locking out a user-name for too many failed attempts to access the system is an excellent technical safeguard to protect PHI, but it is not a physical safeguard, and would likely be maintained by software at the server level.
Q93. Which of the following statements about the UPS are true?Each correct answer represents a complete solution. Choose all that apply.
A. The UPS protects the readers against unexpected power spikes.
B. The UPS helps in keeping data.
C. The UPS keeps the readers running in case of a power failure.
D. The UPS are susceptible to power spikes.
E. The UPS is built into the system between the reader and the external power source.
Answer: ABCE
Explanation: UPS (Uninterruptible Power Supply) devices employ a large battery to provide power to a system in the event of a power outage. The amount of time it can continue to supply power to the system depends upon the size of the battery, and the power consumption.UPS is built into the system between the reader and the external power source. The reader is susceptible to power spikes (caused due to lightning strikes or generator variations). UPS keeps the readers running in case of a power failure and also protects them against unexpected power spikes. The UPS helps in keeping data, which may be in the random access memory (RAM) and not yet pushed up to the application, from being lost and the configuration is not wiped out.
Q94. Sometimes it is necessary for patients to receive information like test results over the phone. This kind of protected health information can be very sensitive. In which of the following situations would it be acceptable to discuss protected health information over the phone.
A. With the patient who has confirmed a detail of their identity, such as birth date or address.
B. With a family member of the adult patient.
C. With a coworker of the patient at their workplace.
D. With an answering machine at the number designated if the name matches the patient's.
Answer: A
Explanation: To protect PHI, it is important to try to authenticate any person on the end of a phone call is the correct individual to receive communication that may involve PHI, whether that is a provider, a patient or a patient's designated representative. Answer: D is incorrect. No PHI or sensitive information should be left on an answering machine or an answering service. Only direct contact with the patient should be considered a secure place for a conversation involving PHI. Answer: B is incorrect. Information that is sensitive and considered PHI should not be discussed with a family member for an adult patient unless previous authorization has been received. In general, such matters should only be discussed with the patient unless they have been declared incompetent. Answer: C is incorrect. Information that is sensitive and considered PHI should not be shared with anyone other than the patient, and definitely not with a coworker or employer of the patient.
Q95. The Affordable Care Act, which was signed into law in 2010, was established in order to reform health insurance in the United States. Which of the following governing bodies is most likely responsible for this piece of legislation?
A. The Joint Commission
B. Occupational Safety and Health Administration
C. Food and Drug Administration
D. Department of Health and Human Services
Answer: D
Explanation: The Department of Health and Human Services (HHS) is the United States government's principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves. Answer: B is incorrect. Occupational Safety and Health Administration (OSHA) is as the purpose of this agency is to ensure safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education and assistance. Answer: A is incorrect. The Joint Commission is as the purpose of this agency is to continuously improve health care for the public by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. Answer: C is incorrect., Food and Drug Administration is as the purpose of this agency is to protect the public health by assuring the safety, efficacy, and security of human and veterinary drugs, biological products, medical devices, our nation's food supply, cosmetics, and products that emit radiation, and by regulating the manufacture, marketing, and distribution of tobacco products.
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Q96. The Joint Commission for the Accreditation of Healthcare organizations requires a history and physical be dictated and transcribed within what period of time for acute care patients?
A. 48 hours
B. 12 hours
C. 6 hours
D. 24 hours
Answer: D
Explanation: The Joint Commission for the Accreditation of Healthcare organizations requires a history and physical be dictated and transcribed within 24 hours for acute care patients. Answer: C is incorrect. The Joint Commission for the Accreditation of Healthcare organizations requires a history and physical be dictated and transcribed within 24 hours for acute care patients. Answer: B is incorrect. The Joint Commission for the Accreditation of Healthcare organizations requires a history and physical be dictated and transcribed within 24 hours for acute care patients. Answer: A is incorrect. The Joint Commission for the Accreditation of Healthcare organizations requires a history and physical be dictated and transcribed within 24 hours for acute care patients.
Q97. While working on upgrading software on a workstation in the emergency department of a hospital, a multi-car pileup occurs and the injured are brought into the ER as trauma cases. There's noise, confusion and a lot of chaos. What is the best etiquette for dealing with this situation? Each correct answer represents a complete solution. Choose all that apply.
A. Evacuate the area during high traffic.
B. Try to find out the patient's condition and see if there is anything you can do to help.
C. Don't stare into patient's rooms or at patient's as they go by on gurneys or in wheelchairs.
D. Continue your project, while moving if anyone needs access to systems or files near your position.
Answer: CD
Explanation: Continue your job. The system upgrade is necessary and needs to be finished quickly and thoroughly. Move if necessary to allow access to the phone or needed files or equipment. Do not stare at patients, to not pry into the details of what is going on. Don't' repeat what you may hear or see. Answer: A is incorrect. Your job is important to the flow of work in the emergency room. If you stop every time something happens, the work may never be done and the system would be unusable for a long period. Unless you are specifically told to clear the area, remain and see the job through with a professional attitude. Answer: B is incorrect. It is not your job to care for patients or their families. It's your job to make the technology in the emergency room function at peak performance so that others can do their jobs effectively and efficiently.
Q98. As a member of the hospital information technology team, you are asked to install an information system in which the nurses on the units can share information with emergency room staff. Which of the following types of information systems would you implement for this purpose?
A. Enterprise System
B. Departmental System
C. External System
D. Hospital Wide System
Answer: D
Explanation: A Hospital Wide System is a health information system that is designed for the integration of various departmental systems or one that provides the primary services for a hospital or clinical area. Answer: B is incorrect. Departmental System is incorrect as this type of hospital system is limited and serves the purposes of one department or domain. Examples are dose management systems that are used by pharmacies. Answer: A is incorrect. Enterprise system is incorrect as this type of system is designed for use for all departments that encompass a large health system including hospitals, clinics and nursing homes. Answer: C is incorrect. External system is incorrect as this type of system is shared by many health organizations to report information required by regulatory agencies or as an information exchange for regional health information networks.
Q99. Which of the following types of budget predicts future volume by analyzing historical data?
A. Operating Budget
B. Master Budget
C. Organizational Budget
D. Statistical Budget
Answer: D
Explanation: A statistical budget predicts future volume based primarily on historical data. Answer: C is incorrect. Organizational budget is incorrect as this answer choice is meant simply for a distractor. Organizational budgets are not Opused in a healthcare setting. Answer: A is incorrect. Operating budget is incorrect as this type of budget predicts labor, supplies and other expenses based on predicted work volume. Answer: B is incorrect. Master Budget is incorrect as this type of budget is this type of budget incorporates the budget of each department or business unit into one budget for the entire facility.
Q100. Which type of database models used the typical parent-child arrangement, whereas, one piece of information can have many subordinated pieces?
A. Object Oriented Model
B. Enterprise Model
C. Network Model
D. Hierarchal Model
Answer: D
Explanation: The hierarchal database model uses the format of a typical parent-child arrangement, whereas, one piece of information can have many subordinated pieces? Answer: C is incorrect. Network model is incorrect as this model is designed to allow the child to have more than one parent. This model is often referred to as the many to many model. Answer: A is incorrect. Object oriented model is incorrect as this model is essentially a collection of objects, related by encapsulation (an object such as a patient has certain characteristics) or inheritance (an object such as a resident inherits characteristics from a physician object). There is no primary key in this model. Answer: B is incorrect. Enterprise model is meant as a distractor, the enterprise database model does not exist.