Lab Operation Question Bank

Workload hours were previously known as: Select one: a. Reporting hours b. Productive hours c. Clerical hours d. CAP hours e. Test hours

CAP hours

CLIA

Clinical Laboratory Improvement Amendments

CAP

College of American Pathologists

COLA

Commission on Office Laboratory Accreditation

TJC

The Joint Commission

An advantage of peer evaluation is that it eliminates personal attitude and biases. Select one: True False

False

COLA is the most comprehensive of lab regulatory bodies

False

DRG categorize patients by age and gender. Select one: True False

False

Lab fees are unaffected by DRG because labs tests and personnel proficiency are under CAP. Select one: True False

False

the TJC was formerly know as NCCLS

False

If a lab's revenue is less than projected, what is the best course of action: Select one: a. Adjust expenditure to prevent losses and associated risk to operations b. Adjust the revenue projections to reflect the actual numbers c. Increase expenditures because this way administration will increase the budget d. Increase the revenue projections to match expenditures e. Cancel all capital purchases

a. Adjust expenditure to prevent losses and associated risk to operations

Paid hours include all of the following, except: Select one: a. Family leave b. Time required to run a test c. Sick leave d. Time required to perform equipment maintenance e. Vacation

a. Family leave

The primary purpose of the DRG is to: Select one: a. Reduce the overall health care cost per patient b. Reduce health care staffing c. Increase recovery rate for critically ill patients d. Reduce patient length of stay e. Reduce the number of laboratory tests

a. Reduce the overall health care cost per patient

delegating skills include all of the following except: a. micromanaging b. re-allocation of responsibilities c. selecting the right person for the job d. setting goals and expectations

a. micromanaging

competing:

achieve the goals without seeking to cooperate with others.

The role of HIPAA includes all of the following, except: Select one: a. Reducing health care fraud and abuse b. Regulation of personnel qualifications c. Assures transferability and continuity of health insurance coverage d. Guarantees security and privacy of protected health information e. Oversight of industry-wide standards

b. Regulation of personnel qualifications

The total workload units divided by the worked hours is the formula for: Select one: a. Paid productivity b. Work productivity c. Repeat testing cost d. Paid leave e. Paid vacation

b. Work productivity

identifying a certain problem or situation is considered a: a. technical skill b. problem-solving skill c. financial management skill d. organization skill

b. problem-solving skill

resgistration

being identified on a lost such as a list of individuals meeting certain qualifications

Which of the following is not a common evaluation error? Select one: a. Personal bias b. Inconsistent standards c. Inclusion of important perspectives d. Contrast bias e. Halo effect

c.

Maslow theory of management is based on: Select one: a. The professional development of the employee b. Job satisfaction c. A ranking of goals for the satisfaction of employee needs d. The premise that all workers are unmotivated e. Use of detractors and perks to keep employees happy

c. A ranking of goals for the satisfaction of employee needs

A planned structure that is organized by management is an example of: Select one: a. Informal structure b. Organized structure c. Formal structure d. Two of the above e. None of the above Feedback Your answer is correct.

c. Formal structure

Examples of fixed costs include all of the following, except: Select one: a. Service contracts b. Insurance c. Reagents d. Depreciation e. Equipment payment

c. Reagents

Components of a budget include all of the following, except: Select one: a. Non-controllable expenses b. Direct costs c. Test volume totals d. Income categories e. Spending categories

c. Test volume totals

the four essential functions of a manager are: a. planing, conflict management, organizing, directing b. directing, staffing, cost analysis, evaluating c. planning, organizing, directing, controlling

c. planning, organizing, directing, controlling

Records of a patient's laboratory test results may be released without the prior consent of the patient to all of the following, except: Select one: a. An insurance carrier b. Physician on call c. Nursing staff d. An employer e. None of the above

d. An employer

The typical budget: Select one: a. Covers a five-year period b. Covers a two-year period c. Is only used by large corporations d. Covers a one-year period e. Has no time frame

d. Covers a one-year period

Advantage and disadvantages of self review include all of the following, except: Select one: a. Compels self-examination b. Provides introspectiveness c. Personal expectations may be over-emphasized d. Provides a broader perspective e. Personal faults may be overlooked

d. Provides a broader perspective

Examples of non-controllable cost include all of the following, except: Select one: a. Rent b. Utilities c. Taxes d. Wages e. Regulatory fees

d. Wages

Cost reduction strategies inspired by DRG include all of the following, except: Select one: a. Tighter clerical control b. Less esoteric testing - send out esoteric and low volume tests c. Decrease in workforce d. Sharing lab services and resources e. Increase in specialized workforce

e. Increase in specialized workforce

The cash accounting system: Select one: a. Shows only revenue income b. Reflects all the services and products performed c. Shows only expenses d. Reflects net gain e. Shows money only when received or paid out

e. Shows money only when received or paid out

As a Medical Laboratory Scientist, you are in the right to perform additional tests on a sample. Select one: True False

false

Follow-up is an unnecessary step in conflict resolution. Select one: True False

false

Gauging one's immediate response to a conflict is considered poor management. Select one: True False

false

If a gift is likely to influence my actions, I should accept it. Select one: True False

false

Patients are considered third party payers because they pay for a part of their healthcare.

false

To ensure that turnaround times are met, lab results can be released before repeat testing is completed. Select one: True False

false

Under DRG, physicians have greater autonomy.

false

financial management is an important technical skill

false

management functions are limited to planning and organizing

false

managers do not need to problem solvers because they can delegate problem-solving to others

false

displacement:

frustration vented on a person other than the one responsible.

polymerase chain reaction

high complexity

pretranfusion testing

high complexity

a plan has been determined and approved. it is your job to put it into action. which management function is required?

implementing/controlling

COLA

is a physician-directed organization that was founded to be a private alternative to CLOA'88

rationalzation

it's not my fault to get a bad grade, the teacher doesn't like me

repression:

keeping distressing thoughts and feelings buried in the unconscious

accommodating:

may be at the manager's own expense and actually work against that manager's own goals, objectives, and desired outcomes.

licensure

meets minimum entry level standards as set by a governmental agency, usually the state.

urine culture

moderate complexity

urine sediment examination

moderate complexity

as the core lab manager, you have been gathering data and assessing the impact of a new test protocol. which management function are you exercising?

organizing

DHHS

overall oversight of health care in US

The total workload units divided by the paid hours is the formula for: Select one: a. Work productivity b. Repeat testing cost c. Paid vacation d. Paid leave e. Paid productivity

paid productivity

you are the lab manager of a small hospital. you have been asked to present a plan for a 25% cost reduction in your department, this action requires the use of which management function?

planning

AABB

publishes standards and inspects blood banks

theory Y (modern model)

self-motivated

AHA

set standards and accredits hospitals

classical principles of organization

skill-based; boredom ensues; too rigid

compensating:

students spend more time in sports than studying

A competing management style often leads to a win-lose outcome. Select one: True False

true

A prospective payment is a predetermined fixed reimbursement for services rendered. Select one: True False

true

CLIA is the law that ensures accuracy of testing in clinical labs

true

Current organizational structures in health care align with the classical model. Select one: True False

true

Employee privacy is governed by principles of ethics. Select one: True False

true

Motivation relates to how needs control or influence behavior. Select one: True False

true

leading/directing focuses on the human factor of management

true

management provides structure

true

the majority of tests performed in the clinical lab are categorized as moderately complex.

true

wavied tests

urine dip stick, visual pregnancy test, home devices for blood glucose, ESR

accrediation

usually a voluntary self-regulatory peer review process, such as NASALS accredits our MLS program; CAP accredits labs.

Calculate total FTE for the following lab: Lab has 25 employees; 15 work 40 hours/week; 10 work 20 hours/week. Select one: a. 30 b. 35 c. 25 d. 20 e. 15

20

In Maslow's hierarchy of needs, food and shelter rank as: Select one: a. 4 b. 1 c. 2 d. 3 e. 5

1

Maslow's Need Hierarchy

1. Physiological needs 2. Safety and securtiy 3. Belonging (love and social) 4. Esteem (deserved respect) 5. Self-Actualization (self fulfillment)

AABB

American Association of Blood Banks

Which of the following regulatory agencies develops an publishes the rules pertaining to the implementation of HIPAA? Select one: a. Department of Health and Human Services (DHHS) b. AABB c. NAACLS d. FBI e. CLIA

DHHS

DHHS

Department of Health and Human Services

DOT

Department of Transportation

Frustration vented on a person other than the one responsible is a defense mechanism known as: Select one: a. Compensation b. Regression c. Rationalization d. Withdrawal e. Displacement

Displacement

HCFA

Health Care Financing Administration

automated hematology with differential

High complexity

NAACLS

National Accrediting Agency for Clinical Laboratory Sciences

A prospective payment is a predetermined fixed reimbursement for services rendered. Select one: True False

True

Because of the impact of DRG's, labs have increased their use of progressive testing profiles. Select one: True False

True

DRG was created to encourages cost containment initiatives. Select one: True False

True

Examples of patient information include: name, address, diagnosis, social security number, and medical record number. Select one: True False

True

Heroic efforts on critically ill patients have contributed to the rising of healthcare cost in the US. Select one: True False

True

Maintenance and motivational factors are dimensions of the Herzberg Model. Select one: True False

True

The classical theory says that people are motivated by money. Select one: True False

True

Vacation and sick time are considered paid hours. Select one: True False

True

Workload units are the modern counterpart of CAP units. Select one: True False

True

the health insurance portability and accountability act safeguards insurance coverage for individuals become unemployed

Ture

collaborating

a win-win way of dealing with conflicts; fully satisfying own concerns as well as concerns of others

The Theory Y (Modern model) considers all employees: Select one: a. Motivated b. Happy to take on extra work c. Unmotivated d. Need direction e. Unable to make independent decisions

a.

When performance is compared to another employee rather than to the performance standard, it is know as: Select one: a. Contrast bias b. Inconsistent standards c. Personal bias d. Halo effect e. Inclusion of important perspectives

a.

withdrawal

avoid frustrating or painful situations

theory X (classical model)

avoid work if possible; forced into work;

avoiding

avoiding the issue and cannot assertively pursue his or her own winning

Cooperation at the expense of achieving the set goals is a characteristic of which conflict management style? Select one: a. Avoiding b. Accommodating c. Compromising d. Collaborating e. Competing

b. Accommodating

Regular audits for ethics and compliance in the lab include all of the following, except: Select one: a. Regular follow-up on complains and difficult cases b. Disclosure of employees' performance on a public forum c. Review billing procedures to make sure they are performed according to protocol d. Investigation of potential ethical misconduct e. Determining if lab practices fall in line with government regulations

b. Disclosure of employees' performance on a public forum

NIDA

certifies labs that do drug testing

moderate complexity

culture inoculation, osmolality, aerobic isolation and identification of bacteria. automated hematology without differential count.

You are required to become involved with a patient's care. It is permissible to share information about the patient with your co-worker only if: Select one: a. The patient is a good friend of the co-worker b. The patient is a friend of your co-worker and he/she is curious about what their friend is doing c. Your co-worker asks you about it d. Your co-worker needs the information for a job-related task e. The patient is a celebrity and your co-worker's biggest hero

d. Your co-worker needs the information for a job-related task

people/interpersonal skills include all of the following, except: a. ability to motivate b. good communication c. relate effectively with people d. conflict avoidance e. harnessing human potential

d. conflict avoidance

you are the manager of a stand-alone urgent care lab with three employees under your supervision. your most experienced employee has been absent five days in the last two weeks. this has put a strain on the other two employees. you also behind on your administrative duties because you have had to cover the bench. you have talked to the person, but there seems to be no charge.

decision making

CLSI

develops reference methods for lab testing

you have been tasked with communicating impending changes in the organization to the lab employees. you have been asked to deliver a clear message while preserving morale. this assignment would require the use of which management function?

directing

Increase in production directly related to increase in wages is supported by the principles of which of the following? Select one: a. Porter and Lawler's Equity Model b. Herzberg Model c. Adam's Equity Theory d. Maslow's hierarchy of needs e. Classical Theory

e.

All of the following are considered unethical behaviors, except: Select one: a. Taking credit for work you did not do b. Accepting a 3-day cruise as an appreciation gift for a sales representative c. Talking about a co-worker behind his/her back d. Taking office supplies home e. Following-up on a test with questionable results

e. Following-up on a test with questionable results

A financial report that shows profit and losses is also known as: Select one: a. Cash-Flow statement b. Balance sheet c. Assets & Liability d. Revenue minus expenses e. Income & Expense statement

e. Income & Expense statement

departmentalization:

like-minded workers; raise barriers

compromising:

lose-lose scenarios

Herzberg Model

maintenance factor: do cause dissatisfaction, but do not contribute to motivation; motivational factor: build high levels of motivation but do not contribute much to dissatisfaction

certification

offered by a professional body, individual must meet certain academic and other qualifications, and pass an examination.

Bureaucratic Model

qualification far more important than ability; chain of command; hirarchy

DOT

responsible for coordinating safety program, for the shipment of hazardous goods.

conflict management is:

the practice of being able to identify and handle conflicts sensibly, fairly, and efficiently.

management is defined as:

the process of achieving objectives utilizing human and physical resources and technology.

ESR

waived

fecal occult blood

wavied