TMA Chapters 1-4 Exam Review

name four purposes of an advanced directive?

1. States an individual's wishes regarding healthcare if the individual is not able to speak for him or herself 2. names an individual to make decisions for an individual if he or she becomes incapable of doing this 3. expresses an individual's wish to donate organs when he or she dies 4. States and individuals wish not to be resuscitated if his or her heart stops beating

three Trends in modern medicine that have led to an increase in office-based health care are?

1. desire to reduce Healthcare cost for employers governments and insurance companies 2. medical offices and Clinics providing a wide range of Diagnostic and treatment services to avoid having to admit patients to the hospital 3. evidence in research on outcomes demonstrating that people feel better the less they must be confined in or go to a hospital for treatment

name three kinds of health professionals that can manage routine patient care?

1. physician 2. nurse practitioner 3. physician assistant

give three examples of a patient's rights?

1. right to life 2. right to privacy 3. right to autonomy

give four reasons why neatness and good grooming are important for medical assistants?

1. they help the medical assistant project a professional image 2. clean hair and hands help prevent the spread of infection 3. if medical office staff looks professional it helps patients believe that they will receive competent care 4. excessive jewelry can become Tangled and equipment

how many employees must a business have for them to be protected by Equal Opportunity Employment laws?

15 people

when was the American Association of medical assistants organized?

1956

how many contact hours must an RMA obtain in order to recertify?

30 contact hours

Managed Care

A system that manages the delivery of healthcare with the intention of controlling costs

which of the following agencies accredits medical assisting education programs?

CAAHEP

which law or government agency is primarily responsible for the regulation of Laboratories and laboratory tests?

Clinical Laboratory Improvement Act (CLIA '88)

denial

Defense mechanism by which people refuse to accept reality.

what is a key concept of the Hippocratic Oath?

Do no harm

what are the four D's of malpractice

Duty derelict direct cause damage

which federal law regulates minimum wage?

Fair labor standards Act

which federal act includes incentives to encourage adoption of electronic medical records by physicians and health care facilities?

HITECH

what kind of facility now functions primarily to provide acute care and diagnostic services?

Hospital

what kind of insurance plan is designed to provide health insurance for low-income people?

Medicaid

what encouraged the development of medical assisting as a profession?

Medical Offices had to submit insurance forms for patients covered by government insurance plans

what kind of federal insurance plan provides health insurance for the elderly the disabled and those with end-stage kidney disease?

Medicare

which federal agency is responsible for physical protection of employees in the workplace?

OSHA

what is defensive medicine?

Physician's order more diagnostic tests than before as a defense against a possible lawsuit

open questions

Questions that allow for a variety of extended responses

what credential is obtained if a medical assistant passes the certification examination in medical assisting given by the American Medical technologists (AMT)?

RMA

Respondeat Superior

Responsibility of an employer for the acts of an employee

what US Supreme Court decision in 1973 established the right of a woman to obtain an abortion in any state?

Roe versus Wade

what does the doctrine of respondeat superior mean?

The Physician is liable for the negligent actions of his or her employees

what is the current name for the health insurance plan for dependent spouses and children of active-duty military personnel?

Tricare

what examination must have physician pass in order to obtain a state license to practice medicine?

United States medical licensing examination (USMLE)

common law

Unwritten body of law based on General custom

Act

a bill or measure that has become law

what is the legal nature of the doctor-patient relationship?

a contract

a drug that has potential for addiction and or abuse is called?

a controlled substance

subpoena

a court order for a witness to appear and give testimony

subpoena duces tecum

a court order to produce documents or records

malfeasance

a crime or wrongdoing that is illegal

comparative negligence

a defense to a lawsuit that establishes a percentage of responsibility for injury on the part of the plaintiff

arbitration

a formal process whereby the parties to a dispute agree to submit to the decision of a neutral party

res ipsa loquitur

a legal doctrine that assumes negligence because of the type of injury

misdemeanor

a less serious crime punishable by a fine or imprisonment for less than a year

formulary

a list of prescription drugs covered or preferred by managed care insurance company

fee-for-service

a means of payment for health care in which the cost for each service provided is reimbursed in full or in part

patient-centered medical home

a model of primary care that emphasizes patient-centered Healthcare based on personal relationship among the patient a physician and the patient's care team

what is utilization review?

a process to determine whether Health Care is medically necessary

what is a right?

a strong claim

anxiety

a vague unpleasant emotion of fear or dread often accompanied by restlessness or nervousness

a physician has discontinued care of a patient without properly notifying the patient what is this called?

abandonment

capitation

accept payment provided by managed care insurance per patient per month regardless of the amount of service the patient receives

how should a medical assistant deal with a patient going through denial?

accepting the denial without reinforcing it

how can the medical assistant show empathy for a patient?

acknowledging the patient's feelings

the type of listening when a medical assistant remains in the moment and focus is fully on the patient's message is called?

active listening

what type of law refers to law arising from the actions of federal government agencies such as the Social Security Administration and the Internal Revenue Service?

administrative law

when does a physician participate in a residency program?

after finishing medical school

what is an advantage to a student of completing an accredited medical assisting program?

after graduation the student is eligible to take a medical assisting certification examination

if the patient looks away and the medical assistant continues to seek eye contact what can this be perceived as?

aggression

when a patient comes to the office for care and then leaves and goes home what type of care has the patient received?

ambulatory

what is undoing?

an attempt to make amends for a feeling or behavior that makes a person feel guilty

tort

an injury or wrong against a person or property that does not involve breach-of-contract

hospice

an organization that manages care for dying patients including Comfort pain relief and personal care

what is a psychological response to a perceived threat?

anxiety

utilization review

assessment of medical services to determine whether they appropriate necessary and of high quality

what is rationalization?

assigning logical reasons or excuses for actions that may have been motivated by self-interest or other emotions that the person does not wish to acknowledge

what is compensation?

attempting to overcome a real or perceived handicap by developing some other ability or trait

what is the name for a patient's right to make decisions about health care according to individual values?

autonomy

how can the medical assistant facilitate good communication non-verbally?

be aware of his or her own and the patient's body language

how can the medical assistant be a good communicator?

be effective and sending and receiving messages

what is the name for the concept that a health professional should do the best possible?

beneficence

where is patient billing usually performed?

billing may be done in an individual office, in a centralized location for several offices ,or by a private billing service

what are the uses of arm gestures facial expressions and turning one's head all examples of?

body language

how is reasonable care determined for a physician?

by other physicians in his community or similar communities within his specialty

what is it called when a physician receives one monthly fee from the insurance company for each subscriber in his or her practice?

capitation

traditionally what distinguished a clinic from other types of medical offices?

care was free or very low-cost

hierarchy

classified according to rank or importance

what kind of Medical Practice might include a pediatrician an internist a dermatologist an allergist a neurologist and a general surgeon?

closed panel Health maintenance organization (HMO)

body language

communication that is expressed through facial expressions body position muscle activity and other non-verbal means

nonverbal

communication that occurs without words

holistic

considering the whole in medicine

what is the branch of law that deals with offenses against the public welfare that affect all people?

criminal law

judgemental

critical or negative

what is suppression?

deciding to put uncomfortable or painful thoughts out of awareness

how should the medical assistant help a sight-impaired patient?

describe the environment clearly in words

what agency should employees complain to if they feel they have been discriminated against in their hiring firing or employment?

equal employment opportunity commission

non malfeasance

ethical concept requiring than action Do no harm or do less harm than good

what is the name for normal acceptable behavior in our society?

etiquette

how often must a CMA(AAMA) recertify to continue to use credential?

every five years

chronic

existing over a long period of time

what is selective inattention?

failing to hear or pay attention to information that may provoke an anxiety

nonfeasance

failing to perform an act that should have been performed resulting in injury

negligence

failure to act as a reasonably prudent person would in similar circumstances

abandonment

failure to continue to provide medical care to a patient without proper notification

what type of insurance plan pays a physician separately for each procedure that was performed?

fee-for-service insurance

what is the name for a serious crime punishable by death or imprisonment?

felony

what is the duty to meet reasonable expectations of patients?

fidelity

what is an important part of active listening for a medical assistant?

focusing all attention on the patient

what is the name for an insurance plans list of approved medications?

formulary

what is the name for the crime of billing and insurance company for tests and procedures that were never performed?

fraud

embezzlement

fraudulent appropriation of funds or property of an employer or client

what was included in the original model for health maintenance organizations hmos?

full service clinics in which the Physicians were employees

what is one way for medical assisting program to demonstrate high quality?

gaining and maintaining accreditation

experimental treatments that attempt to treat or Cure Disease by giving patients new jeans that have been synthesized in a laboratory is called?

gene therapy

when one employee engages another with unwanted comments or physical contact of a sexual nature what is this called?

harassment

Hippocrates often called the father of Western medicine?

he believed that disease was caused by physical and environmental that could be studied

a system by which a person pays insurance company a yearly amount of money in exchange for the insurance company is paying some or most of the person's medical expenses for that year is?

health insurance

which is more common, a patient with total deafness or a hearing impaired patient?

hearing impairment that interferes with communication

where are paper medical records usually stored?

in a medical records area near the reception area

the ability to begin or carry through on a plan of action independently?

initiative

when a patient must cope with a serious illness offering choices is most helpful because?

it helps the patient gain some sense of control

case law

law established by the outcome of former cases

empirical

learned from observation or experiment

if a patient's Vision cannot be corrected to 20 / 200 in the better eye what is this called?

legal blindness

to whom would Physicians report in cases of specific infectious diseases?

local Board of Health

genetic engineering

making altering or repairing genetic material

if both sides are willing some disagreements can be settled out of court with the help of a facilitator what is this process called?

mediation

malpractice

negligence by a professional

does attending an accredited medical assisting program guarantee employment?

no

which aspect of our communication is most likely to convey our true feelings and beliefs?

nonverbal communication

how should a physician terminate a relationship with a patient in order to avoid a possible lawsuit for abandonment?

notify the patient in writing

empathy

objective awareness and sensitivity to the feelings and emotions of others

what is an important element of professionalism for medical assistants and Physicians?

obtaining continuing education and staying current in the profession

cities and towns enact laws that have to do with the general welfare of its citizens what are these laws called?

ordinances

which type of primary care seeks to balance the structure and function of the body through manipulation of muscles and joints?

osteopathy

give an example of an internal factor that can interfere with communication?

pain

what is the name for treatment that reduces symptoms of a disease but does not cure the disease?

palliative

what activities occur at the patient check-in window or counter?

patience and a new patient information forms and health insurance cards

which 1990 law recognizes the rights of adults who refuse treatment for disease?

patient self-determination act

active listening

paying close attention to a speaker without thinking of anything else

misfeasance

performing a legal act in an improper

once a medical facility has received notice that a patient has initiated a lawsuit what type of statement must the patient sign?

permission to release information

physiologic

pertaining to body processes

what agency is responsible for issuing a state license to practice medicine?

physician Licensing Board of each state

what is the Practical experience in a physician office that is included in a medical assisting program called?

practicum

malpractice insurance is also known as?

professional liability insurance

health insurance

protection for covered Services related to health care

describe Family Medicine?

provides General Medical Care of children adolescents and adults

closed questions

questions answered with a yes or no

what is not a common reaction to illness?

relief

what is the legal meaning of the word liability?

responsibility

what is regression?

returning to the emotional adjustment of an earlier stage of growth and development

paraphrasing

rewording an original passage

what right is the basis for informed consent?

right to autonomy

what type of Healthcare in Courage is regular check-ups immunizations and well-child visits?

routine care

what are the procedures that a medical assistant is trained for and allowed to performed by law called?

scope of practice

what are tone of voice voice pitch voice volume and voice quality examples of?

secondary nonverbal communication

what is displacement?

shifting an emotion or behavior from the original object to more acceptable substitute

oral

spoken

the level of appropriate care legally required of any other practitioner within the same Education and Training providing the same care in the same geographic region is called?

standard of care

larceny

stealing another person's property or money without violence

fee splitting

the practice of sharing fees with colleagues especially for making referrals

litigation

the process of taking a lawsuit through the courts

symptomatic treatment

therapy for symptoms of a disease or condition that does not remove the disease itself

palliative treatment

therapy that reduces the effects of a disease or condition but does not remove the disease itself

what function do ego defense mechanisms serve?

they protect against being overwhelmed by painful feelings

why should doorways in the medical office be at least three feet wide?

this is required by the Americans with Disabilities Act so that patients in wheelchairs have access

what is the typical personal distance or comfort zone for conversation with others?

three to four feet

what is one important reason for medical assistant to study

to develop the intellectual skills to analyze complex problems

what is an example of an important character trait for a medical assistant to have?

tolerance of different beliefs and attitudes

what branch of law compensates individuals for an injury?

tort law

Curative treatment

treatment that cures disease

ego defense mechanism

unconscious mental process that offers psychological protection

what is repression?

unconsciously excluding unacceptable ideas impulses or emotions from awareness

what is projection?

unconsciously identifying thoughts or feelings as originating in someone else when they really are the one's own thoughts and feelings

what is denial?

unconsciously refusing to acknowledge something that is difficult to accept

informed consent is consent based on?

understanding of a medical procedure and it's possible outcomes

if a patient is not comfortable with English what should the medical assistant avoid?

using the patient's child as a translator

the expectation of truthfulness by all healthcare workers is called?

veracity

when were the medical assistant used closed questions?

when looking for one word or short answer

when is it appropriate for the medical assistant to use silence in an interview with a patient?

when the medical assistant wants to encourage the patient to speak more