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MED 149
TEST
| Question | Answer |
|---|---|
| Which of the following is/are not enacted by government? | Etiquette rules |
| Written codes of ethics for health care practitioners | evolved primarily to serve as moral guidelines for those who provide care |
| Which of the following is an example of a healthcare practitioner displaying compassion for a patient? | A physician sits down with a patient and addresses all the concerns of the patient |
| Bioethics is concerned with | ethical implications of biological research methods and results |
| A new employee in a large medical practice is looking for the professional etiquette staff members are expected to follow. Which would be the best source for learning these rules? | policy manual |
| Unethical behavior is always | unacceptable |
| Unlawful acts are always | unethical |
| A health care practitioner completes a course in law and ethics. In this field of study, Which of the following reasons should be most important to health care professionals? | To help avoid legal entanglements |
| A radiology technician approaches a new patient and states, "I am Jennifer and I will be taking care of you today." Which of the three "Cs" is an example of this? | Courtesy |
| What is the purpose of formalized codes of ethics in the health care professions? | To increase the competence within the profession |
| A precedent is a(n) | case that serves as a model for future cases |
| Which document serves as a guideline about professional behavior and etiquette for employees? | The facility policy manual |
| Another term for legal responsibility is | liability |
| Etiquette rules used in the workplace are called | protocol |
| A student medical assistant refuses to wipe up a spilled drink in the exam room hallway. The student is demonstrating the absence of which quality deemed necessary for successful health care practitioners? | Common sense |
| The defendant in a lawsuit is the | party against whom criminal or civil charges have been filed |
| Law may be defined as | rules of conduct |
| A pledge for physicians that remains influential today is | Hippocratic oath |
| The health care professional who studies law and ethics gains perspective on current issues that affect health care practice. Which of the following accurately describes one of those issues? | With the advancement of medical technology, patients expect favorable outcomes. |
| An attorney files a motion that pleads there is no basis for a trial. This is called | summary judgment |
| The plaintiff in a lawsuit is the | party filing the civil charges |
| What do professional organizations create to govern their members? | Codes of ethics |
| Which of the following is a synonym for "good manners"? | Etiquette |
| A medical-surgical nurse is going off shift and giving her report to the nurse coming on duty. She is clearly and accurately describing the conditions of the patients she cared for during her shift. This is an example of what skill? | People skills |
| Ethics may be defined as | principles, standards, and a guide to conduct |
| What is the meaning of the term litigious? | Increase in the number of lawsuits |
| Formed through the influences of family, culture, and society, which of these serve as the basis for ethical conduct? | Moral values |
| The first step in critical thinking problem solving is to | identify and clarify the problem |
| Which of the following is considered a technical skill? | Computer literacy |
| According to MacIntyre's theory of virtue ethics, what principle helps the decision maker arrive at a decision? | Loyalty to the role he or she plays |
| Jean Piaget is one of the most famous researchers in value development. How did Piaget formulate that there are four levels of moral development? | By observing children at play |
| A hospital administrator makes a decision to shut down a wing due to budget cuts even though some people will lose their jobs. The decision is based on results that will produce the greatest balance of good over evil, everyone considered | Act-utilitarianism |
| A nurse caring for older adults in a nursing home has a paternalistic view about telling patients the truth about their conditions. Which of the following best describes the practice of paternalism? | Thinking that "I know what is best for the patient." |
| A health practitioner is interviewing a 6-year-old male child who is in Piaget's preoperational stage. Which of the following is characteristic of this stage? | The child views the world from his own perspective |
| The physician would describe himself as a "moral man with common sense, a sense of justice, and courage who makes the right decisions in life by focusing on these moral traits." What theory of decision making is being employed by this physician? | Virtue ethics |
| She determines that she is not recognized for her work and decides to go to a nursing school. At what stage might she be in Maslow's Hierarchy of Needs? | Esteem stage |
| A nurse manager determines the work shifts for the staff based on a predetermined health care facility guidelines. This is an example of what type of decision making? | Rule-utilitarianism |
| Lawrence Kohlberg modified and expanded Piaget's work, laying the groundwork for modern studies on moral development. On which of the following tenets did the two disagree? | That the process of moral maturity took longer than 12 years |
| Psychologists question how individuals develop values that guide them in ethical decision making. Which of the following reflects current thought on value development? | When people are born, they have no values in place |
| Which of the following theorists believed that human behavior is based on specific human needs that must often be met in a specific order? | Abraham Maslow |
| In Abraham Maslow's hierarchy of human needs, the need for basic life (food, shelter), a safe environment, and to belong and be loved are designated "D" needs. What does "D" stand for? | Deficiency |
| When using the utilitarianism method of problem solving, which of the following do proponents of this method indicate should be the solution of choice? | The solution that provides happiness over pain for those involved |
| A health care facility administrator considers the principle of utility when making decisions that affect the employees of the facility. Which of the following describes this principle? | It brings about positive results when generalized to a wide variety of situations |
| He also states that he knows what he did was wrong and will not do it again. Based on this conversation, what stage of moral development would this child be experiencing? | formal operational stage |
| A patient undergoing surgery signs an informed consent for the procedure. Which of the following principles of health care ethics does informed consent protect? | Autonomy |
| The administrator questions whether this patient is entitled to health care because he did not take responsibility for his actions leading to this condition and he has no health insurance plan. | Justice |
| A child life specialist caring for children in the pediatric ward plays a game with a young patient who is enjoying the game, but makes up the rules as she goes along. This behavior is characteristic of what stage of moral development? | Preoperational stage |
| What is the unique focus of health care providers that challenges them to make sound ethical decisions? | The health and well-being of the patient |
| Which of the following is known as a B-need in Maslow's hierarchy of human needs? | A medical assistant needs to be respected by his/her fellow medical assistants |
| Which list describes the elements of a contract? | Agreement, consideration, legal subject matter, and contractual capacity |
| A nurse caring for older adults in a nursing home has a paternalistic view about telling patients the truth about their conditions. Which of the following best describes the practice of paternalism? | Thinking that "I know what is best for the patient." |
| A state court would have jurisdiction in which of the following cases? | License revocation |
| A health care provider is explaining to staff members about the accreditation process. Which of the following may be accredited? | A hospital |
| A health care facility administrator considers the principle of utility when making decisions that affect the employees of the facility. Which of the following describes this principle? | It brings about positive results when generalized to a wide variety of situations |
| Which of the following is not sufficient grounds for revoking a medical license? | Misdiagnosis |
| Autonomy is considered one of the seven universal principles of health care ethics. Which of the following is an example of autonomy? | A health care practitioner makes competent decisions related to patient care |
| A health practitioner is interviewing a 6-year-old male child who is in Piaget's preoperational stage. Which of the following is characteristic of this stage? | The child views the world from his own perspective |
| What is the unique focus of health care providers that challenges them to make sound ethical decisions? | The health and well-being of the patient |
| A copayment is | a set amount that each patient pays for each office visit |
| The decision is based on results that will produce the greatest balance of good over evil, everyone considered. What type of framework is the administrator employing to make this value decision? | Act-utilitarianism |
| The largest integrated health care system in the United States is (are) | Veterans Health Administration |
| Broad enabling statutes defining an agency's powers and procedures are known as | administrative laws |
| If a mentally incompetent person enters into a contract, the agreement may be set aside or validated at a later date. In this case, the agreement is said to be | voidable |
| Practicing medicine without a license is an example of which of the following types of laws? | criminal law |
| Coinsurance is | a percentage of the fee-for-services provided that the patient pays |
| Assault is defined as | the open threat of bodily harm |
| The Joint Commission accredits | hospitals and other patient care organizations |
| Under which type of plan, a patient may see providers outside the plan, but the patient pays a higher portion of the fees? | Preferred provider plan |
| Many hospitals, neighborhood health clinics, and some Blue Cross Blue Shield companies are examples of | Not-for-profit businesses |
| Which brochure applies to both hospital and health care visits and encourages high quality care? | Patient Care Partnership: Understanding Expectations, Rights, and Responsibilities |
| Reciprocity may apply to | licensed professionals |
| Which of these credentials is mandatory for certain health professionals to practice in their field? | Licensure |
| Jeanna is the new director of a nursing education program at a local college. The program is an associate degree program in nursing. Which agency accredits associate degrees in nursing programs? | Accreditation Commission for Education in Nursing |
| Both parties in the physician-patient relationship have certain rights and responsibilities. Which of the following is a physician responsibility? | Exercise his or her best professional judgment in all cases |
| The Commission on Accreditation of Allied Health Education Programs (CAAHEP) oversees the accreditation process of a variety of individual allied health educational programs. Which of the following educational programs is not accredited by the CAAHEP? | Registered Nurses |
| Lawrence Kohlberg modified and expanded Piaget's work, laying the groundwork for modern studies on moral development. On which of the following tenets did the two disagree? | That the process of moral maturity took longer than 12 years |
| When entering into a contract, certain conditions must pertain to the offer. Which of the following accurately describes one of these conditions? | It must be communicated |
| The National Practitioner Data Bank may disclose information to which of the following groups? | State licensing boards |
| A felony is | a more serious criminal act |
| A health care provider is explaining to staff members about the accreditation process. Which of the following may be accredited? | A hospital |
| A method used by a health plan to measure the amount and appropriateness of health services used by its members is called a(n) | utilization review |
| There are _________blank branches of the federal government. | three |
| Which of the following is known as a B-need in Maslow's hierarchy of human needs? | A medical assistant needs to be respected by his/her fellow medical assistants |
| A valid out-of-state license is accepted as the basis for issuing a license in a second state without reexamination. This is called | Reciprocity |
| Those responsibilities not set by the United States Constitution are left to the states. Which of the following is an exclusive power of state governments? | Issue licenses |
| When physicians, hospitals, and other health care providers contract with one or more HMOs or directly with employers to provide care, it is called a(n) | physician hospital organization |
| A practice act | All of these are part of a practice act - Defines what is meant by practice of the individual profession in each state, Explains requirements for licensing of a profession, Defines grounds for suspension or revocation for a specific profession. |
| A health care profession that is certified may find the scope of practice for that profession in the _________blank practice act. | medical |
| A misdemeanor is | a less serious criminal act |
| Which of the following is not a patient responsibility in the physician-patient relationship? | Refer other patients to the physician |
| ... he has no health insurance plan. What is the ethical principle guiding the physician's actions? | Justice |
| Which of the following is not true about certification? | If you lose your certification, you cannot work in your profession |
| The oversight of all educational accrediting bodies in higher education is done by | U.S. Department of Education and Council on Higher Education Accreditation |
| Which of the following credentials are voluntary, and require a national examination that shows the level of competency for an individual? | Certification and Registration |
| A patient is established with a physician in a primary care practice that provides a team based approach to health care with an emphasis on preventive services, care coordination, and enhanced access for patients. This is known as a(n): | Patient-centered medical home |
| Battery is defined as | the action that causes bodily harm to someone |
| A new long-term care facility is applying for accreditation of the facility. To which of the following organizations should the facility submit the accreditation application? | The Joint Commission |
| The patient had filed a complaint about the staff member, so the staff member thought it appropriate to prevent visitors. Which of the following torts might the staff member be convicted of? | Trespass - Trespass is wrongful injury or interference with another person's property. |
| A hospital maintains medical records on all patients treated in the hospital. Who owns the information in the hospital records? | The patient |
| Facebook, Twitter, and blogs are examples of | social media |
| The 21st Century Cures Act (Cures Act) is designed to | accelerate medical product development |
| The five Cs are used to describe the attributes of entries into patients' medical records. Which of the following is not one of the five Cs? | Clean |
| The doctrine of professional discretion pertains to medical record keeping. Which of the following describes this doctrine in more detail? | It is up to the discretion of the physician whether or not to allow all patients access to their medical records |
| The person in charge of medical records for a physician's office is preparing to release medical records requested by an insurance company. Which of the following is a recommended guideline for this procedure? | Include the patient's name, address, and date of birth on the authorization |
| A patient portal is | online access to a variety of health care services and communications with providers |
| To correct an error discovered after the patient's written copy of his or her medical records has been recorded, a medical assistant should | draw a line through the mistake, make and label it as a correction, initial and date it |
| Which of the following is not a purpose of social media? | All of these are purposes of social media |
| Which of the following describes the proper protocol for the release of medical records? | When medical records are subpoenaed, the patient should be notified in writing |
| Which of the following observations should not be included in a patient's medical record? | Notes regarding patient's participation in a rally |
| Identify five purposes for the medical record (1) | 1. Required and provides format for tracking, documenting, and maintaining patient communication. 2. documentation of continuing health care. provides clinical data for education, research, statistical tracking, and assessing the quality of health car |
| Identify five purposes for the medical record (2) | 3. provide a foundation for managing a patient's health care. 4. serves as a legal document in lawsuit. 5. provides clinical data for education, research, data tracking, and assessing quality of health care. |
| The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was created to | change the way Medicare rewards clinicians for value over volume |
| In which of the following examples would patient authorization for release of his or her medical record be waived? | When a subpoena duces tecum is issued |
| Which of the following information is the federal statute known as the Confidentiality of Alcohol and Drug Abuse Patient Records designed to protect? | Patient treatment |
| Which federal law made substantive changes to HIPAA? | HITECH Act |
| Which of the following court cases held that federal privacy laws like HIPAA may preempt stricter state privacy laws? | OPIS v. Florida Agency for Health Care Administration |
| Under the Federal False Claims Act, a citizen may | file a claim on behalf of the federal government for false claims made for payment of health services |
| As of January 2018, the Medicare Fraud Strike Force had initiated how many criminal actions? | 1,938 |
| The first federal law to specifically deal with the privacy of health care records was | Health Insurance Portability and Accountability Act |
| How many HIPAA-defined permissions exist? | Six |
| An orthopedic surgeon refers his patients to a radiology facility owned by his brother. What law is potentially being violated? | Stark Law |
| Which of the following statements is true about HIPAA Standard 2? | Protected Health Information (PHI) is any written, spoken or electronic form |
| Which HIPAA standard requires providers to protect electronically transmitted and otherwise stored personal health information? | Standard 3 |
| A patient believes her privacy rights have been violated by a local hospital. Under HIPAA, the patient | must first file a written complaint with the Secretary of Health and Human Services through the Office of Civil Rights |
| A medical assistant who is recording data in a patient's medical record maintains confidentiality at all times. Which of the following describes this practice? | Not releasing patient information to unauthorized individuals |
| As of February 2019, the single largest individual HIPAA settlement was | $16 million |
| A breach under HIPAA | is an unauthorized acquisition, access, use, or disclosure of personal health information |
| Which law made significant changes to provisions in the Health Insurance Portability and Accountability Act? | American Recovery and Reinvestment Act |
| The Security Rule requires Covered Entities to | all of these - identify and protect against threats to security or integrity of records. ensure confidentiality, integrity, and availability of all records they create. protect against reasonable anticipated impermissible uses or disclosures, and complia |
| In a physician's office, a sign-in sheet is permissible to use as long as | you do not ask for the reason for the visit |
| Which of the following are considered covered entities? | All of these - hospitals, rehabilitation facilities, insurance companies |
| Which of the following is not a reason that Medicare fraud is difficult to estimate? | Health care claims are destroyed after 2 years |
| The Health Information Technology for Economic and Clinical Health Act (HITECH) was part of what other law? | American Recovery and Reinvestment Act |
| A permission is defined as | a reason under HIPAA for disclosing patient information |
| Which of the following is an example of a privileged communication? | A patient tells her physician that she uses illegal drugs |
| Which HIPAA standard requires providers and their business associates to put in place policies and procedures that ensure privacy of the health record? | Standard 2 |
| Which HIPAA standard requires that all providers secure a unique provider identity number? | Standard 4 |
| Which of the following court cases first declared that a constitutional right to privacy was implied? | Griswold v. Connecticut |
| While privacy is not directly expressed in the amendments to the Constitution, which of the following is one of the amendments that the U.S. Supreme Court has used to cover privacy issues? | Third |
| Under the Security Rule, Covered Entities must | All of these. |
| Which of the following is not a violation of patient confidentiality? | An office clerk calls a patient by name at the checkout desk |
| A provider may release information about a victim of abuse, neglect, or domestic violence under which permission of HIPAA? | Public interest and benefit activities |
| Any breach of over 500 records requires the Covered Entity to | notify all the media |
| A physician issues a medical prescription for a patient. The correct term for this practice is | prescribe |
| Which of the following is not a purpose of public health functions? | Requiring physicians to take public health courses |
| A person dies as a result of a carjacking. Who is responsible for signing the death certificate for this individual? | The coroner |
| The states and the federal government collect vital statistics in the United States that include births, deaths, marriages, divorces, and changes in civil status. What is the main purpose for collection of this information? | To assess population trends and needs |
| The power of the states to initiate public health statutes is inferred from which amendment to the U.S. Constitution? | Tenth Amendment |
| If a patient dies of natural causes while under his or her physician's care, who is responsible for completion of the medical portion of the death certificate? | Attending physician |
| Which of the following examples of public health statutes are enforced by citations for noncompliance? | Smoking bans |
| Which of the following is not required on a death certificate? | Decedent's complete medical history |
| Which agency tests and approves prescription drugs before releasing them for public use? | Food and Drug Administration |
| Who decides who gets compensation as a result of problems caused by vaccines? | U.S. Court of Federal Claims |
| Which of the following individuals would probably have more stringent reporting requirements if they have a communicable disease? | A waitress |
| The state of Virginia checks all restaurants to make sure the conditions are sanitary. This is an example of which of the following? | Public health statutes |
| Which of the following individuals with a sexually transmitted disease would be required by all states to tell a sexual partner of this disease? | A person with HIV |
| In which of the following cases would it be legal for a physician to sign a death certificate? | If the physician attended to the deceased before the death |
| Which of the following victims was the Laci and Conner's Act passed to protect? | Fetuses |
| Which of the following agencies registers physicians for the writing of prescriptions of controlled substances? | Drug Enforcement Administration |
| Which of the following is an example of a Schedule V drug? | Lyrica |
| Which of the following is an example of federalism? | A state retains police powers not expressively granted to the federal government |
| Which of the following accurately describes the role of the coroner or medical examiner in the event of a violent death? | A medical examiner, who is frequently a pathologist, may order and perform an autopsy |
| A death has occurred under normal circumstances and the body released to the funeral home. Who is responsible for filing the death certificate with the state? | The mortician |
| or in any way handle controlled drugs to follow certain procedures. Which of the following accurately describes one of these procedures? | The physician must keep records concerning the administering or dispensing of a controlled drug on file for two years |
| Which of the following is an example of a state law that requires behavioral changes on the part of the public? | Promoting the use of child safety seats |
| Marijuana is listed as a _________blank drug. | Schedule I |
| A division of medicine that incorporates law and medicine and involves medical issues or medical proof at trials having to do with malpractice, crimes, or accidents is called | forensic medicine |
| What is the main reason for health care practitioners to report sexually transmitted infections (STIs) to the state health department? | To treat others who may be infected |
| A physician prescribes Oxycodone for a patient who is experiencing severe back pain. Oxcodone is an example of what schedule of drug? | Schedule II |
| In most states, which of the following cases is not mandated as a reportable injury? | A physician suspects spousal abuse, however the patient does not admit it occurred |
| An obstetrician who delivers babies knows that all live births need to be recorded. To which of the following agencies should these births be reported? | State registrar |
| The public official who investigates and holds inquests concerning those who die from unknown or violent causes is the | coroner |
| Examples of public data collected by law from physicians include | births, deaths, rapes, and assaults |
| Generally, birth and death certificates are not required for fetal deaths occurring prior to what week of gestation? | Week 20 |
| Certain sexually transmitted infections (STIs) must be reported whenever diagnosed. Which of the following is not a reportable STI? | Cervical cancer |
| When she goes over to visit Ruth, Joseph answers the door and will not let Samantha in the house. What should Samantha consider as a first step? | Report the problem to the elder abuse hotline |
| The National Childhood Vaccine Injury Act of 1986 created the National Vaccine Injury Compensation Program (VICP). Which of the following was this legislation created to protect? | Vaccine manufacturers and providers |
| Who is responsible for gathering and filing many of the vital statistics collected by the states and the federal government? | Health care practitioners |
Created by:
Felicia26