Chima Mock Test Practice Questions! Quiz
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Below are some CHIMA mock test practice questions! When it comes to health services, one of the most important things one can do is ensure that they have proper documentation of a patient, which comes in handy when looking for one’s medical history. Take the quiz and see how good you are at proper documentation under CHIMA and your role.
- 1.This principle requires provinces to fund 100% of the cost of “all insured health services” provided by hospitals, medical practitioners and dentists.
- A.
Accessibility
- B.
Universality
- C.
Comprehensiveness
- D.
Public Administration
- 2.Which is true about correcting documentation errors?
- A.
Failure to document the chart at all during a critical time is a breach of standard of care and documentation standards
- B.
Correction must be completed by the care provider within 60 days of the request
- C.
Both original and revised documentation must be retained as part of the record
- D.
Incorrect information should be deleted and replaced with the correct information.
- 3.
- A.
Access whether further consultation is necessary and whether further legal processes may apply if the disclosure is required by law
- B.
Verify the identity of the requesting party
- C.
Ensure that the written consent form (if any) is filed on the individual’s health record, or that documentation is included providing the date of consent, the information provided and the date of disclosure
- D.
Verify that the consent form was dated less than 90 days ago
- 4.Provides services to two or more health information custodians, where the services are provided primarily to enable the custodians to use electronic means to disclose personal health information to one another.
- A.
Entity
- B.
Electronic Service Provider
- C.
HIE
- D.
Health Information Network Provider
- 5.Which of the following is NOT a health record documentation best practice?
- A.
Documentation should be true, complete, clear, concise, and legible.
- B.
Documentation should include the date and time when the entry was made.
- C.
Documentation should be authenticated by the person who prepared it.
- D.
Documentation should take place within an hour of the event that is being recorded.
- 6.Which of the following reports should be placed in a health record?
- A.
Consultation reports.
- B.
Incident reports.
- C.
Independent medical examination reports.
- D.
Reports to government ministries.
- 7.Dr. Brown of Toronto General Hospital is treating Monica for peptic ulcer. She was in St. Joseph Hospital six months ago. Dr. Brown has asked the St. Joseph Hospital for a copy of her discharge summary and endoscopy report. What action should be taken by the hospital?
- A.
Ask Dr. Brown to provide a consent form from Amy
- B.
Provide the records to Dr. Brown only if he is on your medical staff
- C.
Provide the records to Dr. Brown since he is treating the patient
- D.
Refuse access to the records
- 8.The following laws impose legal obligations on health information custodians or trustees to put appropriate privacy policies and procedures in place.
- A.
Privacy laws.
- B.
PIPEDA.
- C.
Security laws.
- D.
Provincial laws.
- 9.Rules and principles determined by legislative bodies constitute which type of law?
- A.
Administrative law
- B.
Case law
- C.
Common law
- D.
Statutory law
- 10.William is a 16-year-old male who lives with his father but his mother has custody of him. While playing baseball, William is hit in the head by the ball and rendered unconscious. He arrives by ambulance to the emergency room of his locaI acute care hospital for treatment with his girlfriend. Given the emergency of the situation, who should the health care provider seek consent from in order to provide treatment to William?
- A.
The mother
- B.
The patient
- C.
No consent is needed for emergency care
- D.
The girlfriend
- 11.
- A.
Remove the incident report and send it to the patient.
- B.
Tell the employee to leave the report in the record.
- C.
Remove the incident report and have nursing personnel transfer all documentation from the report to the medical record.
- D.
Refer this record to the Risk Manager for further review and removal of the incident report.
- 12.An improper disclosure of patient information to unauthorized individuals, agencies, or news media may be considered a(n)
- A.
Invasion of privacy.
- B.
Violation of security of person
- C.
Slander.
- D.
Defamation.
- 13.Health Information Exchange and data-Sharing Agreements deals with the protection of all the following EXCEPT:
- A.
Intellectual property rights
- B.
Accountability and governance
- C.
Software licensing
- D.
Dispute resolution
- 14.Which of the following privacy breach would be due to inadvertent collection, sharing, alteration, access or destruction data?
- A.
Accidental
- B.
Malicious
- C.
Catastrophic
- D.
Intentional
- 15.Mary processed a request for information and mailed it out last week. Today, the requestor, an attorney, called and said that all of the requested information was not provided. Mary pulls the documentation, including the authorization and what was sent. She believes that she sent everything that was required based on what was requested. She confirms this with her supervisor. The requestor still believes that some extra documentation is required. Given the above information, which of the following statements is true?
- A.
Mary is not required to release the extra documentation because the facility has the right to interpret a request and apply the minimum standard rule.
- B.
Mary is required to release the extra documentation because the requestor knows what is needed.
- C.
Mary is required to release the extra documentation because, in the customer service program for the facility, the customer is always right.
- D.
Mary is not required to release the additional information because her administrator agrees with her
- 16.Physical safeguards include1. use of alarm system 2. tools to control access to computer systems 3. flood protection4. fire wall
- A.
1 and 2 only
- B.
1 and 3 only
- C.
2 and 3 only
- D.
2 and 4 only
- 17.Many facilities do not approve of auto authentication of entries in a health record. The primary objection is that:
- A.
Electronic signatures are not acceptable in many health care facilities
- B.
Evidence cannot be provided that the physician reviewed and approved each report
- C.
It is too easy to delegate use of computer passwords
- D.
Tampering too often occurs with this method of authentication
- 18.An example of an advance directive is a/an:
- A.
Acknowledgement of having received patient’s rights information
- B.
Consent to release information
- C.
Consent to undergo treatment
- D.
Living will
- 19.All of the following are examples of physical safeguards used to protect computer systems EXCEPT:
- A.
Access control
- B.
Destruction process
- C.
System inventory
- D.
Terminal lock
- 20.You have been asked what should be done with the notice of privacy practice acknowledgment when the patient had been discharged before it was signed. Your response is to
- A.
Shred it.
- B.
Try to get it signed, and if not, to document the action taken.
- C.
Keep trying to get the document signed until you succeed, even if you must go to the patient's hotline.
- D.
File the blank form in the chart.
- 21.You have been assigned the responsibility of performing an audit to confirm that all of the workforce's access is appropriate for their role in the organization. This process is called
- A.
Risk assessment.
- B.
Information system activity review.
- C.
Workforce clearance procedure.
- D.
Information access management.
- 22.Process helps departments and agencies determine whether new technologies, information systems, initiatives or proposed programs and policies meet the established privacy requirements.
- A.
TRA
- B.
BCP
- C.
HIE
- D.
PIA
- 23.A written reprimand expressing disapproval of unethical conduct by a member, but without loss of membership or registration status is called:
- A.
Probation.
- B.
Censure.
- C.
Expulsion.
- D.
Suspension.
- 24.The second step in the seven-step process for considering ethical dilemmas is to identify:
- A.
How the situation might be averted in the future.
- B.
The principles and values at stake.
- C.
The facts.
- D.
The ethical question.
- 25.An HIM professional is chronically late and has poor work performance. These issues should initially be addressed by the:
- A.
CHIMA Code of Ethics.
- B.
Staff members union.
- C.
Human resources department.
- D.
Departmental manager.
- 26.If it is unclear if an issue regarding a certified HIM is an ethics violation or an employment issue,who should initially be notified to help in the determination.
- A.
Manager.
- B.
Union.
- C.
Governing body.
- D.
Human Resources.
- 27.Glover outlines a seven-step process for examining an ethical dilemma. The first step is to:
- A.
Identify the facts.
- B.
Define the ethical question.
- C.
Identify the principles and values at stake.
- D.
Identify how the situation might be averted in the future.
- 28.When an ethical complaint is made against a CHIM professional, this complaint is investigated by the:
- A.
CHIMA Board of Directors.
- B.
CHIMA Chief Executive Officer.
- C.
CHIMA Vice President of Professional Practice.
- D.
Professional Ethics Committee.
- 29.Coding data in such a way as to increase the facilitys resource intensity weight (RIW) would be a representation of what type of ethical dilemma
- A.
Privacy
- B.
Quality
- C.
Secondary use
- D.
Risk
- 30.Which disciplinary direction would include mandatory participation in professional counselling.
- A.
Expulsion and revocation of credential
- B.
Censure
- C.
Suspension of membership and credential
- D.
Probation
- 31.
- A.
Will the corrective actions result in the respondent's being more aware of and complaint with appropriate ethical practice principles then he or she was before the infraction?
- B.
Why is the person limiting the information to be released?
- C.
What is the rationale for the specific corrective action(s) in relation to the ethics violations?
- D.
What is the rationale for the sanction(s)?
- 32.Lack of skilled human resources would be considered as what type of risk?
- A.
Business Risk
- B.
Operational Risk
- C.
Project Risk
- D.
Privacy Risk
- 33.
- A.
Behavioral Theories
- B.
Contingency Theories
- C.
Dyadic Relationship Theory
- D.
Trait Theory
- 34.
- A.
Perform a 100% review of one of the employees' work each day.
- B.
Review a sample of each employee's work annually.
- C.
Review a random sample of each employee's work monthly.
- D.
Have each employee check each other's work and report any problems to the supervisor.
- 35.
- A.
Serial unit numbering
- B.
Unit numbering system
- C.
Family numbering system
- D.
Serial numbering system
- 36.
- A.
If a task is divided among employees disproportionately.
- B.
The solution to a specific problem area.
- C.
If the skills of each employee are utilized appropriately.
- D.
The appropriate method of work division.
- 37.One of your first tasks as the new Manager of Health lnformation Services is to review the department policy and procedure manual. You have determined that several policy statements are incongruent with appropriate current employee practices. Proper management conventions require
- A.
Leaving the policy as written in the manual.
- B.
Contacting the hospital attorney to decide what action to take.
- C.
Enforcing tile existing policy.
- D.
Revising the policy appropriately and documenting the date of the change
- 38.What two types of budgets are often prepared by managers of health information departments?
- A.
Capital budget and the finance budget
- B.
Capital budget and the operational or revenue and expense budget
- C.
Profit and loss budget and the finance budget
- D.
Finance budget and the revenue and expense budget
- 39.
- A.
Add-ons
- B.
Scope creep
- C.
Effort expansion
- D.
Deliverable increase
- 40.
- A.
Work distribution chart.
- B.
Gantt chart
- C.
Procedure flowchart.
- D.
Flow process chart.
- 41.The project definition justifies the need for the new project. What would you expect to see in the project justification?
- A.
Project scope, resources needed, and amount of time required
- B.
Project scope, resources needed, and developing the solution
- C.
Resources needed, amount of time required, and preparing supporting documentation for the system chosen
- D.
Amount of time required, alternative analysis, and implementation review
- 42.
- A.
Offer leadership and a proactive, innovative approach to advancements in health information management practices.
- B.
Perform duties diligently and offer only those services for which one is qualified.
- C.
Conduct oneself in an ethical manner consistent with the values of the Canadian College of Health Information Management and report any unethical practices to the privacy commissioner.
- D.
Support and mentor students, peers and colleagues to develop and strengthen the workforce and profession.
- 43.
- A.
Do nothing because the coding area is extremely productive.
- B.
Discuss the problem with the CFO.
- C.
Discuss the matter directly with the coder and instruct him to review the entire record for correct assignment of codes
- D.
Discuss your concerns with the supervisor of coding and direct her to address this issue immediately.
- 44.A national HIM publication routinely requests that practitioners submit statistics from their facility regarding department functions. These are then summarized and published in graphic form, providing a tool for which of the following activities?
- A.
Job redesign
- B.
Work standards
- C.
Job evaluation
- D.
Benchmarking
- 45.The HlM employee is consistently late for work. Her supervisor has given her an verbal warning. According to the definition of progressive discipline, what would the next step be?
- A.
Written warning and reprimand
- B.
Meeting with the supervisor of her supervisor
- C.
Suspension
- D.
Termination
- 46.The type of assessment that would be done to assess the effects of a new medical staff, program, diagnostic technology, intervention types to assess the financial and other consequences is a/an:
- A.
Decision tree.
- B.
Impact analysis.
- C.
Process map.
- D.
Cause and effect diagram
- 47.Which of the following is part of the external context related to e-health solutions?
- A.
Political context.
- B.
Technical solution.
- C.
Information governance.
- D.
Organizational culture.
- 48.The phase of the risk management process that involves ensuring that adverse events are continuously reported, investigated and managed and that risks are identified is:
- A.
Communication and consultation.
- B.
Risk assessment.
- C.
Risk treatment.
- D.
Monitoring and review.
- 49.Stages of the change cycle with the emotional components that tend to be exhibited in shock, denial, depression, anxiety.
- A.
Comfort Zone
- B.
The "No" Zone
- C.
The Chasm
- D.
The "Go" Zone
- 50.The Knowledge Area of project management that includes the project management processes necessary to ensure that the project satisfies the objective of why the project was carried out is called project:
- A.
Risk management.
- B.
Objective management.
- C.
Quality management.
- D.
Milestone management.
- 51.In a terminal digit filing system, what would be the record number immediately in front of record number 01-06-26?
- A.
00-06-26
- B.
02-06-26
- C.
03-06-26
- D.
99-99-25
- 52.The HIM Department at General Hospital has been experiencing an average 30-minute delay in the retrieval of records requested by the Emergency Department. Which of the following corrective actions would be most effective in reducing the delay in retrieval of requested records?
- A.
Offer a prize to the employee who locates the requested records first
- B.
Review and possibly reengineer the retrieval process to decrease retrieval time
- C.
Allow the requesters to retrieve the record themselves
- D.
Increase file area staff to include one additional file clerk devoted to pulling records for the emergency room
- 53.
- A.
Both records are combined under 07-10-47
- B.
Both records are combined under 07-23-38
- C.
Each admission is filed under its own number.
- D.
Previous records are brought forward and filed under the latest number issued
- 54.Which of the following is NOT considered a challenge in the adoption of an electronic health record system?
- A.
Design of the workflow and processes
- B.
Physician willingness to adopt
- C.
Contribution to the quality of patient care
- D.
Individual provincial/territorial legal and regulatory issues
- 55.The Assistant Director of Record Processing is evaluating software packages for a chart tracking system in the HIM Department. What is the BEST method to verify that the software with work as marketed?
- A.
Visit corporate headquarters of the vendor.
- B.
Perform a vendor reference check
- C.
Read consumer reports before buying
- D.
Test the software prior to purchase
- 56.
- A.
Be filed in a health record created for the infant
- B.
Be filed in the mother's record
- C.
Be retained in a separate file in the administrative offices
- D.
Not be retained in hospital records
- 57.The Canadian Health Information Management Association (CHIMA), was originally named the:
- A.
Canadian Association of Medical Record Librarians.
- B.
Canadian College of Health Record Administrators.
- C.
Canadian Health Record Association.
- D.
Canadian Hospital Association.
- 58.The title of the document containing the core HIM curriculum content that must be taught in all accredited HIM program in Canada.
- A.
HIMSS
- B.
LOHIM
- C.
IMIA
- D.
COACH
- 59.Which of the following was allocated in 1977 to assist provinces with the cost for post-secondary education and health care by granting a lump sum payment?
- A.
British North America Act (BNA).
- B.
Canada Health Act (CHA).
- C.
Canada Health and Social Transfer (CHST) Act.
- D.
Established Programs Financing (EPF) Act.
- 60.
- A.
Primary health care.
- B.
Quaternary health care.
- C.
Secondary health care.
- D.
Tertiary care.
- 61.Which of the following would be listed as the purpose(s) for regionalization?
- A.
To control costs and integrate health care services.
- B.
To improve system planning and provide greater accountability.
- C.
To enhance public participation in decision-making and emphasize population health.
- D.
All of the above.
- 62.A health record that uses both manual and electronic processes is described as a/an___________________health record.
- A.
Computerized
- B.
Electronic
- C.
Hybrid
- D.
Traditional
- 63.
- A.
Provide essential research and expertise in health information standards and best practice
- B.
Support continuing education and professional practice of HIM professionals
- C.
develop strategic partnerships to advance the development an integration of electronic HIM
- D.
Advocate for and strengthen the HIM role in health care settings across the continuum of care
- 64.Which of the following would NOT be one of CHIMAs values
- A.
Leadership
- B.
Integrity
- C.
Excellence
- D.
Tolerance
- 65.To advance HIM Professional Competencies would be which strategic goals
- A.
CHIMA Strategic Goals
- B.
CCHIM Strategic Goals
- C.
Governance Strategic Goals
- D.
OHIMA Strategic Goals
- 66.Which of the following is NOT Domains of Practice for CHIMA
- A.
Electronic Health Information Management (e‐HIM)
- B.
Data Quality
- C.
Health Information Management Standards
- D.
Risk Management
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