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Q191. Which of the following categories of information technology in the health care setting involve billing and accounting applications? 

A. Financial IT 

B. Infrastructure IT 

C. Clinical IT 

D. Administrative IT 

Answer:

Explanation: Applications of financial information technology are used to improve the efficiency of billing and accounting practices. Answer: D is incorrect. Administrative IT is incorrect as these applications are used to make staff scheduling, patient registration and payroll procedures more efficient. Answer: C is incorrect. Clinical IT is incorrect as these applications are used for prescription of drugs and ordering of laboratory tests and medical procedures. Answer: B is incorrect. Infrastructure IT is incorrect as these applications support the infrastructure of the health care facility. These applications include voice recognition for medical records and medical transcription as well as bar coding applications for medical devices and drugs. 


Q192. A healthcare organization hires you to provide consultancy for setting up its Windows network. The company's server room will be in a highly secured environment. You are required to suggest an authentication method for it. The CFO of the company wants the server to use thumb impressions for authentication. Which of the following authentication methods will you suggest? 

A. Biometrics 

B. Two-factor 

C. Smart card 

D. Certificate 

Answer:

Explanation: Biometrics is a method of authentication that uses physical characteristics, such as fingerprints, scars, retinal patterns, and other forms of biophysical qualities to identify a user. Nowadays, the usage of biometric devices such as hand scanners and retinal scanners is becoming more common in the business environment. Answer: C is incorrect. A smart card is a credit card-sized device used to securely store personal information such as certificates, public and private keys, passwords, etc. It is used in conjunction with a PIN number to authenticate users. In Windows, smart cards are used to enable certificate-based authentication. To use smart cards, Extensible Authentication Protocol (EAP) must be configured in Windows. Answer: D is incorrect. A certificate is a set of data that completely identifies an entity. It is a digitally signed statement that binds the value of a public key to the identity of a person. It can be issued to perform a number of functions such as Web server authentication, secure e-mail, etc. A certificate is valid only for the period of time specified within it. Moreover, a user can set the duration for a certificate's validity. After the validity period, the certificate becomes invalid. A certificate also eliminates the need for hosts to maintain a set of passwords for individuals who are required to be authenticated. Answer: B is incorrect. When two or more access methods are included as part of the authentication process, it implements a multifactor system. A system that uses smart cards and passwords is referred to as a two-factor authentication system. Though biometrics can also be a part of two-factor authentication, the question. only one method, that is thumb impression as an authentication factor. 


Q193. Which of the following refers to a conversation between patient and physician that encompasses the medical procedure being performed, the reason the procedure is being performed, the benefits of the procedure being performed and the risks of the procedure being performed? 

A. Patient's Bill of Rights 

B. Safe Medical Device Act 

C. Informed Consent 

D. HIPPA 

Answer:

Explanation: Informed consent is classically defined as the consent of patient to undergo a medical procedure or participate in a clinical trial after achieving an understanding of the medical fact and risks involved. Answer: D is incorrect. HIPPA is as this legislation is designed to insure the privacy and security of personal health information. 


Q194. The emergency department has just had a patient brought in who is unconscious, but their identification indicates that they are the family member of a staff member at the hospital and their medical file is restricted access for that reason. The individual in human resources with access codes to access this file is on maternity leave, and the patient needs care now. What protocol built into access control systems would allow access to the patient file? Each correct answer represents a complete solution. Choose all that apply. 

A. Staff Exception Handling 

B. Break the Glass 

C. Code Red Access 

D. Emergency Chart Access 

Answer: BD 

Explanation: Most often referred to as a "break the glass" one time emergency chart access can be granted when access to a file is required for treatment but when access to specific users or groups has been previously restricted, due to unique conditions, such as the chart is a famous individual, a staff member, or family of a staff member. Any access control system should have this kind of emergency handling for dire need, and any access should be accounted for in disclosure logs. Answer: C is incorrect. This is not a protocol for access control. Answer: A is incorrect. This is not a protocol for access control 


Q195. Your responsibility as a health care information technologist is to ensure the accuracy and efficiency of all drug prescriptions, laboratory tests and medical procedures. Which of the following types of information technology are you responsible for? 

A. Clinical IT 

B. Infrastructure IT 

C. Financial IT 

D. Administrative IT 

Answer:

Explanation: Clinical IT applications are used for prescription of drugs and ordering of laboratory tests and medical procedures. Answer: D is incorrect. Administrative IT is incorrect as these applications are used to make staff scheduling, patient registration and payroll procedures more efficient. Answer: C is incorrect. Financial IT is incorrect as these applications are used to improve the efficiency of billing and accounting practices. Answer: B is incorrect. Infrastructure IT is incorrect as these applications support the infrastructure of the health care facility. These applications include voice recognition for medical records and medical transcription as well as bar coding applications for medical devices and drugs. 


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Q196. What are the three primary rules for role-based access control for a user on a network? Each correct answer represents a part of the solution. Choose three. 

A. Authorization of role. 

B. Authorization of permission. 

C. Assignment of roles to the user. 

D. Assignment of permissions to the user. 

Answer: ABC 

Explanation: Role-based access control (or role-based security) is an approach to restricting system access to authorized users within an organization. In role-based access control, roles are created for various job functions. To perform certain operations, permissions are assigned to specific roles rather than individuals. Since users are not assigned permission directly, management of individual user rights becomes a matter of simply assigning appropriate roles to the user. There are three primary rules defined for RBAC. Assignment of Roles. A subject can exercise a permission only if the subject has selected or been assigned a role.Authorization of Role. A subject's active role must be authorized for the subject. With rule 1 above, this rule ensures that users can take on only roles for which they are authorized. Authorization of Permission. A subject can exercise a permission only if the permission is authorized for the subject's active role. With rules 1 and 2, this rule ensures that users can exercise only permissions for which they are authorized.According to the requirements of an organization, additional constraints may be applied as well, and roles can be combined in a hierarchy where higher-level roles subsume permissions owned by sub-roles. Answer: D is incorrect. In role-based access control, no permission is assigned to a user directly. Instead, permissions are assigned to a role and that role is assigned to the user. 


Q197. Which of the following pieces of legislation was devised to assist workers who lose their health care benefits? 

A. EMTALA 

B. HIPAA 

C. Patients Bill of Rights 

D. COBRA 

Answer:

Explanation: COBRA, the Consolidated Omnibus Budget Reconciliation Act, was devised in 1985 gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss, reduction in the hours worked, transition between jobs, death, divorce, and other life events. Answer: B is incorrect. HIPPA is incorrect as this legislation is designed to insure the privacy and security of personal health information. 


Q198. Which of the following work divisions is characterized by every member of the team performing a unique function, however, it is not performed in any particular sequence? 

A. Unilateral 

B. Unit Assembly 

C. Serial 

D. Parallel 

Answer:

Explanation: Unit assembly is a type of work division in which each person performs a unique task, however, it may not be sequential Answer: C is incorrect. Serial is incorrect as this is a type of work division that is characterized by each person performing several tasks. Answer: D is incorrect. Parallel is incorrect as this is a type of work division that is characterized by each person performing several tasks. Answer: A is incorrect. Unilateral is incorrect as this is not a type of work division, This is meant as a distractor. 


Q199. You are setting up a wireless network for a series of small coffee shops. All the shops are part of a chain. The customer wants a very specific SSID for each location. What are the limits on an SSID? Each correct answer represents a complete solution. Choose two. 

A. It must be 16 or fewer characters long. 

B. It is case sensitive. 

C. It can only contain letters, not numbers. 

D. It must be 32 or fewer characters long. 

Answer: BD 

Explanation: SSIDs can be a maximum of 32 characters long and are case sensitive. 


Q200. You are asked to design an information system in which the client-server platform is based on the following schematic. What type of architecture is incorporated within your information system? 

A. Three-Tier Architecture 

B. WAN Technology 

C. Two-Tier Architecture 

D. LAN Technology 

Answer:

Explanation: Three tier architecture is a client-server platform that encompasses a PC, a database and an application server that contains software to process the data. Answer: D is incorrect. LAN Technology is incorrect as this is a mode of communication, not a client-server platform, that this refers to Communication devices in a small geographic area such as PC and printer or PC and PC within a facility. Answer: B is incorrect. WAN Technology is incorrect as as this is a mode of communication, not a client-server platform, that allows for communication among a large geographic environment such as two or more LANs connected via a telephone system or satellite. Answer: C is incorrect. Two-tier architecture is incorrect as this is a client-server platform that consists simply with a PC interfaced with a database.