BIOMEDICINE: CPR, HIPAA Regulations, Health Screening, Legal Issues (TCMTests.com)
What should you remember when administering compressions to a child? a) 1 hand / 2 inches b) 2 hands / 1 inch c) 1 hand / 3 inches d) 2 hands / 2 inches
a) 1 hand / 2 inches
What is the percentage of adults infected with Hep B that are asymptomatic? a) 10% b) 40% c) 3% d) 25%
a) 10%
What is the lowest SPF (sun protection factor) recommended to protect against UV-B? a) 15 b) 30 c) 10 d) 35
a) 15
The daily recommended allowance (RDA) for sodium is: a) 2400 mg per day b) 3000 mg per day c) 1000 mg per day d) 1500 mg per day
a) 2400 mg per day
Hepatitis A symptoms occur approximately how long after exposure? a) 30 days b) 1 day c) 1 week d) 6 months
a) 30 days
A patient's request to amend their medical record can be done by a) Adding additional notes b) Crossing out certain information c) No changes can be done d) Changing medical entries
a) Adding additional notes
The following are HIPAA recommendations except one which is a HIPAA regulation/law. Choose the law. a) All medical records must be kept private and secure. b) Health care providers should not take phone calls pertaining to patients while in an exam room with another patient. c) All lab logs, X-ray folders or lab requests should be secured when not in use. d) All lab logs, X-ray folders or lab requests should be stored in areas that are not visible or accessible to non-authorized personnel.
a) All medical records must be kept private and secure.
A copy of an authorization to release protected health information is acceptable if a) All of the required elements are included b) It is notarized c) It is legible d) Never acceptable
a) All of the required elements are included
Which of the following is a patient's fundamental right under HIPAA? a) All of these answers b) The right to receive a notice about your privacy policies c) The right to access their medical information d) The right to limit the uses/disclosures of medical information
a) All of these answers
Which of the following is a patient's fundamental right under HIPAA? a) All of these answers b) The right to request amendments to the medical record c) The right to revoke or limit authorization d) The right to get an accounting of PHI (protected health info) disclosures
a) All of these answers
What should you do to check if the victim is breathing? a) Look, listen and feel for exhaled air b) Cover the mouth and nose for 5 seconds c) Notice if face color has turned blue d) Place a mirror under the nose.
a) Look, listen and feel for exhaled air
Other providers in your clinic have a legitimate need to access a patient's chart. Which of the following is correct a) Can be shared without patient waiver and no fee charged b) Can be shared without patient waiver and a fee should be charged c) Can be shared only with patient waiver d) Cannot be shared without patient waiver
a) Can be shared without patient waiver and no fee charged
The American Heart Association recommends Infant CPR for a) Children under the age of 12 months b) Children under the age of 6 months c) Children under the age of 24 months d) Children under the age of 18 months
a) Children under the age of 12 months
What should you do when assisting an infant with ventilation? a) Cover his nose/mouth with your mouth b) Let the chin drop c) Pinch the nose closed d) Hold the head with both hands
a) Cover his nose/mouth with your mouth
What should you do if an adult victim remains unresponsive? a) Dial 911 before starting CPR b) Wait to see if the victim regains consciousness c) Shake him much harder d) Start CPR before dialing 911
a) Dial 911 before starting CPR
The release, transfer, provision of access to or divulging in any manner information outside the entity holding the information is a/an a) Disclosure b) Authorization c) Acknowledgment d) Privacy report
a) Disclosure
Between the ages of 20 and 30 how often does the American Cancer Society recommend a clinical breast exam? a) Every 3 years b) Every 6 months c) Every year d) Every 2 years
a) Every 3 years
After the age of 40 how often do certain health organizations recommend prostate cancer screening? a) Every year b) Every 2 years c) Every 6 months d) Every month
a) Every year
Over the age of 50 colorectal screening is recommended a) Every year b) Every 3 years c) Every 6 months d) Every 2 years
a) Every year
You are performing adult CPR and have finished giving 30 compressions on the chest. What is the next thing to do? a) Give 2 breaths b) Give the 2nd round of 15 compressions c) Call 911 d) Wait for a response before proceeding
a) Give 2 breaths
The leading cause of blindness for African Americans is a) Glaucoma b) Diabetes c) Macular degeneration d) Smoking
a) Glaucoma
The medical practice must have a process for using and disclosing PHI based on a) HIPAAs consent and authorization agreements requirements b) The physician's lawyer recommendations c) The American medical association regulations d) State and local regulations
a) HIPAAs consent and authorization agreements requirements
Who is authorized to access or remove medical records? a) Only individuals whose job description states they may need access to medical records b) Staff members that the patient has agreed to in the consent form agreement c) Only the physician d) Nurse and physician
a) Only individuals whose job description states they may need access to medical records
How is responsiveness checked for in an infant? a) Patting feet and shoulders b) Shaking shoulders c) Blowing air on face d) Slightly slapping cheeks
a) Patting feet and shoulders
What is the most common cancer in the US? a) Squamous cell and basal cell carcinomas b) Leukemia c) Colon cancer d) Lung cancer
a) Squamous cell and basal cell carcinomas
Which statement is true? a) State privacy/security laws supercede HIPAA if state laws are stricter b) Which law takes precedence is still under appeal c) Whether state laws supercede HIPAA varies from state to state d) HIPAA laws always take precedence
a) State privacy/security laws supercede HIPAA if state laws are stricter
Which of the following statements is true regarding a deceased patient's PHI (protected health info) a) Subject to the same rules as all living patients b) Can be made public 100 years after death c) Can be made part of the public record d) Subject only to HIPAA citation 164.508
a) Subject to the same rules as all living patients
When a patient requests access to their medical records which of the following statements is FALSE a) The original medical record must always be provided b) A copy of the record can be provided c) A fee must be agreed to in advance d) A summary can be provided if the record is too difficult to interpret
a) The original medical record must always be provided
A signed Business Associate contract is required with only a) Third party vendors who have access to PHI b) Transcription services c) Offsite disposal record storage or disposable storage d) Billing services and collection agencies
a) Third party vendors who have access to PHI
The American Cancer Society recommends clinician screening of the skin for persons 20-39 every a) Three years b) Year c) Five years d) Month
a) Three years
A doctor can speak directly about health and treatment information to any of the following EXCEPT a) To any family member b) Only to immediate family members unless the patient has explicitly indicated the contrary c) Only to a spouse unless the patient has explicitly indicted the contrary d) Referring physician
a) To any family member
Penalties for disclosing PHI such as accidentally leaving a patient's chart on the reception desk for others to see if reported are a) $10k per occurrence b) $100 or less per occurrence c) $100,000 per occurrence d) $1000 per occurrence
b) $100 or less per occurrence
Criminal penalties for improperly disclosing patient health information can be as high as a) $500,000 and up to 5 years in prison b) $250,000 and up to 10 years in prison c) Varies from state to state d) 5 years in prison
b) $250,000 and up to 10 years in prison
How long after smoking cessation do the disease risks from smoking drop significantly? a) 2 years b) 1 year c) 6 months d) 1 month
b) 1 year
The following are HIPAA recommendations except one which is a HIPAA regulation/law. Choose the law. a) To protect confidentiality, medical practices should avoid using both first and last names together when calling pts back for treatment. b) A patient privacy consent form must be signed prior to providing any service. c) Patients should sign a consent allowing for answering machine/voice mail messages and other forms of contact. d) Correspondence to pts should be labeled "Personal and Confidential" and if possible should not identify the nature of the practice
b) A patient privacy consent form must be signed prior to providing any service.
What is the first step in CPR? a) Determine if the patient is breathing b) Determine if the patient is unresponsive c) Determine if the patient has a pulse d) Determine if there are any bodily injuries
b) Determine if the patient is unresponsive
A patient's consent agreement regarding their PHI must be a) Given to the patient b) Filed in the patient's medical record c) Filed in a separate file with all other patient's consent agreements d) Notarized
b) Filed in the patient's medical record
What should you do when a female patient admits to being abused by her husband? a) Tell her to bring her husband w/her at the next appt b) Offer info on safe shelters and counseling centers c) Call her husband and reprimand him d) Tell her to stand up for herself
b) Offer info on safe shelters and counseling centers
The following are HIPAA recommendations except one which is a HIPAA regulation/law. Choose the law. a) Exam room doors should b closed while a provider is examining a patient or discussing PHI with a patient. b) Only PHI that is necessary for carrying out TPO (treatment, payment, health care operations) should b transported to office satellite locations c) All phone calls that include a discussion of PHI must take place in a private area. d) All discussion and dictation of PHI should take place in a private area.
b) Only PHI that is necessary for carrying out TPO (treatment, payment, health care operations) should b transported to office satellite locations
The following are HIPAA recommendations EXCEPT one which is a HIPAA regulation/law. Choose the law a) The identity of the patients who call via telephone requesting scheduling, billing requests, lab results, etc. must be verified via patient provided confirming info such as DOB, SSN, mother's maiden name or other unique identifier. b) Only permit office personnel to view PHI whose job description states needed access to medical records c) All staff should log out of all programs containing PHI prior to leaving a computer unattended d) Protected health info must be rendered unreadable when it is destroyed
b) Only permit office personnel to view PHI whose job description states needed access to medical records
When giving breaths to an infant you should a) Have each breath last 10 seconds b) Puff air from your cheeks, not your lungs c) Give breaths in spurts d) Lift the head up and support with a small pillow
b) Puff air from your cheeks, not your lungs
The desired goal for a patient's LDL cholesterol level depends on: a) Presence of smoking b) Risk factors c) Hypertension d) Familial history
b) Risk factors
A medical practice can refuse a patient's request to amend their medical record a) If unrelated to patient care b) Under specific circumstances c) Only if insurance coverage is not affected d) Under no circumstances
b) Under specific circumstances
In adult CPR the 2 hands and 2 inches rule means a) Lift 2 hands 2 inches between compressions b) With 2 hands interlaced compress the chest no more than 2 inches c) Always use 2 hands 2 inches apart d) Use 2 hands compressing the chest every 2 inches.
b) With 2 hands interlaced compress the chest no more than 2 inches
A medical practice must respond to a patient's request to amend a record a) When the physician has time b) Within 60 days c) Within 30 days d) Only if it does not affect patient care
b) Within 60 days
A patient you treated for alopecia with 7 star needles sues you for becoming infected with Hepatitis. You are not at fault because you have sterilized the re-usable 7 star needle hammer through boiling. What is correct? a) You are responsible because you did not autoclave b) You are responsible because the boiling water is not an acceptable method for sterilization c) You are not responsible because you have used sterilization after each treatment d) You are not responsible because none of your other patients have Hep B
b) You are responsible because the boiling water is not an acceptable method for sterilization
When a patient requests copies of their medical records a) Any amount can be charged b) $1 per copy can be charged c) A reasonable cost based fee for copying can be charged d) Retrieval fees and copying fees can be charged
c) A reasonable cost based fee for copying can be charged
What is the consequence of overinflating the lungs during CPR? a) Increase of blood pressure b) Decrease of blood pressure c) Air going to stomach and causing vomiting d) Coughing of phlegm
c) Air going to stomach and causing vomiting
What should you do after giving the adult or child victim 2 full breaths? a) Immediately give 3 more rapid breaths b) Turn the head to the side c) Allow the victim to exhale on his own d) Ask the victim his/her name
c) Allow the victim to exhale on his own
The patient's written statement that he/she has received the notice of your privacy policies & procedures is a) A privacy report b) A disclosure c) An acknowledgment d) An authorization
c) An acknowledgment
The following are HIPAA recommendations except one which is a HIPAA regulation/law. Choose the law. a) Appointment schedules should be placed out of sight from patients and other non-authorized personnel. b) A private area should be available for staff to discuss PHI with patients c) A Notice of Privacy Practices must be made easily visible in the office. d) Computer screens should be facing away from pts or have screens that allow only straight on viewing.
c) A Notice of Privacy Practices must be made easily visible in the office.
From what age does the risk for prostate cancer increase? a) As men approach 60 b) As men approach 30 c) As men approach 50 d) As men approach 40
c) As men approach 50
When should testicular self-examination start? a) 40 years old b) 50 years old c) 15 years old d) 35 years old
c) 15 years old
What is the breath to compression ratio for an adult, child, or infant? a) 2 breaths for every 20 compressions b) 1 breath for every 15 compressions c) 2 breaths for every 30 compressions d) 2 breaths for every 15 compressions
c) 2 breaths for every 30 compressions
In infant CPR you use a) 1 hand, 2 inches b) 2 fingers, 2 inches c) 2 fingers, 1 ½ inches d) 2 hands, 2 inches
c) 2 fingers, 1 ½ inches
What is the breath to compression ratio in child CPR? a) 1 to 20 b) 1 to 5 c) 2 to 30 d) 2 to 10
c) 2 to 30
What is the ventilation (breath) to compression in adult CPR? a) 1 to 5 b) 2 to 15 c) 2 to 30 d) 1 to 10
c) 2 to 30
When does the American Cancer Society recommend that clinical breast exams start? a) 35 years old b) 30 years old c) 20 years old d) 25 years old
c) 20 years old
A patient consent agreement regarding their protected health information (PHI) must be signed a) After the health care provider's intake interview b) Within 10 days c) Before providing any service d) Within 60 days
c) Before providing any service
A patient you are interviewing collapses to the floor. He has a pulse, but no respiration. What is the first thing to be done? a) Open the mouth b) Shake him c) Call 911 d) Give 2 rescue breaths
c) Call 911
In the 2010 CPR guidelines, the CAB system stands for: a) Circulation - air - breathing b) Cardio - air - breathing c) Compression - airway - breathing d) Cardio - airway - breathing
c) Compression - airway - breathing
When should a medical office's privacy policies and procedures be reviewed? a) Before a new employee is hired b) When HIPAA regulations are amended c) Every year d) Every other year
c) Every year
In giving CPR to an adult who needs assisted breathing, what should you do after counting aloud for 30 compressions? a) Lift the victim to sitting position b) Stop and wait for help to arrive c) Give 2 breaths d) Move the head side to side
c) Give 2 breaths
Components of an informed consent form include all of the following EXCEPT: a) Alternative treatments for the patient b) The type of treatment for which informed consent is required c) Insurance provider d) The risk of treatment
c) Insurance provider
A notice of Privacy Practices outlining how PHI may be used must be made available upon request a) To patients and doctors b) Only to patients c) To patients and non-patients d) To any office staff which comes in contact with PHI
c) To patients and non-patients
What is the technique to clear a victim's airway? a) Push chin down, tilt head forward b) Gently turn head from side to side c) Lift chin up, tilt head back d) Lift chin up, turn head sideways
c) Lift chin up, tilt head back
A deceased patient's PHI consent agreement expires a) Depends on each state's regulations b) Twenty years after death c) Never d) At the time of death
c) Never
A patient's consent to use and disclose their protected health information for the purpose of treatment, payment, and health care operations needs to be obtained a) Every year b) At the beginning of treatment and when patient is discharged c) Once d) Only when the patient authorizes release of their medical information
c) Once
The recommended blood pressure screening for healthy adults is generally: a) Every 6 months b) Once a year c) Once every 2 years d) Every month
c) Once every 2 years
If you are alone with a child or an infant and he/she is unresponsive you should a) Turn the child or infant's head to the side b) Dial 911 before starting CPR c) Start CPR before dialing 911 d) Perform CPR and do not dial 911
c) Start CPR before dialing 911
Which statement is true about the medical practice personnel, such as the assistants and nurses, having access to PHI? a) They have access to all patient's PHI b) There is no regulation c) They have access to the minimum PHI necessary to perform treatment d) They have access only to those portions of PHI that the patient has agreed to
c) They have access to the minimum PHI necessary to perform treatment
Who does HIPAA require to address and respond to a patient's request regarding PHI? a) Lawyer b) Advocacy group c) Trained staff member d) Only the physician
c) Trained staff member
Do state licensing bodies have a right to medical records to assess charting and care? a) False in all states b) True in all states c) True in some states d) Determined on a case by case basis
c) True in some states
If a patient requests a restriction on disclosing their PHI a) It must be notarized b) The health care provider must agree to it c) The patient cannot restrict disclosure d) It must be in writing
d) It must be in writing
Does the patient employer have the right to the patient's chart in a worker's compensation claim? a) Determined on a case by case basis b) True in all states c) False in all states d) True in some states
d) True in some states
When should pap smear screenings start? a) 40 years old b) 50 years old c) 35 years old d) 18 years old
d) 18 years old
Healthy weight has a BMI (body mass index) between a) 15 and 18 b) 26 and 35 c) 20 and 26 d) 19 and 25
d) 19 and 25
You received a subpoena for the release of a patient's medical records. Which action is correct? a) Contact an attorney b) Release the information without a patient waiver c) Even with subpoena, portions of the record can be protected d) A and C
d) A and C
Individually Identifiable Health Information (IIHI) includes a) Diagnoses, procedures, symptoms b) Name, address, phone number, email c) Insurance information such as employer or carrier d) All of these answers
d) All of these answers
Which of the following is TRUE? a) A minor may obtain health care services without the consent of an adult b) A medical practice must require that personal representatives (parents/guardians) of minors comply with the same privacy rules as individuals do c) The personal representative (parent/guardian) can consent to an agreement of confidentiality between the minor and the medical practice d) All of these answers
d) All of these answers
Compressions on an infant must be administered more carefully than with an adult because: a) There is no difference b) An infant's body can heal faster c) The bones of infants are more flexible d) An infant's delicate ribcage is especially susceptible to damage
d) An infant's delicate ribcage is especially susceptible to damage
Which of the following is the most accurate about PHI? a) Past, present or future payment information b) Dates for office visits, birth, admission, discharge, death c) Past, present or future physical or mental conditions d) Any information that may be used to identify a patient e) Name, address, social security number, phone, email
d) Any information that may be used to identify a patient
The medical practice should document and maintain records of all disclosures of PHI for reasons other than treatment, payment and health care operations (TPO) for a period of a) Three months b) Unto perpetuity c) Until the death of the patient d) At least 6 years
d) At least 6 years
The patient's written permission to disclose information for uses outside of treatment, payment and health operations is a) Acknowledgment b) Privacy report c) Disclosure d) Authorization
d) Authorization
Your patient feels faint during an interview. You feel the carotid artery and you feel a pulse beating. You call 911. What should you do while waiting? a) Shake her b) Take her to the ER at a nearby hospital c) Needle GV 26 (ren zhong) d) Begin chest compressions
d) Begin chest compressions
The American Heart Association recommends Child CPR for a) Infants and children b) Any small-framed adult c) Adolescents d) Children under the age of 8 but not for infants
d) Children under the age of 8 but not for infants
The 2nd most prevalent form of cancer is a) Leukemia b) Skin c) Lung d) Colorectal
d) Colorectal
A patient consent agreement regarding their protected health information (PHI) must be a) Verbal b) Witnessed by a 3rd party c) Digital d) Written
d) Written
All privacy breaches to PHI must be a) Documented w/ the FPPA (Federal Privacy Protection Agency) b) Reported to the patient c) Reported to state regulators d) Documented and followed up on
d) Documented and followed up on
Which statement is FALSE about employee privacy training? a) New employees should be trained during orientation (effective 4/14/2003) b) Employee privacy training must be documented in the employees personnel file c) Employees are to receive training whenever a change in the privacy law will have an effect upon the performance of their job d) Employee privacy training must be repeated every year
d) Employee privacy training must be repeated every year
The following are HIPAA recommendations except one which is a HIPAA regulation/law. Choose the law. a) Only parties authorized to receive PHI under applicable law and the medical practice's privacy policies should receive PHI via a fax. b) All fax numbers should be confirmed prior to dialing. c) Fax machines should be located away from areas where patients or non-authorized persons may have visual access. d) Except otherwise authorized by law, a written authorization from the patient must be obtained prior to the release of PHI for purposes other than TPO (treatment, payment, health care operations).
d) Except otherwise authorized by law, a written authorization from the patient must be obtained prior to the release of PHI for purposes other than TPO (treatment, payment, health care operations).
An authorization to release protected health information can be revoked a) Only within 60 days of signed authorization b) By telephone request c) It cannot be revoked under any circumstances d) If the requested action has not already taken place
d) If the requested action has not already taken place
Which is NOT true in regards to medical records a) Records should be returned or destroyed after they have served their purpose b) Information about the pt given by phone should have a signed pt release and verification of the recipient c) Info regarding release of records should be maintained in the pts file d) Information about the patient can be sent via email
d) Information about the patient can be sent via email
What should you do when assisting an adult or child with breathing? a) Push on the victim's abdomen b) Let the victim's chin drop c) Force all of you air into the victim d) Pinch the victim's nose closed
d) Pinch the victim's nose closed
What should you do when giving adult chest compressions? a) Hands are both flat along side of ribs b) Position one hand below diaphragm c) Hands are in fists, thumbs side up d) Position your hands just above the junction of the xyphoid and sternum in the lower half of the sternum
d) Position your hands just above the junction of the xyphoid and sternum in the lower half of the sternum
You are treating a famous rock star for substance abuse. The National Enquirer calls you to confirm whether she is a patient being treated for substance abuse. What would you do? a) Deny that she is a patient b) Confirm that she is a patient being treated for a cocaine problem c) State that she is a patient but cannot divulge the reasons for seeing you d) Refuse to deny or confirm that the person is a patient
d) Refuse to deny or confirm that the person is a patient
What is the essence of CPR? a) Allows the victims to help themselves if they are alone b) Will always save the victim's life if performed properly c) Is an ancient healing technique d) Serves as an artificial heartbeat and an artificial respirator
d) Serves as an artificial heartbeat and an artificial respirator
How do you check an adult for victim's responsiveness? a) Tickling his feet b) Using smelling salts c) Pouring cold water on his face d) Shaking him and shouting, "Are you okay?"
d) Shaking him and shouting, "Are you okay?"
The following are HIPAA recommendations EXCEPT one which is a HIPAA regulation/law. Choose the law. a) When a privacy breach has occurred, a medical practice must put appropriate measure to prevent similar occurrences b) The medical practice should have policies to authenticate the recipients and senders of e-mail containing PHI c) Except in emergencies related to patient care, health care providers should not take medical records out of the practice. d) The practice should have a business associate contract with third party vendors who have access to PHI
d) The practice should have a business associate contract with third party vendors who have access to PHI
What is the most common cause of airway obstruction? a) Chewing gum b) Foreign objects c) Food d) Tongue
d) Tongue
