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2021 Nov HIT-001 braindumps

Q71. Which of the following types of hospital information systems are designed to share information among all departments included in a large health system? 

A. Departmental System 

B. Enterprise System 

C. Intradepartmental System 

D. External System 

Answer:

Explanation: An enterprise system of health information is designed primarily for sharing information for all departments that encompass a large health system including hospitals, clinics and nursing homes. Answer: C is incorrect. Intradepartmental system is incorrect as this type of hospital information system is primarily used by one department but shares functions and information with other departments. Answer: A is incorrect. Departmental System is incorrect as this type of hospital system is limited and serves the purposes of one department or domain. Examples are dose management systems that are used by pharmacies. Answer: D is incorrect. External system is incorrect as this type of system is shared by many health organizations to report information required by regulatory agencies or as an information exchange for regional health information networks. 


Q72. You are the parent of a foster child that requires medical care. The facility providing care for the child is legally obligated not to disclose the child's medical information to which of the following? 

A. The foster parents 

B. The foster child's physician 

C. The birth parents 

D. The foster child's nurse 

Answer:

Explanation: Unless otherwise stipulated. The birth parents of a minor child in foster care do not have access to the medical records of a minor foster child. Answer: D is incorrect. The nurse of a foster child is all granted access to the minor foster child's medical records. Answer: A is incorrect. The foster parents of a minor child are all granted access to the minor foster child's medical records. Answer: B is incorrect. The foster child's physician is granted access to the minor foster child's medical records. 


Q73. You are working on installing a e-prescribing system in an outpatient clinic which has many HMO patients. One of the advantages of a e-prescribing system was the ability within the program to check against insurance coverage for the patient to see which of several possible medications for the patient's health condition is covered by the patient's insurance coverage. What is this feature called? 

A. Formulary checking 

B. Allergy interactions 

C. Coverage authorization 

D. Medication Reconciliation 

Answer:

Explanation: The list of medications that an insurance carrier will cover for a patient or a list of payment levels for different preferred medications is referred to as a formulary, and checking the patient's needs against that list of medications would be formulary checking. This process may help with significant cost savings to the patient. Answer: C is incorrect. Coverage authorization is not the term used to describe this process. Answer: B is incorrect. Allergy interactions are an important check that ePrescribing software performs, checking the patient medical record for allergy alerts to a medication or closely related compounds, but that is not involved in insurance coverage issues. Answer: D is incorrect. Medication Reconciliation is an important part of ePrescribing, where past medications are checked against the current prescribing plan and it is checked to see that medications are not being omitted or duplicated in the current orders, and that the dosages are correct and the medications do not interact. This does not involve checking insurance coverage. 


Q74. Which of the following are removable storage devices/media? Each correct answer represents a complete solution. Choose three. 

A. USB Pen drive 

B. CD-ROM 

C. SD card 

D. Hard disk drive 

Answer: ABC 

Explanation: CD-ROM, SD card, USB Pen drive, floppy disk, etc., are removable storage media. 

CD-ROM (Compact Disc Read-Only Memory) is a type of removable storage optical media. It can store up to 1GB of data, although most common CD-ROMs store 700MB of data. It comes in a standard size and format, so users can load any type of CD-ROM into any CD drive or CD-ROM player. Once data is written to a CD-ROM, it cannot be erased or changed. SD card is a removable storage device. Secure Digital (SD) card is a non-volatile memory card format used in portable devices such as mobile phones, digital cameras, and handheld computers. SD cards are based on the older MultiMediaCard (MMC) format, but they are a little thicker than MMC cards. Generally an SD card offers a write-protect switch on its side. SD cards generally measure 32 mm x 24 mm x 2.1 mm, but they can be as thin as 1.4 mm. The devices that have SD card slots can use the thinner MMC cards, but the standard SD cards will not fit into the thinner MMC slots. Some SD cards are also available with a USB connector. SD card readers allow SD cards to be accessed via many connectivity ports such as USB, FireWire, and the common parallel port. USB Pen drive is a removable storage device. A pen drive is also known as a USB flash drive. It is a small device used to transfer data from one computer to another through USB ports. Pen drives are available in various capacities. When a pen drive is plugged into the USB port, Windows Explorer shows it as a removable drive. Answer: D is incorrect. The hard disk drive is not a removable storage media. It is installed inside the computer case. It can store large amounts of data and provides fast read/write performance. HDD can be connected to a computer with the Integrated Device Electronics (IDE), Small Computer System Interface (SCSI), and SATA interface. It consists of inflexible platters coated with material in which data is recorded magnetically with read/write heads. Note. Only external hard disk drives are removable devices. 


Q75. David, the Network Administrator for Portal Software Inc., is configuring his network for Internet connectivity. Which protocol should he use? 

A. IPX/SPX 

B. NWLink 

C. TCP/IP 

D. NetBEUI 

Answer:

Explanation: TCP/IP is a very clean and efficient suite of standard protocols that governs how data passes between networks. It can be used on, both, local and wide-area networks (WANs), to provide communication between all the basic operating systems on the network. It is considered the primary protocol of the Internet and the World Wide Web. NetBEUI is a non-routed, broadcast-based protocol. The master browser on TCP/IP networks cannot see, or display, computers that use NetBEUI to communicate with the network in the network browser list. NetBEUI was used as a legacy protocol for networking between Windows 3.1 and MS-DOS clients.IPX/SPX is Novell's primary network protocol, used for the interchange of files between NetWare and other networking clients. Although it has many positive features to its credit, such as that it is easy to install and is dynamic in that it requires no configuration changes for either mobile or relocated network nodes; it is not considered a good protocol for use on WANs. This is because it relies on network-wide broadcasts, which makes overhead unreasonably high for effective WAN implementations. Hence it is not considered an Internet protocol.Microsoft developed NWLink, it is an IPX/SPX-compatible protocol, and again is not the choice for Internet. Reference. TechNet, Contents. Chapter 5 -Network Services. Enterprise Level 


Leading HIT-001 question:

Q76. You are the privacy officer for a mid-size ophthalmology practice that does its own in-house billing and insurance verification. You are reviewing the Physical Safeguards in the office and notice that the computer monitors at the patient check-in counter are completely visible to patients who stand at the check-out window. What is the minimum you are required to do? 

A. Remove the monitors completely to a different office. 

B. Implement filtering screens over the monitors so that only the operators using them can read the information. 

C. Have patients sign a second Non-Disclosure agreement in their check-out forms. 

D. Do in-house reconstruction so that the check-in counter is not in sight view of the check-out counter. 

Answer:

Explanation: A filtering screen that only allows the practice's check-in staff to see the information can ameliorate the situation because HIPAA requires that monitors not be "in direct view of the public." Answer: A, D are incorrect. These are great options, but not the "minimum." And neither option may be practical. Answer: C is incorrect. Patients are never to have access to other patients' information even if they "agree" not to disclose it. 


Q77. A electronic patient database has reached end-of-life according to the policies of your healthcare facility, and it has been tagged for destruction to keep patient data confidential. Which method of destruction is NOT appropriate for this data? 

A. Physically destroying storage media like CDs and DVDs with a shredder. 

B. Deleting all files and programs that used those files on the server. 

C. Using Department of Defense-accepted software to overwrite hard drives and replace previously stored information with a meaningless pattern. 

D. Magnetically erasing or degaussing hard drives 

Answer:

Explanation: Option B is NOT an appropriate method of destroying records. It is not sufficient to delete a file, as often the file can still be accessed from the hard drive or reconstituted from storage media. True disposal of electronic records must be permanent and be written over, shredded or magnetically erased. Answer: A is incorrect. Physical destroying storage media like CDs and DVDs with a special shredder is a viable option for destroying electronic records. Answer: C is incorrect. Using specialized software to overwrite files with a meaningless pattern so that the original file cannot be accessed is a viable means of record disposal. Answer: D is incorrect. Magnetically erasing hard drives or magnetic tapes is another viable method of deleting files and destroying records so that the protected health information cannot be accessed by unauthorized persons. 


Q78. Which of the following network topologies is the most fault tolerant? 

A. Bus 

B. Mesh 

C. Star 

D. Ring 

Answer:

Explanation: Mesh is the most fault tolerant network topology. 


Q79. How will you designate a hard disk drive as a Master or a Slave drive in an IDE system? 

A. By changing the CMOS setting 

B. By setting a jumper on the hard disk drive 

C. By setting a jumper on the motherboard 

D. By adding an add-on card 

Answer:

Explanation: You can set the Master/Slave designations by setting a jumper on the hard disk drive. 


Q80. Which of the following protocols implements VPN using IPSec? 

A. SLIP 

B. PPTP 

C. L2TP 

D. PPP 

Answer:

Explanation: Layer 2 Tunneling Protocol (L2TP) is a more secure version of Point-to-Point Tunneling Protocol (PPTP). It provides tunneling, address assignment, and authentication. It allows the transfer of Point-to-Point Protocol (PPP) traffic between different networks. L2TP combines with IPSec to provide tunneling and security for Internet Protocol (IP), Internetwork Packet Exchange (IPX), and other protocol packets across IP networks.