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_____ services such as massage therapy, physiotherapy, dental care, drug plans, and assistive devices may or may not be covered by a provincial health plan. These are known as: a. ancillary services b. medically necessary services c. nursing services d. optional services - ANSWER-D. optional services __________ controls refer to the implementation of procedures used to log system access and access attempts as part of security standards a. Access b. Accuracy c. Audit d. Planning e. Security - ANSWER-C. Audit __________ groups are defined by the organizational structure. a. Formal b. Informal c. Interest d. None of the above - ANSWER-A. Formal ___________ studies the health of a population using scientific approaches to prevent disease and promote good health whereas _______________ uses health information to improve to prevent disease and promote good health for groups of people or an entire country. a. epidemiology and public health b. population health and epidemiology c. population health and public health d. public health and population health - ANSWER-C. population health and public health ____________ is a branch of the federal government whose primary purpose is to gather information from every province and territory and to publish accurate statistics on almost every aspect of life. It is used by government and agencies involved in public health and population health initiatives.
a. CIHI b. CIHR c. ICES d. Stats Can - ANSWER-D. Stats Can ____________ is/are standardized measures that assist in the comparison of health issues in a population and the identification of any change in health status. a. Care plans b. Epidemiology c. Health indicators d. Population health - ANSWER-C. Health indicators ____________ refers to the amount of information that can be transmitted during a communication episode a. Channel richness b. Feedback c. Filtering d. Perception - ANSWER-A. Channel richness ______________ refers to contracting health care services to independent companies or facilities. a. Amalgamating b. Ancillary services c. Off-loading d. Outsourcing - ANSWER-D. Outsourcing _______________ is the ability to think and reason logically without using the part of the brain concerned with feelings or emotions. a. Cognitive intelligence b. Emotional intelligence c. Logical intelligence d. Spatial intelligence - ANSWER-A. Cognitive intelligence . The two types of research are: a. Applied and qualitative b. Applied and quantitative c. Basic and applied d. Basic and quantitative - ANSWER-C. Basic and applied 'Be all that you can be" would reflect which level of Maslow's hierarchy?
A 300 bed hospital reported: 20,932 discharges 136,651 discharge days 3,699 consultations The consultation rate for this facility is: a. 16. b. 17. c. 17. d. 18.2 - ANSWER-C. 17. A CEO wanting to bring about transformational change would give highest priority to: a. Budget b. Organizational culture c. Policies and procedures d. Technology - ANSWER-B. Organizational culture A common type of hospital funding in which the amount is determined by the previous year's expenditures is known as: a. block funding b. line by line funding c. service based funding d. activity based funding - ANSWER-A. block funding A comorbidity is: a. A condition that is present on admission or develops subsequently and meets the criteria for significance b. A diagnosis that may or may not receive treatment and does not meet the criteria for significance c. Two or more codes that relate to one another d. Various conditions not associated with the reason for admission - ANSWER-A. A condition that is present on admission or develops subsequently and meets the criteria for significance A condition not regulated by a negative feedback loop would be: A. blood pressure B. blood sugar C. body temperature D. childbirth E. heart rate - ANSWER-D. childbirth A Consultant's Report is:
a. Filed in a separate record b. Required for all surgical interventions c. The opinion of another care provider d. The term used for allied health reports - ANSWER-C. The opinion of another care provider A controlled research study involving human subjects that is designed to prospectively evaluate the safety and effectiveness of new drugs, tests, or devices is a/an: a. blind study b. clinical trial c. double blind study d. placebo study - ANSWER-B. clinical trial A crucial role of the HIM professional is identity management which is typically done through managing the MPI. Which of the following statements about an MPI is incorrect? a. An MPI collects all legal names of a person. b. An MPI collects all aliases of a person. c. An MPI collects all clinical information about a person d. An MPI collects demographic information about a person - ANSWER-C. An MPI collects all clinical information about a person A differential diagnosis is the: a. Admitting diagnosis b. Final diagnosis c. One possible diagnosis d. Post operative diagnosis - ANSWER-C. One possible diagnosis A distribution is positively skewed when the mean is? a. bimodal b. multimodal c. shifted to the left d. shifted to the right - ANSWER-D. shifted to the right A document that outlines questions to be asked in a survey, is a: a. Focus group b. Interview guide c. questionnaire d. None of the above - ANSWER-B. Interview guide
A hacker accessed your ROI system. To determine how the hacker got through the firewall and exactly what was accessed you use a/n __________ process. a. forensic b. incident c. mitigation d. security - ANSWER-A. forensic A health care contact between a patient and a provider who is responsible for treating the person is a/an: a. admission Incorrect b. ambulatory visit c. encounter d. sentinel event - ANSWER-C. encounter Which Canadian province was the first to introduce publicly-financed hospital and medical care? a. Alberta Incorrect b. British Columbia c. Ontario d. Saskatchewan
D. Saskatchewan A hematology laboratory test to determine the relative number and percentage of each type of leukocytes is a(n) a. CBC b. hematocrit c. hemoglobin determination d. WBC diff. - ANSWER-D. WBC diff. A hospital admits an average of 2.6 patients per day. It has 4 beds available for new admissions. The probability that it will not have enough beds to accommodate its new admissions is: a. 0. b. 0. c. 0. d. 0.887 - ANSWER-C. 0. A hospital reports the following data for November: Bed Capacity 250 Service Days 4978
Inpatient Bed Count 200 Discharge Days 5092 Admissions 590 Discharges 565 The occupancy in November was: a. 66.4% b. 67.9% c. 83.0% d. 84.9% - ANSWER-C. 83.0% A law that restricts the period of time during which an action may be brought against another party is known as: a. Common law b. Litigation c. Statute of limitations d. Summons - ANSWER-C. Statute of limitations A leader whose actions indicate an attitude of 'do as you want and don't bother me' would be described as having a(n) __________ leadership style. a. Autocratic Incorrect b. Country club c. Democratic d. Laissez-faire - ANSWER-D. Laissez-faire A legal agreement between the federal and provincial governments on health care funding is a/n: a. Continuity of care contract b. Enhanced services accord c. Health accord d. Modality accord - ANSWER-C. Health accord A legal document that specifies the nature and level of treatment that a person wants to receive in the event of later being unable to make those decisions is a/n: a. Advance directive b. Alternate level of care directive c. Delegated act d. None of the above - ANSWER-A. Advance directive A leiomyoma is also known as: a. Endometrial adenocarcinoma b. Fibroid
a. Cultural network b. Organizational chart c. Organizational culture d. Planning - ANSWER-C. Organizational culture A national epidemic of viral infection would most likely be reported and tracked by: a. CIHI b. Infoway c. PHAC d. Statistics Canada - ANSWER-C. PHAC A newspaper article reported that "Children who routinely compete in vigorous after- school sports on smoggy days are three times more likely to get asthma than their non- athletic peers." Of the following, which is the most important additional information that would be useful before making a decision about participation in school sports? a. How many students in the study participated in after-school sports b. What is the baseline risk for getting asthma c. Where was the study conducted d. Who funded the study - ANSWER-B. What is the baseline risk for getting asthma A nomenclature is a: a. Alphabetic list of patient names b. Comprehensive list of codes c. Comprehensive list of terms d. None of the Above - ANSWER-C. Comprehensive list of terms A nomenclature is a/n: a. Alphabetic list of patient names b. Comprehensive list of codes c. Comprehensive list of terms d. None of the above - ANSWER-C. Comprehensive list of terms A patient was admitted to same Day Surgery on Monday at 11AM, and discharged the same day at 11PM. The LOS is: a. 0 days b. 1 day c. 12 hours d. 13 hours - ANSWER-C. 12 hours A patient with an enlarged thyroid was taken to the OR where first a frozen section biopsy was performed, followed by a total thyroidectomy. You would code the:
a. Diagnostic procedure first followed by the therapeutic procedure b. Diagnostic procedure only c. Therapeutic procedure first followed by the diagnostic procedure d. Therapeutic procedure only - ANSWER-D. Therapeutic procedure only A person's consent to have information shared must be obtained except in which of the following circumstances: a. A request by family b. Facility Fundraising c. Media Request d. Public health occurrence e. All of the above f. None of the above - ANSWER-D. Public health occurrence A physician has reviewed and agreed with a patient's request to amend a record. To address this: a. The new information is filed at the beginning of the record - whether paper or electronic b. There is a note in the record identifying there is a change, but that the change is filed with the HIM Director c. Put the revision in the file where the original information is, leave the original, and send a copy of the amendment to anyone who received the original Correct d. File in the place where the information belongs and remove the original documentation. - ANSWER-C. Put the revision in the file where the original information is, leave the original, and send a copy of the amendment to anyone who received the original A physician will prescribe an _________ if she suspects that a person has been exposed to anthrax. a. antibiotic b. antineoplastic c. antiparasitic d. antiviral - ANSWER-A. antibiotic A PIA is completed when there has been a: a. Breach of privacy b. New physician joining the organization c. New system for documentation being considered d. Request for information e. All of the above - ANSWER-C. New system for documentation being considered A potential benefit of an encoder is that it:
d. Retrospective - ANSWER-C. Longitudinal A researcher studying cancer is more likely to choose a longitudinal study rather than a cross-sectional study because: a. The cross-sectional study reveals information only at one point in time b. The longitudinal study allows the researcher more time to arrange funding c. The longitudinal study will mean that more people can participate. d. There may not be sufficient people in a cross-sectional study - ANSWER-A. The cross-sectional study reveals information only at one point in time A researcher wants to investigate whether children exposed to second-hand smoke in the previous 2 years have a higher rate of respiratory illnesses than those who were not exposed. You suggest the following retrospective study design: a. Case control b. Cohort c. Cross sectional d. Randomized clinical trial - ANSWER-A. Case control A researcher was investigating the reason for the drop in blood donations. He interviewed 5000 college students and determined the reason was fear of needle contamination. He concluded that this reason seems to be true for the entire population. His conclusion is a type of: a. Descriptive statistics b. Inferential statistics c. Qualitative statistics d. All of the above - ANSWER-B. Inferential statistics A routine audit discovered that Margot the nurse looked up PHI on her ex-husband related to his recent hospitalization. Which statement is not true? a. Margot cannot be disciplined as she is staff of the hospital. b. Other health record access by Margot should be reviewed. c. The ex-husband must be informed. d. The Privacy Officer must be informed. - ANSWER-A. Margot cannot be disciplined as she is staff of the hospital. A senior employee who supports a less-experienced employee is a: a. Coach Incorrect b. Facilitator c. Leader d. Mentor - ANSWER-D. Mentor
A service transfer diagnosis ______ is an ICD-10-CA code associated with the first service transfer. a. 1 b. 4 c. w d. y - ANSWER-C. w A service transfer diagnosis ______ is an ICD-10-CA code associated with the first service transfer. a. 1 b. 4 c. w d. y - ANSWER-C. w A setting in residential neighbourhoods where six to eight people with physical and/or developmental disabilities receive supervision and assistance as needed would be known as: a. day support home b. group home c. long term care residence d. rehabilitation centre - ANSWER-B. group home A solution with a pH value less than 7 is A. acidic B. alkaline C. basic D. neutral - ANSWER-A. acidic A study using face-to-face interviews was conducted to test whether socio-economic status had an effect of female obesity in patients aged 25-56. The study consisted of 9000 females in cities across Canada. Which statement best describes this study? a. This is a clinical trial b. This is a study in epidemiology c. This is an experimental study d. None of the above - ANSWER-B. This is a study in epidemiology A supervisor or front-line manager spends most of his/her time: a. Directing and Controlling b. Organizing and Controlling
According to Accreditation Canada, an event or situation that could have resulted in an accident, injury or illness to a client but did not, either by chance or through timely intervention, is known as a(n): a. adverse event b. complication c. near miss event d. sentinel event - ANSWER-C. near miss event According to equity theory of motivation, a person who believes an inequality exists will: a. Accept the status quo Incorrect b. Change their work habits c. Look for another job d. b and c - ANSWER-D. b and c According to ICD, an elderly primigravida is defined as a woman who gives birth to her first child at the age of ______ or older a. 30 b. 35 c. 38 d. 40 - ANSWER-B. 35 According to ICD, an elderly primigravida is defined as a woman who gives birth to her first child at the age of ______ or older a. 30 b. 35 c. 38 d. 40 - ANSWER-C. 35 Adipose tissue is commonly found: A. In the cartilage of joints B. Lining the chambers of the heart C. Subcutaneous layer deep to the skin D. Surrounding the brain - ANSWER-C. Subcutaneous layer deep to the skin Adonis is your staff member responsible for QI. He becomes ill, and is admitted to the hospital. After 3 days he is discharged, and returns to work. Knowing that he is a staff member, you: a. arrange for his records to be unavailable to him to review b. do nothing different as he is a staff member and is entitled to see any record as part of his job
c. do nothing to restrict access, but audit the access to his record periodically d. contact CHIMA - ANSWER-A. arrange for his records to be unavailable to him to review Alex Wayne is a 3 month old infant born with a congenital lung disorder requiring a lung transplant. He remains in the local children's hospital on a ventilator while he is placed on the national transplant wait list. After several months, he is transferred to the Hospital for Sick Children in Toronto where a double-lung transplant is successfully performed. This is an example of which level of care? a. Primary care b. Quaternary care c. Secondary care d. Tertiary care - ANSWER-B. Quaternary care All eligible residents of a province or territory are entitled, on uniform terms and conditions, to all of the insured health services that are provided under the provincial or territorial health insurance plan. This refers to the CHA principle of ________________ a. Accessibility b. Comprehensive coverage c. Public Administration d. Universality - ANSWER-D. Universality All of the following are examples of direct transmission of a disease except: a. contaminated foods b. coughing c. droplet spread d. physical contact - ANSWER-A. contaminated foods All of the following may precipitate a seizure except: a. acidosis b. brain abscess c. high fever in young child d. hypoglycemia - ANSWER-A. acidosis Allied health professionals include: a. HIM professionals b. Nurses c. Occupational Therapists d. Physicians
c. A long term care facility d. The provincial client registry - ANSWER-A.: A family Doctor's clinic An error in a hard copy may be corrected by: a. Drawing a single line through the incorrect entry b. Obliterating the incorrect entry c. Severing the incorrect entry and storing it separately d. All of the above e. None of the above - ANSWER-A. Drawing a single line through the incorrect entry An example of a non-semantic identifier is: a. Chart number 12069 b. June 9 2012 c. 12609 d. All of the above - ANSWER-C. 12609 An example of administrative data is: a. Attending Doctor b. Date of Birth c. Patient name d. Patient weight - ANSWER-A. Attending Doctor An experiment tests the effects of a certain fertilizer upon plant growth, and the results measure height, number of fruits and the average weight of the fruit produced. In this experiment the fertilizer is: a. Confounding factor b. Dependent variable c. Hypothesis d. Independent variable - ANSWER-D. Independent variable An incident report should include all of the following except: a. a description of the incident b. name and address of the injured person c. opinions as to who is responsible for the incident d. special instructions that may have been given to the patient related to the incident - ANSWER-C. opinions as to who is responsible for the incident An incident report should not be: a. a tool used by staff to report any event not consistent with patient care b. incorporated into the patient's health record
c. reviewed by risk management personnel d. written to contain factual information - ANSWER-B. incorporated into the patient's health record An infectious disease specialist is tracking patients with an unknown illness. She suspects a previous patient of hers discharged several months ago may have had the same condition, but she cannot remember the patients name. To identify the patient, you would construct a query based on: a. Admission number b. Chart number c. Procedure Code d. Provider number - ANSWER-D. Provider number An organization's efforts to increase employee motivation include: a. Compressed work week b. Flexble hours c. Remote working d. All of the above - ANSWER-D. All of the above An unexpected occurance usually resulting in death or serious injury is a/an: a. admission b. episode of care c. risk assessment d. sentinel event - ANSWER-D. sentinel event Arrange the steps in the correct sequence as followed by most process improvement strategies Measure Define Control. Improve Analyze a. 2,5,1,4, b. 3,2,1,5, c. 1,2,5, d. 2,1,5,4,3 - ANSWER-D. 2,1,5,4, Based on goal setting theory: a. Easier goals lead to better performance b. Feedback on performance enhances productivity c. Goals have limited meaning
