Medical Law and Ethics: Chapter 9 Quiz
Matching
_____1. When something has been requested by the court
A. JCAHO
_____2. Reliable
B. Privacy Act of 1974
_____3. Made known
C. Timelines
_____4. In the order of occurrence
D. EMR
_____5. Grounds for criminal indictment
E. Subpoena duces tecum
_____6. Written order to bring materials to court
F. falsification of records
_____7. Electronic medical record
G. Chronological order
_____8. No late entries on medical chart
H. Disclosed
_____9. Provides control over release of information
I. Credible
_____10. Joint Commission on Accreditation of Heatlthcare
Organizations
J. Subpoenaed
Multiple Choice
1. Medicare and Medicaid records should be retained for:
a.
b.
c.
d.
e.
One year
Five years
10 years
For the lifetime of the patient
For an indefinite period of time
2. The contents of the medical record include all of the following except:
a.
b.
c.
d.
e.
past medical problems
informed consent documentation
patient’s income level
family medical history
a and b only
3. Medical record entries should be made:
a. within 60 days of the patient’s discharge
b. at the physician’s discretion
c. after the patient gives consent
d. as soon as possible
e. 10 days after the procedure
4. The patient:
a. has the legal right of “privileged communication”.
b. owns the medical record
c. cannot have any portion of the medical record
d. a and c
e. a, b, and c
5. When correcting a written medical record, one should:
a. use professional brand of error correction fluid to make the correction
b. erase the error and make the correction
c. draw a line through the error, write the correction above the error, and initial the
change
d. never make any corrections on the medical record
e. none of the above
6. The medical record is legally owned by the
a. patient
b. physician
c. state
d. lawyer
e. no one
7. Medical records
a. provide a record from birth to death
b. provide statistics on health matters
c. are legal documents
d. a and c only
e. a, b, and c
8. All of the following are guidelines to use when sending medical records by fax except:
a. make sure that the intended receiver is waiting for the fax
b. use a cover sheet marked “confidential.”
c. Send the entire medical record via fax
d. Do not place the original fax in a trash container
e. All of the above are correct
9. The records of all adult patients, with the possible exception of Medicare and Medicaid patients,
should be kept a minimum of
a. Two years
b. Five years
c. 10 years
d. 20 years
e. Permanently
10. Patients who receive treatment for drug and alcohol abuse
a. Can expect to have their medical records released when requested
b. Are protected by the Public Health Services Act
c. May have their medical records released in the event of an emergency
d. B and c
e. A, b, and c
11. A healthcare provider who releases medical records without proper patient authorization may face:
a. Civil liability
b. Criminal liability
c. A lawsuit to recover damages
d. A and b only
e. A, b, and c
12. Falsification of medical records is grounds for a criminal indictment.
a. True
b. False
13. The JCAHO provides guidelines for timeliness in charting.
a. True
b. False
14. A patient’s medical record is standardized and therefore cannot be unique to each patient.
a. True
b. False
15. A patient has to sign a release for all information in his or her medical record, except for the use of
photos contained in the medical record.
a. True
b. False