51. A legal obligation of care, performance or observance imposed on one to safeguard the rig hts of others. Injury Duty Causation d.Respondeatsuperior e. Negligence 52. The pleadings of a case may involve which of the following? Summons Complaint Answer Bill of particulars All of the above 53. The Amendment to the Constitution that provides that a state cannot act to deny any person equal protection of the laws. a. 11th b.13th c. 14th d.21st e. 1 st 54. A source of public policy can include _ legislation administrative rules, regulations or decisions judicial decisions all of the above none of the above Pursuant to Title VI of the Civil Rights Act of 1964, the guidelines of the Department of Health and Human Services (HHS) prohibit the practice of _ political malpractice racial discrimination restraint of trade public policy right to self-determination 56. The Privacy Act of 1974, Title 5 United States Code (U.S.c.) 552, was enacted to safeguard individual privacy from the misuse of federal records give individuals access to records concerning themselves that are maintained by federal agencies establish a Privacy Protection Safety Commission all of the above a and conly 57. The Health Care Quality Improvement Act of 1986 (HCQIA) was enacted in part to a. provide those persons giving information to professional review bodies and those assisting in review activities limited immunity b. encourage damage suits that may arise as a result of adverse decisions that affect a physician’s medical staff privileges encourage the right to execute an advanced directive a and b only all of the above What Act prohibits physicians who have ownership interest or compensation arrangements with a clinical laboratory from referring Medicare patients to that laboratory. Sherman Antitrust Act Ethics in Patient Referral Act of 1989 Health Care Quality Improvement Act 14th Amendment Privacy Act of 1974 What Act was enacted to ensure that patients are informed of their rights to execute advance directives and accept or refuse medical care. Ethics in Patient Referral Act Patient Self-Determination Act of 1990 Oregon Death with Dignity Act Health Care Quality Improvement Act Health Insurance Portability and Accountability Act60. An organization’s code of ethics _ provides guidelines for behavior help carry out an organization’s mission, vision and values build trust increase awareness of ethical issues all of the above 61. Unethical conduct that is closely being monitored includes _ false advertisements fraudulent reimbursement schemes accepting kick backs all of the above a and b only 62. A corporation has a _ a. chief executive officer that has ultimate responsibility for decisions made in the organization b. governing body that has ultimate responsibility for decisions made in the organization c. medical staff that has ultimate responsibility for decisions made in the organization d. chief financial officer that has ultimate responsibility for the decisions made in the organization e. community advisory board that has ultimate responsibility for the decisions made in the organization 63. Testimony presented by witnesses is considered _ documentary evidence direct evidence evidence burden of proof an exhibit 64. The authority of a corporation specifically delegated by statute. Express corporate authority Implied authority Ultra vi res acts a and conly none of the above Situations in which a person has opportunity to promote self-interests that could have a detrimental effect on an organization. Financial incentive Profit motive Conflict of interest Virtue Value 66. Corporate duties include _ fiduciary duty duty to supervise and manage duty to act as a prudent person would act under similar circumstances none of the above a, b, and c 67. Professional codes of ethics for health care professionals have been developed to provide guidance to those faced with ethical dilemmas provide punishment for the those who break the law provide guidance in dealing with government regulations describe the job duties and responsibilities of a particular profession provide clinical guidance in caring for patients If the public is aware that a hospital furnishes emergency services and relies on that knowledge, the hospital _ has no duty to provide those services to the public has a duty to provide those services to the public has a duty to provide every service that a patient may require is only responsible to care for Medicare and Medicaid patients none of the above The American Health Information Management Association code of ethics provides that _ the medical record must be preserved and protected it refuses to participate in or conceal unethical practices or procedure the confidential nature of the medical record must be preserved the medical records administrator must strive to advance knowledge and practice of medical record administration, including continued self- improvement, in order to contribute to the best possible medical care e. all of the above Licensed professionals who exceed his or her scope of practice as defined by a particular state professional practice act can be found to _ have violated licensure provisions have performed tasks that are reserved by statute for another health care professional have performed appropriate tasks a and b only all of the above The power and authority to regulate drugs, their products, packaging and distribution rests primarily with _ hospital management federal and state governments federal drug enforcement agency food and drug administration HIPAA A is a registered nurse who has completed the necessary education to engage in primary health care decision-making. licensed practical nurse nursing assistant staff nu rse nurse specialist nurse practitioner A is an aide who has been certified and trained to assist patients with activities of daily living. nursing assistant RN LPN physician’s assistant environmental services aide 74. The Hippocratic Oath provides that a physician _ follow regimen I consider for the benefit of my patient give no deadly medicine to anyone if asked not give to a woman a pessary to produce abortion will abstain from seduction of females or males all of the above 75. A physician’s efforts do not constitute negligence simply because _ a physician cannot be required to guarantee care results his or her treatments was unsuccessful in a particular case there was another treatment the physician could have used a and b only none of the above A deliberate falsification by a physician of his patient’s medical record to protect his own interests at the expense of his patient’s _ is a necessary act regarded as gross malpractice cannot endanger the health or life of his patient is often encouraged by the medical staff none of the above 77. A physician’s moral responsibilities to his or her patients include _ the right to privacy respecting a patient’s decision to refuse treatment the right to informed consent providing the patient with the risks, benefits and alternatives to treatment all ofthe above 78. A physician who falsifies entries on a patient’s medical record _ does it intentionally does it to avoid liability for one’s medical negligence risks losing credibility with a jury should a case go to trial may endanger the life of the patient all of the above 79. Misdiagnosis may involve diagnosis and treatment of _ a disease different from that which patient actually suffers a disease that the patient does not have symptoms of a disease but not the underlying disease a and conly a and b only 80. Evidence of a disruptive physician _ can have negative impact on staff can affect quality of care is disruptive to ensuring patient welfare all of the above none of the above 81. The Hippocratic Oath provides that a physician will not _ give to a woman a pessary to produce abortion follow regimen he considers to be for the benefit of his patient give deadly medicine to anyone if asked abstain from seduction offemales or males all of the above 82. The common-law “employment-at-will” doctrine provides that employment is at the will of the employer not the employee is at the will of either the empl
oyer or the employee may be terminated by the employer or the employee at any time may be terminated at the will of the employer or employee for any or no reason, unless there is a contract in place that specifies the terms and duration of employment e. b, c and d only Public policy originates with legislative enactments that prohibit discharge of employees on the basis of _ disability age race creed all of the above 84. There is a tendency for those in power to abuse that power through _ threats abuse intimidation retaliatory discharge all of the above The person who should be responsible for reviewing with patients the risks, benefits, and alternatives of a proposed diagnostic test or treatment is the _ patient’s assigned primary care nurse hospital chaplain treating physician individual assigned by the hospital, usually a social worker patient’s assigned medical assistant 86. Consent can be _ express consent verbal consent written agreement authorizing treatment implied consent all of the above 87. A written informed consent form should include _ nature of the illness or injury and procedure or treatment consented to purpose of proposed treatment risks and probable consequences of the proposed treatment signatures and date of the patient, physician, and witnesses all of the above A patient’s refusal to consent to a medical or surgical procedure must be adhered to, whether the refusal is _ grounded on lack of confidence in the physician fear of the procedure doubt as to the value of a particular procedure based on a mere whim all of the above 89. The various states have enacted various child abuse statutes to _ discourage good faith reporting require good faith reporting protect the abuser encourage abuse to reward the abuser 90. An individual who reports child abuse should be aware of _ the physical and behavioral indicators of abuse maltreatment that appear to be part of a pattern bruises burns and broken bones all of the above 91. Behavioral indicators of abuse include _ improved psychological or intellectual functioning control of aggression self-destructive impulses ability to think and reason failure to act out92. Balancing the law and principles of ethics, the administrator of a health care facility is not responsible for reporting evidence of abuse is responsible for the unsafe conditions in his or her nursing facility should be aware that statutes are created to protect the defendant the administrator of a nursing facility is not responsible for the safety hazards that exist in his or her facility e. none of the above 93. A patient has a right to _ have special needs addressed keep a stash of medications in his or her bedside cabinet for pain because nurses are generally slow in administering pain medications c. not to inform their physician of the ten herbal products that he or she has been ingesting for the past ten years d. take aspirin before surgery to bring his or her temperature down out of fear that ifthe nurse reports a spike in temperature, the surgical procedure might be delayed e. none ofthe above 94. Patient abuse is _ of little concern never occurs in an individual’s home the mistreatment or neglect of residents/patients/clients while under the care of a health care organization is limited to an institutional setting is not the mistreatment of individuals who are under the care of nursing homes 95. Signs of abuse include _ broken bones agitation unexplained or unexpected death sudden and unexpected emotional outbursts all of the above 96. Patients have a right to _ ask questions about their rights execute an advance directive a written copy of their rights refuse treatment based on religious beliefs all of the above97. Patients have a responsibility to speak up and ask questions regarding _ proposed treatment diet need for a consultant medications all of the above Patients have a right to expect that information regarding their care and treatment will be kept confidential by _ nurses and physicians volunteers housekeepers board members all ofthe above Patients have a right to receive “Notice of Privacy Standards;’ a requirement under the _ Limitation and Disclosure Act Right to Know Act Health Insurance Portability and Accountability Act HMO Act of 1972 None of the above 100. A patient’s right to “speak-up” includes asking such questions as _ Before changing my dressing … did you wash your hands? Are you my nurse? Why am I being given this medication? Why am Ion a low fat diet? all of the above

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