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Healthcare Terminology and Insurance Concepts, Exams of Nursing

A wide range of healthcare-related terminology and concepts, including hipaa, medical malpractice, database management, hardware and software, patient communication, insurance plans and coverage, and medical coding. It provides a comprehensive overview of the key terms and principles that are essential for understanding the healthcare industry and insurance systems. The information presented can be useful for medical professionals, students, and anyone interested in the healthcare field. Topics such as the ama code of ethics, non-verbal communication, disability considerations, insurance claims and payments, medicare and tri-care, and medical coding terminology. With its detailed explanations and definitions, this document can serve as a valuable reference for those seeking to expand their knowledge of healthcare-related terminology and concepts.

Typology: Exams

2023/2024

Available from 10/10/2024

Maryliz001
Maryliz001 ๐Ÿ‡บ๐Ÿ‡ธ

329 documents

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Download Healthcare Terminology and Insurance Concepts and more Exams Nursing in PDF only on Docsity! NCCT Practice Test Questions with Answers 2024 Right and Wrong conduct is known as โœ” ethics The most common type of medical tort liability is โœ” negligence A person being sued is called the โœ” defendant The withdrawal of a physician from the care of a patient without reasonable notice of such discharge from the case by the patient is โœ” abandonment An unlawful threat or attempt to do bodily injury to another is โœ” assault The health worker is protected by law if it can be determined that he or she acted reasonable as compared with fellow workers. This is called โœ” reasonable care Negligence by a professional person is called โœ” malpractice An act that violates criminal law is called โœ” crime The breaking of a law, promise, or duty is called โœ” breach The ability to see things from another person's point of view is โœ” empathy The time established for filing law suits is โœ” statute of limitations A writ that commands a witness to appear at a trial or other proceeding and to give testimony is a โœ” subpoena A wrong committed against another person or the person's property is a โœ” tort Holding or detaining a person against his will is โœ” false imprisonment A violation of a person's right not to have his or her name, photograph, or private affairs exposed of made public without giving consent is โœ” invasion of privacy A major crime for which greater punishment is imposed other than a misdemeanor is โœ” felony One who institutes a lawsuit is โœ” plaintiff A legal statement of how an individual's property is to be distributed after death is โœ” will Information given by a patient to medical personnel which cannot be disclosed without consent of the person who gave it is โœ” privileged communication A rule of conduct made by a government body is โœ” law Failure to do something that a reasonable person would do under ordinary circumstances that ends up causing harm to another person or a person's property is โœ” negligence Permission granted by a person voluntarily and in his right mind is โœ” consent Injuring the name and reputation of another person by making false statements to a third person is โœ” defamation An agreement between two or more parties for the doing or not doing of some definite thing is โœ” contract Lack of physical or mental fitness is known as โœ” incompetence The final decision of a court in an action or suit is โœ” judgment Responsibility of an employer for the acts of an employee is Under the Peer Review Improvement Act of 1982, Peer Review Organizations are responsible for the review of appropriateness and necessity of putting a patient into the hospital by a process known as what review โœ” admissions A fraudulent signature is called โœ” forgery These are defined as what are right and wrong โœ” ethics Which one of the following might involve a decision based upon bioethics โœ” the use of fetal tissue transplantation for research A physician must have the patient's permission in writing to reveal any confidential information except for โœ” gunshot wound It is ? to deny treatment to HIV infected patients โœ” unethical What is a federal regulation that requires health care professional to protect the privacy and confidentiality of patients' health information โœ” HIPAA In the health care field an acronym HIPAA stand for โœ” health insurance portability and accountability act The statement "A physician shall respect the law" is part of the โœ” AMA code of ethics Profession negligence is also called โœ” medical malpractice A system whereby large quantities of data can be accessed, searched, sorted, and arranged very rapidly by computer is called a what system โœ” database management A computer monitor, hard drive, and printer are known as โœ” hardware The term for the technology that tells s computer what to do is known as the โœ” software The computer hey DEL command means โœ” delete The computers' directional arrow keys โœ” move the cursor, right, left, up or down Referring to computers, the term "user friendly" refers to โœ” how easy the system is to operate The process of changing words into numbers so that computers can be used in processing insurance claims is called โœ” coding A business letter written in full block style will have all lines โœ” at the left hand margin Making a duplicate file to protect computer information from being list is called making a โœ” backup When writing a business letter, the salutation of a letter should be followed by which punctuation mark โœ” colon A newsletter that weighs less than one pound would be considered what class mail โœ” third What office instrument is designed to receive and send printed documents via the telephone โœ” fax machine Business or handwritten mail that weighs less than 11 ounces is known as what class mail โœ” first Parcel post or what class mail is used for bound printed matter, film, and sound recordings โœ” fourth Before placing a telephone caller on hold it is appropriate to โœ” ask if you may place on hold, wait for caller to confirm they can wait, obtain return phone number An incoming call should be answered by the what rig โœ” third Which one of the following items is needed when taking a routine phone message โœ” callers name, caller's return phone number, current days date Prior to answering an incoming call the medical assistant should โœ” smile When handling incoming mail the medical assistant should โœ” attach the envelope to the correspondence A letter should be folded in what using a number 10 envelope โœ” thirds face up What is the study of words and their relationship to other words in a sentence โœ” grammer When handling a patient complaint you should โœ” take all complaints seriously and take through notes When working with patients from a culture different than your own, one should โœ” show respect for their culture Body language, body posture, space and distance are all examples of โœ” non-verbal communication When caring for patients with physical disabilities, what is appropriate considerations โœ” do not rush them, ask if they need assistance before giving, provide ample space for patients using assistive devices for mobility A bed patient in a hospital is called โœ” inpatient A person who represents either party of an insurance claim is the โœ” adjuster A request for payment under an insurance contractor bod is called a โœ” claim Payment made periodically to keep an insurance policy in force is called โœ” premium A person or institution that gives medical care is a โœ” provider Which of the following insurance plans provides a fixed payment per month to the physician, regardless of the services rendered โœ” Capitation An amount the insured must pay before policy benefits begin is called โœ” deductible Payment for hospital charges incurred by an insured person because of injury or illness is called โœ” hospital benefits An agent of an insurance company who solicits or initiates contracts for insurance coverage and services, and is the policyholder for the insurer is called โœ” insurance agent A method of charging whereby a physician presents a bill for each service rendered is called โœ” fee-for-service The Tri-Care fiscal year is from โœ” October 1 to September 30 The number on the Employees whit holding Exemption Certificate is โœ” W-4 FICA provides benefits for โœ” social security As part of the office bookkeeping, the physician's bank statement should be reconciled with the โœ” checkbook A record of debits, credits, and balances is referred to as a patient's โœ” ledger A signature on the reverse side of a check is called โœ” endorsement A form to itemize deposits made to savings or checking accounts is called โœ” deposit slip To correct a handwritten error in a patient's chart, it is only acceptable to โœ” draw a line through the error, insert the correct information, date and initial it Low income patients can be covered by what type of insurance โœ” Medicaid The reference procedural code book that uses a numbering system developed by the AMA is called a โœ” current procedural terminology What is a method used for determining whether a particular device or procedure is covered under a patient's policy โœ” Pre-certification The International Classification of Disease, 9th Revision, Clinical Modification is used to code โœ” diagnoses In insurance coding using an "E" code designates โœ” classification of environmental events, such as poisoning E/M codes are located in the WHAT manual โœ” CPT Which codes can modifiers be added to, to indicate that procedure or service has been altered in some way โœ” CPT The WHAT form is used by non-institunional providers and suppliers to bill Medicare, Part B covered services โœ” CMS-1500 The suffix -emia means โœ” blood The medical term for expanding or opening wider is โœ” dilate The abbreviation for urinalysis โœ” UA The medical term for groups of cells with the same function is โœ” tissue The medical term for the basic unit of body structure is โœ” cell The abbreviation for below or low is โœ” hypo The medical term for the time when menstruation begins is โœ” menarche The medical term for the time when menstruation stops is โœ” menopause The abbreviation for gastrointestinal is โœ” GI or G.I. The medical term for an involuntary movement is โœ” reflex The medical term for paralysis from the waist down is โœ” paraplegia The medical term for paralysis from the neck down is โœ” quadriplegia The medical abbreviation for by mouth is โœ” po The abbreviation for dressing is โœ” dsg The medical term for paralysis on one side of the body is โœ” hemiplegia The medical term for circular movement around a central point is โœ” rotation The medical term for turning the palm forward, as applied to the hand is โœ” supination The medical term for a decrease in size or a wasting is โœ” atrophy The medical term for straightening of a body part is โœ” extension The abbreviation for postprandial blood sugar is โœ” PPBS The medical term for moving a body part away from the body is โœ” abduction The medical term for bending a body part is โœ” flexion The medical term for turning the palm backward is โœ” pronation The medical term for bending backward is โœ” dorsiflexion The abbreviation for toxic shock syndrome is โœ” TSS Erythema refers to โœ” red skin The opposite of deep is โœ” superficial High blood pressure is referred to as โœ” hypertension Neoplasm refers to โœ” new growth The abbreviation carb means โœ” carbohydrate The abbreviation for chief complaint is โœ” CC The abbreviation for grain is โœ” gr What license must a physician have to dispense, prescribe, or administer controlled substances โœ” Narcotics Physicians with a narcotics license are required to register on June 30 of each year with โœ” Drug Enforcement Agency A drug that cause urination is called โœ” diuretic A drug used to relieve a cough is called โœ” antitussive A drug that neutralizes acidity is called โœ” antacid A drug that controls appetite is called โœ” appetite suppressor A drug used to prevent blood from clotting is called a โœ” anticoagulant A drug used to control temperature is called an โœ” antipyretic A drug that reduces anxiety is called a โœ” tranquilizer A drug that cause dilation of blood vessels is called a โœ” vasodilator A drug that decreases congestion called a โœ” decongestant A drug that causes the pupil of the eye to dilate is called a โœ” mydriatic A date on a bottle of medication that provides a "use until" date is the โœ” outdate or expiration date A drug that increases urinary output is called a โœ” diuretic A liquid preparation which mixes fine droplets of an oil in water, such as castor oil, is called a โœ” emulsion Nitroglycerine is used for โœ” treatment of angina pectoris Hydrocortisone is a drug used to suppress โœ” inflammation Schedule I drugs include โœ” substances that have no accepted medical use and a high potential for abuse Schedule IV drugs include โœ” minor tranquilizers and hypnotics that have a lesser potential for abuse A small adhesive patch or disc used for administration of drugs is called a โœ” transdermal system The buccal method of administering a drug is done by โœ” placing the medication between the gum and cheek Oxygen is ordered as percent of oxygen concentration and its rate of delivery is written as โœ” hypnotic An inactive substance substituted in place of the actual drug to satisfy the patient is called a โœ” placebo The abbreviation for elixir is โœ” elix The abbreviation for emulsion is โœ” emul The abbreviation for fluid is โœ” fl or fld The abbreviation for ointment is โœ” oint, ung The abbreviation for solution is โœ” sol The abbreviation for suppository is โœ” supp The abbreviation for syrup is โœ” syr The abbreviation for tablet is โœ” tab The abbreviation for tincture is โœ” tinc The abbreviation for intramuscular is โœ” IM The abbreviation for injection is โœ” inj The abbreviation for right ear is โœ” AD The abbreviation for both ears is โœ” AU The abbreviation for drops is The smaller of the lower leg bones is called โœ” fibula The zygomatic bone is located in the โœ” head The mandible bone is located in the โœ” head The sphenoid bone is located in the โœ” head The vertebrae are located in the โœ” back Bones are โœ” built to provide support and structure The study of bones is called โœ” osteology The majority of the bones in the arms and legs are ? bones โœ” long Bones of the wrist and ankle are called ? bones โœ” short The muscle that flexes and supinates the forearm is called โœ” biceps brachii The major artery to the head is called the โœ” carotid One of the arteries that supplies the hand and forearm is called the โœ” ulnar The major artery that supplies the abdomen is called the ? artery โœ” celiac The major artery that supplies the thorax is called the ? artery โœ” intercostal The major artery that supplies the kidney is called the ? artery โœ” renal The major artery that supplies the bladder, rectum, and some reproductive organs is called the โœ” iliac The major artery that supplies the upper arm is called the โœ” brachial The major artery that supplies the knee is called the โœ” popliteal The major artery that supplies the foot is called the โœ” dorsalis pedis The major vein that drains the upper arm is called the โœ” brachial The major vein that drains blood from the head and brain is called the โœ” jugular The major vein that drains the liver is called the โœ” hepatic The major vein that drains the kidneys is called the โœ” renal The major vein that drains the pelvis is called the โœ” common iliac The point at which air enters the reparatory tract is called the โœ” nasal cavity The wind pipe which conducts air between the larynx and lungs is called the โœ” trachea The divisions of the trachea which enter the lungs are called the โœ” bronchi Located between the pharynx and trachea, and containing the vocal cords is the โœ” larynx A condition of the nasal septum turning away from midline is called a โœ” deviated septum The medical name for nose bleed is called โœ” epistaxis Inflammation of the sinus cavity is called โœ” sinusitis Inflammation of the pleura is called โœ” pleurisy Escape of fluid into the thoracic cavity is called โœ” pleural effusion Inflammation of the nasal mucosa results in โœ” rhinitis An accumulation of air in the pleural cavity after the lungs collapse in known as โœ” pneumothorax Whooping cough is another name for โœ” pertussis Inflammation of the mucus of the vagina is called โœ” vaginitis Inflammation of the gums is called โœ” gingivitis Lesions of the mucous membrane of the stomach are called ? ulcers โœ” gastric A serious chronic disease of the liver is called โœ” cirrhosis Chronic inflammation of the colon is called โœ” colitis Inflammation of the gallbladder is called โœ” cholecystitis Inflammation of the pancreas is called โœ” pancreatitis Inflammation of the appendix is called โœ” appendicitis Dilated veins that occur in the rectum are known as โœ” hemorrhoids Another name for the head Inflammation of the retina is โœ” retinitis Foods that are mild in flavor and easy to digest, non-spicey, comprise a โœ” bland diet A tube inserted into one of the patient's nostrils and down the back of the throat, through the esophagus until the end reaches the patient's stomach in a โœ” nasogastric tube Washing out of the stomach through a nasogastric tube is called โœ” lavage A healthy adult excretes rail approximately ? of urine โœ” 1000 to 1500 milliliters The inability to control the passage of urine in the bladder is called โœ” urinary incontinence Painful voiding is called โœ” dysuria If the septum of the heart has an abnormal opening it is referred to as โœ” a septal defect Branches of the bundle branches, which transmit the impulses to walls of the ventricles, causing the ventricles to contract are called โœ” purkinje fibers A coronary occlusion causing a condition that produces chest pain which may radiate to the left arm, shoulder, jaw or neck due to lack of blood supply to the heart is called โœ” angina pectoris An obstruction of a coronary artery causing death of an area of the myocardium due to blockage of blood supply and oxygen supply is called โœ” myocardial infarction Deoxygenated blood enters the right atrium of the โœ” heart When the right atrium contracts it forces blood through the tricuspid valve into the โœ” right The right ventricle pumps the used blood to the lungs by way of the ? artery โœ” pulmonary Every medical facility is required by OSHA to have an โœ” exposure control plan Does the exposure control plan shall be made a available to the Assistant Secretary and the Director OSHA upon request for examination and copying โœ” Yes HIV means โœ” human immunodeficiency virus Any contaminated objects that can penetrate the skin including, but not limited to needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires are ? โœ” Contaminated Sharps Reasonable anticipated skin, eye, mucous membrane, or parenteral contact with blood, or other potentially infectious materials that may result from the performance of an employee's duties is called โœ” occupational exposure An individual, living or dead, whose blood, or other potentially infectious materials may be a source of occupational exposure to the employee is called โœ” source individual To use physical chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to โœ” sterilize What is the single most important source of HIV and HBV in the workplace โœ” blood The risk of infection with HIV following one needle-stick exposure to blood from a patient known to be infected with HIV is approximately โœ” 0.50% Genreal infection-control procedures are designed to prevent transmission of a wide range of ? and to provide a wide margin of safety in the varied situations encountered in the health-care environment โœ” microbiological agents "Contact with blood, or other body fluids to which universal precautions apply through percutaneous inoculation, or contact with an open would, non-intact skin, or mucous membrane during the performance of normal duties" this definition applies to โœ” human exposure Al workers whose jobs involve participation in tasks, or activities with exposure to blood, or other body fluids to which universal precautions apply, should be vaccinated with ? vaccine โœ” hepatitis B ? testing should be made available by the employer to all workers who maybe concerned they have been infected with HIV through an occupational exposure โœ” Serologic Studies suggest that the potential for salivary transmission of HIV is โœ” remote After they are used, disposable syringes and needles, scalpel blades, and other sharp items should be placed in ? containers for disposal โœ” punture-resitant Broken glassware which may be contaminated shall not be picked up directly with the hands, but by mechanical means, such as โœ” a brush and dust pan Contaminated laundry shall be ? where it was soiled โœ” bagged or containerized at the location All spills of blood-contaminated fluids should be promptly cleaned up using ? approved germicide, or a 1:10 solution of household bleach โœ” an EPA In cases of blood contamination shoe covering and gloves should be disposed of in ? biohazard plastic bags โœ” orange-red It is recommended that protective masks and eye wear, or face shields, be worn by laboratory technicians, or housekeeping personnel โœ” when cleaning up blood or body fluids Blood from all individuals should be considered โœ” infective or infectious When taking vital signs, a medical assistant must wear gloves, gowns, and eye wear; true or false โœ” false A specific eye, mouth, or other mucous membrane, non-intact skin, or parenteral contact with blood, or other potentially infectious materials that results from the performance of an employees duties is called โœ” exposure incident Persistent increased systolic and diastolic pressures are indicative of โœ” hypertension The blood pressure should not be taken on an arm if โœ” the patient has had breast surgery on that side, on an arm with an IV infusion, on an arm with a cast To measure a blood pressure, the medical assistant will need โœ” a stethoscope and sphygmomanometer Which is recored as the systolic blood pressure โœ” The point where the first sound is heard When measuring blood pressure, which of the following is correct โœ” cuff should be applied to the bare upper arm, room should be quiet, sphygmomanometer should be clearly visible With vital signs, any abnormal measurement must be immediately reported to the โœ” physician A medical assistant would measure the patient's temperature, pulse and respiration when the physician ask him or her to โœ” take vital signs Which of the following is used to take an infant's rectal temperature โœ” security thermometer Never clean a glass thermometer with โœ” hot water When the patient is breathing with only the upper part of the lungs this is referred to as โœ” shallow respirations When the patient makes abnormal noises like snoring sounds when she is breathing, it is called โœ” stertorous respiration When the heart is contracting, the pressure is highest. The pressure is called the โœ” systolic pressure When listening to the brachial pulse you will use a โœ” stethoscope The main type of sphygmomanometers used in a clinical setting is the โœ” aneroid type When the pressure is lowest, this pressure is called โœ” diastolic pressure The process of inhaling and exhaling is called โœ” respiration When the depth of breathing changes and the rate of rise and fall of the chest is not steady, it is called โœ” irregular respiration When taking the pulse, you must be able to report accurately the โœ” rhythm of pulse beats, rate, force of the beat The balance between the heart produced and the heat lost is the โœ” body temperature A rubber or plastic tube used to drain or inject fluid through a body opening is called โœ” catheter The process of inserting a catheter is called โœ” catheterization When you sue an autoclave, fill the water reservoir with โœ” distilled water A patient positioned on her back with feet in stirrups is said to be in the โœ” lithotomy position Which degree of burns most serious โœ” third On a visual acuity reading of 20/60m what does the 20 represent โœ” distance between patient and test chart Some clinical signs for head injury could be โœ” vomiting, headache, confusion Lying flat one's back with arms at one's side is the ? position โœ” supine Lying duping with knees sharply flexed and separated is known as the ? position โœ” dorsal recumbent When a patient is positioned on the abdomen, arms under the head, with the head turned to one side the patient is in the ? position โœ” prone When the patient kneels, and places head and chest on the table wit buttocks elevated, it is called the ? position โœ” knee-chest An otoscope is used for examination of the โœ” ears When measuring blood pressure, the bottom number is called โœ” diastolic pressure A ? report includes information relating to the patient's main reason for scheduling an appointment to see the physician โœ” history and physical examination The blood lancet is used for the collection of blood specimens by โœ” skin puncture The standard point of lancet to be used when collecting blood from a newborn heel is ? in length โœ” 2.4 mm The most important step in the performance of a venipuncture is โœ” positively identifying the patient When cleaning the venipuncture site, it is good practice to โœ” cleanse the site from the inside out and allow it to air dry To determine the size of the needle remember that the higher the gauge number the โœ” smaller the needle An instrument called a centrifuge โœ” separates the cellular and liquid portion of the blood Rubber sleeves on an evacuated tube system make it possible for โœ” multiple uses Preparing for a glucose tolerance test ? hours before or during the test, the patient should not eat, smoke, drink coffee or alcohol. โœ” ten In the evacuated blood collation system the evacuated glass tubes come in different sizes, and the stoppers are ? to denote the type of additive or lack of one โœ” color coded