Chapter 2: Law, ethics, and quality

When a medical worker starts a new job, the employer is required to offer the worker the HBV vaccination within ____ days. 5 10 15 30

10

To maintain a license to practice, most states require doctors to accumulate: 10 continuing education units a certain number of new patients per year a given revenue a certain number of community service hours

10 continuing education units

An employee agrees to give a blood sample after being exposed to HIV but refuses to be tested. The blood sample must be kept for ___ in case the employee later develops symptoms or decides to be tested. 2 weeks 1 month 3 months 6 months

3 months

OSHA Form 300, a log of occupation injuries and illness, must be kept for: 6 months 1 year 5 years 10 years

5 years

A legal document addressed to the patient's family and physicians stating what type of treatment the patient wishes or does not wish when terminally ill is: a living will universal donor card admission sheet medical history form

A living will

A quality assurance program must include which of the following? quality control program test methods patient preparation procedures complaints and investigations

A quality control program

A healthcare professional who stops care without providing an equally qualified substitute can be charged with: neglect delayed treatment breach of duty abandonment

Abandonment

A process in which the opposing sides choose a person outside the court system, with special knowledge to the field, to hear and decide a dispute is: tort agency subpoena arbitration

Arbitration

How often must every employee who may be exposed to hazardous or infectious substances on the job, be given free information and training during work hours? monthly at least once a year every two years every three years

At least once a year

Malpractice lawsuits are part of ____ law. statutory common ciil criminal

Civil

The first step in ethical problem solving is to ______ facts. clarify re-enact dispute uncover

Clarify

The appropriate way for a patient to donate organs is to: inform the physician state one's wishes in a living will discuss it with family members complete a uniform donor card

Complete a uniform donor card

Drawing a single line through the error, writing the correction above the error, dating the change, and then initialing it are: patient obligations corrections to medical records rights based ethics checks and balances

Corrections to medical records

There are two types of of law that pertain to healthcare practitioners, they are: moral and immoral federal and state criminal and civil ethical and unethical

Criminal and civil

The party against whom a lawsuit is brought, whether it be a doctor, medical facility, or hospital, is known as the: accused defendant contractor felon

Defendant

A physician is said to have been _________ if a patient shows that the physician failed to comply with the standards of the profession. liable in breach of contract derelict in arbitration

Derelict

Which of the following is demonstrated when a patient's leg healed incorrectly because of the way the cast had been applied? indirect cause possible cause accidental cause direct cause

Direct cause

Someone who makes decisions regarding medical care on a patient's behalf, if the patient is unable to do so: parent durable power of attorney physician spouse

Durable power of attorney

According to OSHA regulations, employee medical, and exposure records must be kept on file: 5 years during employment and 30 years afterward until the employee leaves the job until the physician retires

During employment and 30 years afterward

The HIPAA Security Rule covers protected health information in any medium. The HIPAA Security Rule specifically covers protected health information in what format? paper verbal electronic none of the choices

Electronic

Prejudices can allow individuals (such as physicians and pharmacists) to deny certain medical services based on religious reasons or conscience.

False; conscience clause

An implied contract is one that is created by specific and written words

False; it is alluded to without necessarily being specific and without being written down in any form

Even if the patient wants to disclose information, it is ethical for the physician not to do so.

False; it is ethical for them to do so

Misfeasance refers to a failure to perform an act that is one's required duty or that is required by law.

False; it is the improper and unlawful execution of an act that is in itself lawful

Ethics can be defined as a consistent set of universal rules that are widely published, generally accepted, and usually enforced.

False; laws

If an employer is covered under the doctor's malpractice insurance, the employee does not need additional malpractice insurance

False; may need

Ethics deal with issues that arise related to medical advances

False; moral judgement

A physician may bill for both direct and indirect services

False; only direct

A physician cannot be responsible for the actions of their employees

False; they can be

Which of the following does OSHA recommend in caring for an employee who sustained an eye injury such as a burn or chemical splash? flush the eye for 15 minutes with a constant water flow blot the chemical off the eye with a clean cloth apply a disinfectant to the eye with a cotton swab cover the eye with a gauze pad

Flush the eye for 15 minutes with a constant water flow

The act of billing an insurance company for tests and procedures that were never performed may result in a case being brought against the medical facility for: malfeasance fraud conspiracy tort

Fraud

Violations of HIPAA laws are investigated by a division of the US department of: labor education health and human services mental health

Health and Human Services

To use the form of treatment believed to be best for the patient, to refrain from harmful actions, and to keep a patient's private information confidential are part of: state law hippocratic oath medical ethics an employers rules

Hippocratic oath

A ________ is a rule of conduct established and enforced by an authority or governing body, such as the federal government. principle law tort policy

Law

An unlawful act or misconduct refers to: nonfeasance misfeasance malfeasance res ipsa loquitu

Malfeasance

The source of information to find out if a hazardous substance causes cancer and which lists other possible risks and states OSHA requirements for controlling exposure is called: us department of labor centers for disease control and prevention material safety data sheets MSDS environmental protection agency

Material Safety Data Sheets (MSDS)

Each state regulates medical care and certain other health care professions through a group of laws known as the: medical practice acts ability to practice acts state board of medical examiners clinical laboratory improvement acts

Medical Practice Acts

Healthcare professionals must practice within their scope of training and not beyond the limits of a state's: patient's bill of rights medical board informed consent laws medical practice acts

Medical practice acts

_______ refers to a lawful act that is done incorrectly. malfeasance misfeasance nonfeasance res ipsa loquitur

Misfeasance

_______ refers to failure to perform an act that is one's required duty or that is required by law. misfeasance nonfeasance malfeasance res ipsa loquitur

Nonfeasance

_______ created federal laws to protect health care workers from health hazards on the job. FDA OSHA EPA MSDS

OSHA

What agency is responsible for enforcing the HIPAA Privacy Rule, Security Rule and the confidentiality provisions for the Patient Safety Rule? Office of Inspector General OSHA office of homeland security office of civil rights

Office of Civil Rights

Which of the following services is it ethical for a physician to bill for? office visit dispensing a drug referral office pamphlets

Office visit

The highest priority of all the HIPAA law is: patient care and safety privacy of medical records security of medical records safety and security of medical records

Patient care and safety

The document established by the american hospital association in 1973 and revised in 1992 that lists ethical principles protecting the patient is the: hippocratic oath code of medical ethics patient's bill of rights quality assurance program

Patient's bill of rights

A physician reports a case of acquired immunodeficiency syndrome (AIDS) to the state. This is called: negligence breach of contract physician's public duty lack of confidentiality

Physician's public duty

OSHA's record-keeping and documentation requirements in a medical office are to: keep the physician informed obtain enough data to proceed with disciplinary action against an employee protect the legal rights and safety of everyone in the medical office provide a means of communication between the employer and employee

Protect the legal rights and safety of everyone in the medical office

Refers to any individually identifiable information that relates to all past, present, and future physical or mental conditions or the provision of healthcare to an individual: protected health information patients obligations respondent superior consideration

Protected health information

The rules or standards of behavior applicable to one's place of employment is: ethics protocol morals standard of care

Protocol

The americans with disabilities act is concerned with: the work environment providing opportunities for physically challenged persons getting financial help for physically challenged persons classifying individuals according to needs

Providing opportunities for physically challenged persons

This program makes sure a health care organization is not out of compliance with mandatory requirements. office procedures certification quality assurance mandatory reports

Quality assurance

It was discovered in the recovery room that a physician removed the left lung of a lung cancer patient scheduled to have the right lung removed. This is an example of: subpoena duces tecum an accident res ipsa loquitur battery

Res ipsa loquitur

An employee who is considered to be acting on the doctor's behalf while performing professional tasks is: respondent superior subpoena duces tecum malfeasance res ipsa loquitu

Respondent superior

Establishing and maintaining policies and procedures that protect the medical office and staff from lawsuits is called: prioritizing liability protection risk management policies and procedures

Risk management

__________ is a method of reducing risk of liability through institutional policies/practices. state law lawsuit federal law risk management

Risk management

The appropriate way for a physician to terminate the care of a patient is to: inform the patient by telephone send the patient a certified letter tell the patient in person obtain the patients consent

Send the patient a certified letter

_____ is required in dealing with illiteracy. disclosure education sensitivity confrontation

Sensitivity

Medical practice acts are: resolutions of the American medical association acts passed by the state medical society state statutes basic tenets of the american medical association

State statutes

A written court order addressed to a specific person, requiring that person's presence in court at a specific time is: contrat subpoena agent agreement

Subpoena

A court order to produce documents is: respondent superior subpoena subpoena duces tecum law of agency

Subpoena duces tecum

A situation in which the patient automatically gives up the right to confidentiality is when the patient: sues a physician has a sexually transmitted disease has a terminal illness chooses another physician

Sues a physician

The term res ipsa loquitur refers to cases in which: the patient has a previously existing condition the doctor's mistake is completely obvious the patient has already filed a lawsuit faulty record keeping from doctor's error

The doctor's mistake is completely obvious

A breach of some obligation that causes harm or injury to someone is called: duty tort battery assault

Tort

A blood-borne pathogen can be transmitted through skin that is broken or through mucous membranes

True

A living will is intended to help families or terminally ill patients deal with the inevitable outcome and limit unnecessary medical costs

True

A physician may withdraw from a case when a personality conflict develops between the physician and the patient that cannot be resolved.

True

A physician's appointment book is considered a legal document

True

Grand theft is an example of felony

True

HBV is a highly contagious and potentially fatal disease that causes inflammation of the liver

True

It is illegal for a patient to be denied a copy of his chart if he is unable to pay the fee to obtain it

True

Numerous laws have been enacted to protect employees against what society perceives as unethical behavior in the workplace. These laws are administered by the US department of labor

True

Only the patient can waive the right to confidentiality.

True

Universal precautions prevent medical professionals from exposing themselves and others to blood-borne pathogens

True

a healthcare employee who refuses the HBV vaccination must sign a waiver

True

When picking up broken glass, which of the following precautions should be taken? wear glasses carefully pick up large pieces with hands cover glass with cloth before picking it up use tongs

Use tongs

Another name for terminating care of a patient is: abandonment negligence breach of contract withdrawing from a case

Withdrawing from a case

When an exposure incident occurs, the role of the employer is: to reprimand the employee for being so careless to provide education to the employee to prevent a repeat incident to offer the employee a free medical evaluation to document details for the incident and place in the employee's file

to offer the employee a free medical evaluation