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Medical Ethics Chapter 7-8 Flashcards | StudBud
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Medical Ethics Chapter 7-8
Medical Ethics Chapter 7-8
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Medical Ethics
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40 cards
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Questions
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Answers
1
Which HIPAA standard requires providers to use specific code sets?
Standard 5
Standard 4
Standard 1
Standard 3
2
What is an addendum to a medical record?
A significant change or addition to a health record
A physician's consent to change a medical record
A correction to a record-keeping mistake
A second opinion from another physician
3
If a plastic surgeon photographs patients, which should be included on the consent form?
The patient cannot view the photographs
the patient will be paid for the photographs
Photos will be kept for an undetermined amount of time
Authorization to use photos outside the facility
4
A medical clinic does pre-employment physicals paid for by an employer, who owns the records?
The medical clinic
The government
The employer
The patient
5
Which the following would patient authorization for release of their medical records be waived?
When a patient dies
When transferring to another physician
When a subpoena duces tecum is issued
For an insurance claim
6
The use of EHR to improve quality, engage patients, improve care and maintain privacy is known:
complex medical decision making
disaster planning
as meaningful coding
as meaningful use
7
Which of the following is a public health benefit with the use of HIT in the medical industry?
Early detection of infectious outbreaks in the country
Prevention of medical errors
Reduction of healthcare costs
Less improvement in healthcare quality
8
Which of the following people
CAN
give informed consent?
Mentally incompetent
Minors
non-english speakers
english speaking illegal immigrants
9
In a physician's office, a sign in sheet is permissible use as long as:
you do not ask for the reason of the visit
the actual time of the appointment is not recorded
the sign in sheet is a peel off label for each patient
the receptionist immediately crosses off the name
10
Which describes the doctrine of professional discretion?
It is up to the patients whether they can see the records
The physician decides if patients can view medical records
The patient can access copies of their medical records
It is up to the insurance company who can see the records
11
Which of the following is
not
one of the 5 C's used to describe medical records?
Clear
Correct
Complete
Clean
12
Which of the following is
not
a reason that Medicare fraud is difficult to estimate?
Health care claims are destroyed after two years
Fraud is hard to detect
Statistics from prior years are not always accurate
Clains can be partially fraudulent and partially accurate
13
What is the term for the physician obligation based on trust and confidence?
Good Samaritan obligations
Consent
Caring relationship
Fiduciary duty
14
Which of the following should not be included in a patient's medical record?
Change in weight
notes regarding a patient's reaction to a new prescription
Change in marital status
Notes regarding patients participation in a rally
15
Which of the following information is
not
usually included in the doctrine of informed consent?
Risks involved in the procedure
Proposed modes of treatment
Why the treatment is necessary
Reputation of the physician performing the procedure
16
How many HIPAA defined permissions exist?
Three
Four
Seven
Six
17
A breach under HIPAA is:
unauthorized acquisition, use or disclosure of personal info
unauthorized use of the medical record that is not disclosed
the transfer of records by email
similar to meaningful use
18
Which action negates the immunity provided by the Good Samaritan Act at an accident scene?
Billing for services provided at the scene of the accident
Acting within the scope of training
Consulting with EMTs on site
Providing care in good faith
19
What is a firewall?
Computer software designed to prevent electronic fraud
Computer passwords and logins for employees
Steel safe to protect paper documents
Construction in a health clinic to protect private documents
20
Info about victims of abuse, neglect, or violence can be released under which HIPAA permission?
Limited data set
incidental use
public interest and benefits activities
disclosures with opportunity to agree or object
21
Which of the following aspects is most vital in the issue of informed consent?
Patient education
Age of patient
Patient compliance
Patient maturity
22
The first federal law to specifically deal with the privacy of health care records was:
Electronic Communication Privacy Act
Health Insurance Portability and Accountability Act
Patient Safety and Quality Improvement Act
Computer Abuse Amendments Act
23
Medical records are:
always the property of the patient
never the property of the patient
legal documents
not legal documents if kept electronically
24
When a person is required to have a physical for employment, the employer pays for the physical
The records should be separate files from personnel records
Keep the records in the employee's personnel records
The records should be reviewed and returned to the provider
the records should be reviewed and returned to the employee
25
What federal agency fights fraud, waste, and abuse in health programs?
Office of Civil Rights
Office of the Inspector General
Department of Justice
Office of Attorney General
26
Which of the following statements is true about HIPAA standard 2?
Protected Health Info is written, spoken, or electronic form
Protected Health Info covers only written records
All providers must have unique identifier number for claims
Protected Health Info covers only electronic records
27
Under the Patient Protection and Affordable Care Act insurance are not required to
Cover children up to age 30 on their parents insurance
remove insurance barriers to emergency service
phase out annual and lifetime limits to coverage
Phase out arbitrary withdrawal of insurance coverages
28
What should be done to correct an error in a written medical record?
Destroy the entry and start over
Draw a line through the mistake, correct, date and initial
Get written consent from the patient to correct the error
Draw a line through the error and enter the new information
29
Which HIPAA standard requires that all providers secure a national provider number?
Standard 3
Standard 2
Standard 4
Standard 1
30
Which is
not
a "best practice guideline" for maintaining confidentiality?
A fax cover sheet that says confidential, to addressee only
verify fax numbers before sending
Print confidential info to printers not in general use
Discard faxed copies in the recycle bin
31
Which is one of the amendment to the Constitution that covers privacy issues?
Second
Third
Eighth
Sixth
32
Which case first declared that a constitutional right to privacy was implied?
Eisenstadt v. Baird
Board of Education v Earls
Griswold v. Connecticut
Roe v. Wade
33
A patient thinks her privacy rights have been violated by a local hospital. Under HIPAA, she:
fFle a written report with the local medical society
May immediately file a lawsuit in small claims court
File a complaint with Secretary of Health and Human services
Must file a written complaint with the district attorney
34
For which of the following examples would implied consent
no
t be legally appropriate?
A nurse taking a blood pressure
Patient agrees to a chest x-ray
A patient providing a urine specimen to check for a UTI
Patient agrees to a test for HIV
35
What does a HIPAA state preemption mean?
State laws take precedence if stricter than HIPAA laws
Patients must file with HIPAA before a physicians visit
HIPAA laws always take precedence over state laws
States choose whether or not to adopt HIPAA laws
36
The law that mandated EHR and provides the rules for patient access to their records is:
HIPAA
FDA
DOJ
OSHA
37
A permission is defined as:
A request for records
A reason under HIPAA for disclosing patient information
A reason under HIPAA to delete a record
A covered entity
38
What is the reason for most breaches of confidentiality?
Lost or stolen computer device
Technical glitch
Third party error
Employee mistake
39
Who owns the patient's medical records kept in a hospital?
The patient
The surgeon
The treating physician
The hospital
40
What's difference between electronic medical record (EMR) and an electronic health record (EHR)
EMR is a record of a single provider, EHR is comprehensive
EHR is a record from a single provider, EMR is comprehensive
EHR's are protected by HIPAA, and EMR's are not
EMR's are protected by HIPAA, EHR's are not