Multiple Choice Questions (Enter your answers on the enclosed answer sheet) 1. Chapter 7 presented an overview of federal statutes that were designed to protect _ individual rights the right to privacy the right to self-determination a and d only a, band conly Principle of law which holds that no one can lawfully do that which tends to be injurious to the public or against the public good is _ public policy pu bl ic health political malpractice procedural law rules and regulations 3. The Antitrust Division of the Department of Justice has primary responsibility for _ enforcing the right to self-determination enforcing the right to privacy enforcing federal antitrust laws None of the above. a, band conly What Act passed by Congress forbids Medicare-participating hospitals from “dumping” patients out of emergency departments? Emergency Medical Treatment and Active Labor Act Patient Self-Determination Act Ethics in Patient Referral Act Healthcare Quality Improvement Act Sherman Antitrust Act 5. Each state is required under the PSDA (Patient Self-Determination Act 1990) to _ implement HIPAA provide local communities with state regulations regarding HIPAA violations provide a description of the law in the state regarding advance directives provide a description of the law in the state regarding advance directives to providers None of the above. The legalizes physician-assisted suicide, but specifically prohibits euthanasia where a physician or other person directly administers a medication to end another’s life. Oregon Death with Dignity Act Right to Die Act Patient Self-Determination Act 14th Amendment Right to Life 7. What Act was designed to protect the privacy, confidentiality and security of patient information? Right to Confidentiality Act Health Insurance Portability and Accountability Act 14th Amendment 1st Amendment Patient Self-Determination Act 8. Chapter 8 introduces the reader to the _ ethical responsibilities of health care organizations legal risks to which health care organizations and their governing bodies are exposed duties of health care organizations responsi bi I ities of health care organ izations All of the above. 9. It is unethical for health care organizations to _ inform patients of their rights advertise misleading information maintain a uniform standard of care throughout the organization provide patients with information as to their rights and responsibilities All of the above. 10. The authority of a corporation is expressed in _ the law under wh ich the corporation is chartered the organization’s medical staff bylaws the corporation’s articles of incorporation a and conly All of the above. 11. Respondeat superior is a legal doctrine holding _ employers liable for the wrongful acts of independent contractors employers liable for the wrongful acts of the medical staff employers liable for the wrongful acts of their agents employers liable for the wrongful acts of contracted staff None of the above. 12. Employees should report practices they consider _ unethical detrimental to the reputation of the organization might be harmful to patients ethically questionable All of the above. 13. The FMLA of 1993 was enacted to _ grant temporary medical leave to employees protect an employee’s right to return to an equivalent job protect an employee’s right to equivalent benefits provide leave to care for a family member All of the above. 14. Codes of ethics _ are identical across all professions are dependent on state guidance vary depending on risks associated with a particular profession are dependent on federal guidance are dependent on both state and federal guidance A physician who is on emergency department call and fails to respond to a request to attend a patient _ has an ethical responsibility to respond to the patient’s care needs has a legal responsibility to respond to the patient’s care needs can be liable for injuries suffered by the patient because of his or her failure to respond a and b only a, band conly 16. The scope of practice generally includes _ the permissible boundaries of practice for health care professionals is often defined in state statutes a definition of the duties of practitioners in their particular roles a definition of the duties and limits of practitioners in their particular roles All of the above. 17. If a caregiver disagrees with a physician’s written orders, the caregiver should follow his or her own best judgment should not follow the physician’s orders should not seek clarification of the physician’s orders should consult with another physician should seek clarification from the ordering physicianThe is a professional registered nurse with an advanced academic degree, experience, and expertise in a clinical specialty. nurse practitioner nursing assistant staff nurse clinical nurse specialist None of the above. 19. Health professionals are expected to _ abide by their ethical code of one’s profession not to criticize the professional skills of others provide each patient with medical care comparable with national standards seek the aid of professional medical consultants when indicated All of the above. 20. Credentialing is a process for _ validating the background of professionals assessing the qualifications of health care professionals determining that a professional is qualified to perform the procedures for which he or she is seeking credentialing a, band conly None of the above. 21. Respect for the privacy of medical information is _ not necessary only required of physicians a central feature of the physician-patient relationship optional not mandatory 22. Physicians can be held liable for failure to _ order diagnostic tests read nurses’ notes seek consu Itation obtain a second opinion All of the above.23. The surgeon in a Louisiana case failed to read nursing notes in a patient’s record. What was the consequence? The surgeon breached his duty of care owed to the patient by failing to read nursing notes. Testimony convinced a Louisiana Court of Appeal that the surgeon chose not to take advantage of nurses’ observations. The surgeon’s medical malpractice exacerbated an already critical condition. The surgeon’s failure to read the nursing notes deprived the patient’s chance of survival. All of the above. 24. The Hippocratic Oath provides that a physician _ follow regimen I consider for the benefit of my patient give no deadly medicine to anyone if asked not give to a woman a pessary to produce abortion will abstain from seduction of females or males All of the above. 25. At the beginning of a physician-patient relationship, the physician must understand patient’s complaints underlying feelings goals expectations All of the above. Multiple Choice Questions (Enter your answers on the enclosed answer sheet) 1. Staff Rights include the right to _ equal pay for equal work refuse to partici pate in care (e.g, abortions) question patient’s care be free from sexua I harassment All of the above. 2. The Equal Pay Act of 1963 _ addresses wage disparities based on sex allows sex discrimination in payment of wages for women and men performing substantially equal work in same establishment requires that employees who perform equal work receive equal pay a and conly band conly 3. There are situations in which wages may be unequal as long as _ they are based on factors such as sex there is not a formal ized seniority system there is a system that objectively measures earnings by the quantity or quality of production they are based on such factors as rei igion None of the above. 4. Staff generally have a right to refuse to participate in care involving _ administration of IV fluids participation in elective abortions administration of medications wound care of HIV patients All of the above. 5. Employees have a right to _ question a physician’s order not to challenge a physician’s treatment decision even if it would serve the best interests of the patient refuse to answer a call bell if it would mean missing lunch All of the above. None of the above. 6. Sexual harassment can be verbal or physical and includes _ a request for a sexual favor sexual advances made as a condition of employment unreasonably interfering with an employee’s work performance creating an intimidating or offensive working environment All of the above. 7. Staff responsibilities include _ compliance with one’s professional codes of ethics adherence to safe practices reporting of unethical behavior protecting patients from harm All of the above. 8. Patients have a right to _ refuse to consent for treatment refuse a blood transfusion make decisions regarding their own health care change their mind and accept a treatment previously refused All of the above. 9. A person can consent to something only if he or she _ (Pg.294)has inadequate competency to consent has sufficient mental capacity to make an intelligent choice is in a comatose state is incompetent to do so None of the above. 10. Informed consent is the legal concept that protects a patient’s right to know _ risks of a proposed procedure benefits of a proposed procedure alternatives of a proposed procedure not to know the benefits of a proposed procedure a, band c above. 11. If an individual is found incompetent to give consent to a procedure, _ consent may be implied based on the emergent needs of the patient a court order for treatment is never necessary consent cannot be implied if the patients needs are emergent in nature an ethics committee should assume guardianship of the patient the physical therapist should seek a court order granting temporary guardianship to the patient’s primary care nurse 168 12. Implied consent is generally presumed when _ (Pg.294)the patient is awake and competent to make his or her own care decisions immediate action is required to prevent death or permanent impairment an unconscious patient is brought to the emergency department in a comatose state following a car accident the parent of a minor has agreed to an elective surgical procedure band conly 13. Case law has developed in such a way that any person, regardless of religious beliefs, has no right to refuse medical treatment has the right to refuse any medical treatment. cannot deny treatment if he or she has minor children has the right to make health care decisions for a married minor child None of the above. 14. Patient abuse is _ the mistreatment or neglect of residents/patientslcl ients under the care of a health care organization is limited to an institutional setting never occurs in an individual’s home is of little concern is not the mistreatment of individuals who are under the care of nursing homes 15. Abuse can be _ physical psychological medical financial All of the above. 16. Which of the following statements is true regarding senior abuse? It includes abandonment, corporal punishment and involuntary restraint and seclusion. Seniors don’t report abuse because they fear retaliation. Seniors don’t report abuse because they are afraid no one will believe them. Shame that a family member is involved often prevent seniors from seeking help. All of the above. 17. Signs of abuse include _ unexplained or unexpected death broken bones sudden and unexpected emotional outbursts agitation All of the above. 18. Caregivers who resident suspect abuse are expected to _ report their findings document symptoms and conditions of suspected abuse clearly define signs of abuse ensure that proper follow-up. per faci I ity pol icy occurs All of the above. 19. An abused child is one who has suffered _ intentional serious mental harm emotional abuse sexual abuse physical injury inflicted by a parent or other person responsible for the child’s care All of the above. 20. Patients should be informed of their rights and responsibilities _ at the time of admission in writing C. in a way that they understand their rights and responsibilities and have opportunity to ask questions about their rights and responsibilities All of the above. 21. Patients have a right to _ a written copy of their rights ask questions about their right refuse treatment based on religious beliefs execute an advance directive All of the above. 22. Patients have a responsibility to _ ask no questions accept any and all treatments recommended by their physician leave all pain management decisions up to the attending physician not seek a second opinion because it will hurt the physician’s feelings understand caregiver instructions. 23. Patients should be sure to _ follow instructions not ask questions regarding their care not understand caregivers’ instructions be afraid to ask questions not bother the caregiver with too many questions such as, “Did you wash your hands before changing my surgical dressing?” 24. Patients have a responsibility to speak-up and ask questions regarding _ diet medications proposed treatment need for a consu Itant All of the above. 25. A patient has a right to _ not show up for surgery without telling the physician keep a stash of medications in his or her bedside cabinet for pain because nurses are generally slow in administering pain medications not inform their physician of the ten herbal products that he or she has been i ngesti ng for the past ten years take aspirin before surgery to bring his or her temperature down out of fear that if the nurse reports a spike in temperature, the surgical procedure might be delayed None of the above.