What would be the best advice for a MA caring for patients who have complaints about dissatisfaction with a provider

Listen carefully to the complaints and tell the attending provider

What was the goal of the Patient Protection and Affordable Care Act signed into law in 2010?

Converting patient records to an electronic format

Which of the following statements accurately describes an aspect of cloning?

A clone is genetically identical to the parent.

For which of the following reasons did pagan tribes begin the custom of covering the face of the deceased with a sheet?

They believed that the spirit of the deceased escaped through the mouth.

What is the initial patient action if he or she feels a health care practitioner has violated the HIPAA privacy rule?

The patient must file a written complaint with the secretary of HHS.

Health care practitioners and facilities may be asked to disclose PHI "for the public good."

Release PHI to authorities if child abuse or neglect is suspected.

In which of the following situations is a physician not expected to obtain consent before proceeding with treatment?

When the physician is acting in an emergency situation.

Which of the following is a recommended guideline for conducting the interviews?

Stick to a list of questions that relate specifically to the job

Which of the following is not a violation of HIPAA's privacy rule?

You disclose information to a patient's husband who is on her HIPAA form

Alicia's computer monitor is easily viewed by patients as they are sitting at her station. What is the correct action?

Fix the computer so no information is on the screen.

Which of the following is a reason that uninsured Americans add significantly to the cost of health care delivery?

They use emergency rooms frequently.

Which of the following is a CDC Guideline for Universal Precautions for Hospitals?

Decontaminate surfaces when spills occur and daily when work is completed.

Schools that train health care providers are offering courses in thanatology. What is the focus of this course of study?

Death and psychological methods of coping with it

Which of the following examples would not be a HIPAA standards-covered transaction?

A patient sends an email to a physician that contains pt identification.

What is the major focus of the 2010 Patient Protections and Affordable Care Act?

Availability of health insurance coverage for all Americans

Which of the following is true regarding the process of organ donation?

A donor's name is released to recipients only if both parties agree to it.

A physician is using somatic gene therapy for a patient with a severe genetic disorder. What is involved?

Inserting normal copies of the gene

In which of the following cases would it be legal for a physician to sign a death certificate?

If the physician attended to the deceased before the death

What is the common date marked as the start of the statute of limitations?

The day the alleged act was committed

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Medical Ethics Exam Review

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1
What would be the best advice for a MA caring for patients who have complaints about dissatisfaction with a provider
Tell them how patient care will be improved under a new healthcare team
Do not allow the patients to speak about their physicians
Verbally agree with them if indeed the physician is incompetent.
Listen carefully to the complaints and tell the attending provider
2
What was the goal of the Patient Protection and Affordable Care Act signed into law in 2010?
Providing protection for health care practitioners who give first aid
Converting patient records to an electronic format
Lowering the cost of liability insurance premium
Ensuring patient confidentiality
3
Which type of medical facilities will continue to increase in number as a result of minimally invasive surgery?
Ambulatory surgery centers
Rehabilitation centers
Hospitals
Physician's offices
4
A patient dies under suspicious conditions. Which of the following occurs to determine cause of this patient's death?
Autopsy
Postmortum hearing
Criminal investigation
Lawsuit
5
Which of the following statements accurately describes an aspect of cloning?
A clone is genetically identical to the parent.
Identical twins are not clones.
It is an organism produced asexually from a cell from each of the parents.
The egg and sperm cells in our bodies are clones.
6
For which of the following reasons did pagan tribes begin the custom of covering the face of the deceased with a sheet?
They believed that the spirit of the deceased could see family members.
They were afraid the deceased would cast a spell on other family members.
They believed that the spirit of the deceased escaped through the mouth.
They believed that the spirit of the deceased would call family members.
7
Which of the 4 "Cs" provides improvement in patients' medical condition and decreased likelihood that they will sue.
Caring
Creativity
Computer literacy
Charting
8
Andrew Wakefield speculated that a relationship between the MMR vaccines and what disorder in children exsisted?
Cerebral palsy
Autism
Down syndrome
Leukemia
9
Infertility is considered to be the failure to conceive in how many months or longer?
18
9
12
6
10
What is the initial patient action if he or she feels a health care practitioner has violated the HIPAA privacy rule?
The patient may sue the practitioner in a criminal court of law.
The patient has no recourse under the federal mandate
The patient must file a written complaint with the secretary of HHS.
The patient may sue the practitioner in a civil court of law.
11
A gene that predisposes a woman to breast cancer has been discovered.What type of testing is done to see if this present
Diagnostic
Carrier
Predictive
Forensics
12
The physician agrees to withhold medical treatment for a dying patient. What type of euthanasia is this?
Active
Physician- Assisted
Passive
Involuntary
13
Which of the following torts might occur from photographing a patient without proper consent?
Assault
Invasion of Privacy
Defamation
Libel
14
A new mother leaves her infant daughter in a safe place at a nurse's station in a hospital. She is protected by
Federal Child Abuse Amendment
Parens Patriae
Safe Haven Law
Best Interest of the Child Act
15
Health care practitioners and facilities may be asked to disclose PHI "for the public good."
When disclosure is required by law, reveal as much PHI as possible.
Do not disclose PHI to the FDA when reporting an adverse effect.
Release PHI to authorities if child abuse or neglect is suspected.
Never release PHI unless the patient consents
16
Which of the following schedules of drugs are used strictly for research?
Schedule III
Schedule I
Schedule II
Schedule IV
17
In which of the following situations is a physician not expected to obtain consent before proceeding with treatment?
When the physician is acting in an emergency situation.
When an emancipated minor is seeking testing for HIV/AIDS.
When a parent or legal guardian is present for a minor.
When a patient is disabled
18
What is the name of the legal doctrine that allows the state to act in the best interest of the child?
Parens patriae
No hassle provision
Best Interest of the Child concept
Safe haven law
19
Which of the following is a recommended guideline for conducting the interviews?
Allow the interview to last as long as the candidate prefers.
Stick to a list of questions that relate specifically to the job
Do not promise to inform the candidate when a decision has been made.
Do not ask why the person is leaving his or her current position.
20
Which of the following is not a violation of HIPAA's privacy rule?
You inform a patient's mother that they have an STI
You disclose information to a patient's husband who is on her HIPAA form
You call across a waiting room to tell a patient he forgot his seizure meds
You tell a friend that their cousin, who is your patient, is pregnant
21
Passed in 1984, what does the National Organ Transplant Act address?
Safety of organs
Transportation of organs
Distribution of organs
Shortage of organs
22
Alicia's computer monitor is easily viewed by patients as they are sitting at her station. What is the correct action?
Ignore it
Fix the computer so no information is on the screen.
Put a chart in front of the screen.
Distract other patients from looking at the monitor.
23
Who completes the medical portion of a death certificate after a person is pronounced dead?
Attending physician
Coroner
Next of kin
Funeral Director
24
According to HIPAA language, which of the following describes the term "covered entities"?
Health care consumers
Health care manufacturers
Health care treatments
Health care providers
25
Which of the following is an inherited condition that is often detected through amniocentesis?
Down syndrome
Multiple sclerosis
Cerebral palsy
Diabetes
26
The Patient Self-Determination Act was passed in 1990. What patient's concern did this legislation address?
Euthanasia
Advance directives
Physician assisted suicide
Right to die issues
27
Technically, it can be said that death results from lack of which of the following?
Blood circulation
Brain waves
Reflexes
Oxygen
28
A 17yo M lives with his parents and meets the requirements to give informed consent to have his tonsils removed. He is a
Protected minor
Knowledgeable minor
Mature minor
Emancipated minor
29
Which of the following is a reason that uninsured Americans add significantly to the cost of health care delivery?
They see physicians regularly.
They use government services for health care.
Receive sufficient healthcare to protect them in the event of major illness
They use emergency rooms frequently.
30
Which of the following is a CDC Guideline for Universal Precautions for Hospitals?
Recap needles when finished using them.
Decontaminate surfaces when spills occur and daily when work is completed.
Pipette fluids by mouth.
Wear double gloves when processing patient specimens.
31
Defense that prohibits a lawsuit against the person who caused an injury if he was released from further liability
Assumption of Risk
Res judicata
Statute of Limitations
Release of tortfeasor
32
Which of the following children may be declared exempt from vaccination programs on medical grounds?
Children with autism
Children with sickle cell disease
Children with asthma
Children with egg allergies
33
Which of the following is not one of the 4Cs?
Concise
Chronologically Ordered
Complete
Clean
34
The state of Virginia checks all restaurants to make sure the conditions are sanitary. This is
Civilian Protection Acts
Public health statutes
Federal health legislation
Civil laws
35
Schools that train health care providers are offering courses in thanatology. What is the focus of this course of study?
Using aggressive curative treatment on patients with terminal illnesses
Death and psychological methods of coping with it
Legal and ethical issues pertaining to euthanasia
Using religion to cope with death issues
36
Which of the following is the vaccination for human papillomavirus (HPV) designed to prevent?
Influenza
Cervical cancer
Diphtheria
Smallpox
37
Which of the following examples would not be a HIPAA standards-covered transaction?
A physician submits an electronic claim to a health plan.
A physician sends a referral electronically to another physician.
A patient sends an email to a physician that contains pt identification.
A health care provider uses a clearinghouse to send claims to payers.
38
What is the major focus of the 2010 Patient Protections and Affordable Care Act?
Customer records in banks
Availability of health insurance coverage for all Americans
Disclosure of privacy policies for financial institutions
Access to school records
39
Technically, abortion is legal in how many states?
50
32
40
25
40
Which of the following is true regarding the process of organ donation?
Organ donors must be over 18 years old.
Costs of organ donation are born by the donor.
A donor's name is released to recipients only if both parties agree to it.
Laws exist that would compel a person to donate an organ against their will
41
A physician is using somatic gene therapy for a patient with a severe genetic disorder. What is involved?
Replacing a deficiency
Correcting an abnormality in the genes of sperm or egg
Inserting normal copies of the gene
Blocking an overactive pathway
42
For which of the following individuals would requirements for reporting communicable disease be more stringent?
A lawyer
A waitress
An office manager
A stay at home parent
43
Which of the following is not a reportable STI?
Pubic lice
Scabies
Syphilis
Cervical cancer
44
Which of the following victims was the Laci and Conner's Law passed to protect?
Children
Older adults
Fetuses
Vulnerable Adults
45
Which of the following is an example of a vulnerable adult who many states have passed laws to protect?
An adult receiving hospice care
An elderly adult
An adult who is at the poverty level
A mentally challenged adult
46
OSHA standards are often influenced by or associated with guidelines issued by which of the following organization
CDC
HCS
CLIA
JAACHO
47
In which of the following cases would it be legal for a physician to sign a death certificate?
If the physician attended to the deceased before the death
If the cause of death was violent or suspicious
If the cause of death was undetermined by the physician
If the death was possibly due to criminal causes
48
To be eligible for hospice care, doctors usually must certify that they are not expected to live beyond how many months?
3
6
9
12
49
What is the common date marked as the start of the statute of limitations?
One week after the alleged act was committed
The day the physician-patient relationship began
One month after the injury from the alleged act was discovered
The day the alleged act was committed
50
When a couple's egg and sperm are brought together in a test tube, and then implanted in the mother it is
In vitro fertilization
Surrogacy
Heterologous artificial insemination
Homologous artificial insemination
51
Which of the following would be involved in completing the process of credentialing for health care institutions?
An insurance company
An attorney
Other, similar healthcare institutions
Employees of healthcare institutions
52
Which of the following agencies tests and approves drugs before releasing them for public use?
Federal Drug Safety Administration
Food and Drug Administration
Controlled Substances Agency
Drug Enforcement Administration
53
Which of the following requests for patient information should not be given without patient authorization?
A pharmaceutical company requests patient information to target audiences.
An insurance clerk needs to know the patient's co-pay.
A state law requires patient information to track communicable diseases.
A physician's office sends mammogram reminders to patients.
54
Which of the following is not a goal of palliative care?
Providing symptom management to a patient with a terminal illness
Using pain management to comfort for a patient with a terminal illness
Using current research studies to effect a cure for a terminal illness
Helping a patient with a serious illness live a more fulfilling life
55
Which of the following is the correct guideline for correcting errors in a patient's medical record?
Draw a single line through the error, and write above or below the line
Write explanation for error on margins of the paper
Black out the information with a permanent magic marker
Use correction fluid to white out the error
56
Which of the following statements regarding stem cell use is true?
Adult human body tissues do not produce stem cells.
Embryonic stem cells have potential to treat a wide variety of diseases.
Adult stem cells are pluripotent.
Embryonic stem cells are multipotent.
57
Which of the following is not considered an advance directive?
Health care proxy
Durable power of attorney
Living will
Voluntary suicide
58
The Human Genome Project, funded by the U.S. government, was started in 1990. What was the purpose of this project?
To determine which genes are inherited from which parent
To further the development of creating human clones
To pinpoint certain inherited diseases, such as sickle cell anemia
To locate and map the location of all 46 genes
59
Which of the following was a provision of the Patient Protection and Affordable Care Act of 2010?
Invest in clinical research
Provide public financing for healthcare for Americans below poverty level.
Create an income tax exclusion for employer-paid insurance.
Charge Medicare beneficiaries more
60
Which of the following in not an organ that can be transplanted?
Brain
Heart
Kidney
Stomach
61
What is the main reason health care practitioners are required to report STIs to the state health department
To impose a fine on the individual
To track the incidence of STIs for clinical research
To quarantine the individual with the infection
To treat others who may be infected
62
Which of the following is an example of a patient who usually cannot give informed consent?
A married minor
An adult who is mentally incompetent
An emancipated minor
A mature minor
63
Under which of the following circumstances should an additional separate consent form be obtained to use patient images?
When they will be used for teaching purposes.
When they will be used to document before and after patient conditions.
When they will be used to document a new procedure.
When they will be used to document routine care.
64
Which of the following information is not usually included in the process of the doctrine of informed consent?
The reputation of the physician performing the procedure
Risks involved in the procedure
Available alternative modes of treatment
Proposed modes of treatment
65
To which of the following agencies should live births be reported?
Local judge
Federal registrar
State registrar
Census bureau
66
A PA accused of medical malpractice claims that the act he is accused of was not performed. Which is his defense?
Assumption of Risk
Comparative Negligence
Contributory Negligence
Denial
67
Which of the following federal laws makes it illegal to discriminate in hiring or firing because of union membership?
Wagner Act of 1935
Civil Rights Act of 1964
Civil Rights Act of 1991
Lilly Ledbetter Fair Pay Act of 2009
68
A patient signs a form that details what will happen with the patient information obtained during treatment. This is a
Designated record set
Health care operations report
Notice of Privacy Practices
Protected Health Information
69
HIPAA defines psychotherapy notes. Which of the following is an accurate description?
They analyze contents of conversation during counseling sessions.
They include medication prescription and monitoring.
They are maintained within the patient's general medical record.
They may be accessed by any health care provider giving care to a patient.
70
health care practitioners must consider which of the following guidelines when providing HIV testing?
Parental consent is required for a physician to treat a minor for HIV.
Children who contract HIV may make informed decisions in their health care.
Married minors do not have the right to give consent for HIV testing.
Guardians must consent to treatment for HIV for emancipated minors.
71
A patient has been diagnosed with incurable lung cancer. What type of care would best serve this patient best?
Homeopathic
Curative
Experimental
Palliative
72
Which of the following is not an area of questioning appropriate for the employer to ask a job applicant?
Licenses/certificates
Work experience
Social Security number
Birth date
73
Which act, passed in 1996 prevents health insurers from denying coverage based on genetic information?
Privacy Act
Americans with Disabilities Act
Civil Liberties Act
HIPAA
74
Which of the following acts mandated that employers maintain a sharps injury log?
Occupational Exposure to Bloodborne Pathogen Standard
Medical Waste Tracking Act
CDC Isolation Precautions
Chemical Hygiene Plan
75
Which of the following is true regarding the legal rights of newborns in the United States?
They are determined by the parents in charge.
They do not have any legal rights until they reach age 21.
They are not protected under the Constitution.
They are the same as for any other American citizen of any age.
76
What aspect of death and dying did the late Elisabeth Kübler-Ross, MD describe?
Grieving rituals
Impact of the death of a relative on the family structure
Coping methods of persons who are grieving
Religious aspects of death and dying
77
In which of the following cases would it be forbidden to disclose PHI about a person?
When the person is the subject of an investigation.
When the person has a certain communicable disease.
When the person is a victim of child abuse.
When the person has a gunshot wound.
78
Which of the following is a recommended guideline for therapeutic communication?
Do not make eye contact with patients.
Do not use nonverbal communication with patients.
Sit rather than stand when interviewing patients.
Use defensive body postures to communicate disapproval.
79
Which of the following new trends in health care would be most likely to decrease health costs?
Gene therapy
Anarchy
Minimally invasive surgery
Use of stem cells
80
What information does not need to be documented in the patient's permanent medical record after a vaccination?
Date of vaccination
Vaccine lot number
Name of health care provider administrating vaccine
Location of the vaccine manufacturer
81
Which of the following is an example of implied consent?
A patient holds out their arm for a blood pressure
A patient states that he or she will take medications prescribed.
A patient states that he or she will cooperate with diagnostic testing.
A patient signs an informed consent for surgery.
82
Which of the following is a recommended guideline when communicating with patients?
State that it is not your job to make appointments.
If adverse events occur, do not report the event until damage is assessed.
When adverse events occur, try to avoid or ignore the patients involved.
Communicate clearly and ask for confirmation that you have been understood.
83
Which of the following is a guideline for safely handling hazardous materials?
Material Safety Data Sheets must be filed in a locked drawer
The employer must provide a Material SDS for each hazardous chemical.
Employee supervisors must read new MSDSs to the employees
Each hazardous product must have a poison label on the packaging.
84
What was the purpose of the creation of the Uniform Anatomical Gift Act?
To allow individuals to donate body parts for money
To allow physicians to use organs as they see fit
To allow individuals to donate their bodies to science after death
To allow individuals to bid on donated organs
85
Which Greek physician is known as the father of Medicine?
Percival
Hippocrates
Socrates
Hammurabi
86
Which of the following is an example of a behavioral sign of abuse?
Pain or bruising in the genital area
Torn or bloody underwear
Illogical explanation for injuries
Unexplained fractures
87
Which of the following cases legalized abortion at the Supreme Court level?
Roe vs Wade
Jones vs Davis
Roe vs Jones
Davis vs Wade
88
For which of the following patients would palliative care be most appropriate?
A 10-year-old female with leukemia
A 60-year-old male with prostate cancer
A 35-year-old male with incurable pancreatic cancer
A 28-year-old female with breast cancer
89
Which disease was added in 2003 to the list of communicable diseases for which federal isolation is authorized?
Smallpox
Severe acute respiratory syndrome (SARS)
Infectious tuberculosis
Viral hemorrhagic fever
90
Which of the following is an example of a person who is experiencing the third stage of grief ?
A person who is dying is angry at God for the loss of control over her life
A person who is dying feels hopeless and cries frequently.
A dying person asks God to be kept alive to see the birth of her grandchild
A person seeks another doctor because she doesn't believe her diagnosis
91
Which of the following is true of a patient's medical record?
Medical records are voluntary and are not required by licensing authorities
They provide documentation of a patient's health care from birth to death.
Medical records do not serve as legal documents in lawsuits.
Medical records can be changed per patient's wishes
92
Which of the following does not need to be documented?
Patient referrals
Case withdrawals
All non-telephone patient conversations
Treatment refusals
93
Which of the following statements regarding HIPAA policy is true?
An employer cannot access an employee's PHI without patient permission.
Police 911 dispatchers cannot give EMTs a patient's name.
Healthcare providers cannot give patient updates to family members.
Health care providers cannot correspond about a patient's care.
94
Which of the following conditions is not covered by the Family Leave Act?
Recovering from substance abuse
Adoption
Maternity
Caring for an ill family member
95
A physician exchanges information with a patient's managed care plan following HIPAA guidelines. This is
Designated record set
Covered personas
Notice of privacy practices
Covered transactions
96
Which of the following should not be included in a patient's medical record?
Times of arrival for appointments
Driver's License
Social security number
Personal judgments
97
Which of the following is true about hospice care?
It is not designed to target the underlying disease process.
The care always occurs in a hospice facility.
It relieves pain using alternative comfort measures instead of medications.
It is not designed to meet the emotional needs of the patient or family.
98
Persistent Vegetative States is most often caused by damage to which of the following parts of the brain?
Brain stem
Medulla oblongata
Cerebellum
Cerebral cortex
99
A woman is tested for the E—APOE—gene to prepare for her future years. What disease state does this gene represent?
Alzheimer's disease
Breast cancer
Parkinson's disease
Huntington's disease
100
Which genetic disease is seen most often amoung people of African American descent?
Sickle cell anemia
Neurofibromitosis
Tay-Sachs disease
Fragile X syndrome

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