HSA 515 Final Exam Part I - 100% correct

Question 1
 
Physicians on call in an emergency department are expected to
Answer
 
	ask the emergency department to seek help from another physician
 
	respond to requests for emergency assistance on an untimely basis
 
	respond to requests for emergency assistance when such is considered necessary by the emergency department
 
	respond after he or she has had dinner at an upscale restaurant

A hospital committee that functions to improve the quality of patient care
Answer
 
	tissue
 
	medical records
 
	quality assurance
 
	utilization review

Question 3
 
The committee that oversees the application process for new medical staff applicants
Answer
 
	bylaws
 
	credentials
 
	peer review
 
	quality assurance



Q. 4
The National Practitioner Data Bank (NPDB) was created by Congress
Answer
 
	as an individual state repository of information with the primary purpose of facilitating a comprehensive review of a physician- insurance coverage
 
	protect physicians who leave one state to practice in another state
 
	as a national repository of information with the primary purpose of facilitating a comprehensive review of physicians’ and other healthcare practitioners’ professional credentials
 
	as a national repository of information with the primary purpose of facilitating hospital licensure


Question 5
 
Before surgery, if a patient is not told about the risks and benefits of the operation
Answer
 
	there has been a failure to give informed consent
 
	a different course of treatment should be followed
 
	the patient's signature should be obtained after the operation
 
	it doesn't matter as long as the physician knows the patient- wishes


Question 6
 
A nurse who is trained in the delivery of primary health care and the assessment of psychosocial and physical health problems such as the performance of routine examinations and the ordering of routine diagnostic tests is a
Answer
 
	clinical nurse specialist      
 
	student nurse
 
	nurse practitioner
 
	nursing supervisor

Question 7
 
Failure to identify the correct patient can result in
Answer
 
	identification of the correct patient
 
	patient injury
 
	improved patient care
 
	the correct administration of medications

Question 8
 
Some states will not recognize out-of state licensed nurses and make it mandatory that all applicants
Answer
 
	take an examination
 
	endorsement
 
	waiver
 
	reciprocity


Question 9
 
The scope of practice refers to the permissible boundaries of practice for health care professionals, as is often defined in
Answer
 
	state constitutions
 
	state statutes
 
	county ordinances
 
	penal codes

Question 10
 
Failure to monitor a patient- vital signs can lead to a
Answer
 
	injury to a patient followed by a lawsuit, as well, as a monetary award to the patient
 
	lawsuit for perjury
 
	lawsuit for slander
 
	monetary award for negligent injection

 Question 11
 
The Comprehensive Drug Abuse Prevention and Control Act of 1970
Answer
 
	places all substances that are regulated under existing federal law into I of IX schedules
 
	places all substances that are regulated under existing federal law into one of five schedules
 
	provides that Schedule IX drugs are the most dangerous drugs
 
	provides that Schedule VII drugs are used for the most dangerous drugs


Question 12
 
Hospitals emergency departments are expected to
Answer
 
	maintain a nurse specialty on-call list
 
	notify the on-call nurse supervisor when necessary
 
	require physicians not to respond on a timely basis when their services are needed
 
	maintain a physician specialty on-call list and require the on-call physicians to respond on a timely basis

Question 13
 
The clinical related duties of medical assistants in large practices
Answer
 
	filing patients’ medical records
 
	tend to specialize in a particular area
 
	complete insurance forms
 
	schedule appointments

The art and science of preventing and treating neuromuscular or musculoskeletal disabilities through the evaluation of an individual- disability and rehabilitation potential is
Answer
 
	activity therapy
 
	physical therapy
 
	respiratory therapy
 
	podiatry

Question 15
 
Licensing boards have the authority to
Answer
 
	revoke a license for professional or moral misconduct
 
	suspend or revoke a license for professional conduct
 
	revoke a license for legal conduct
 
	revoke a license for performance of specific actions permitted by statute

Question 16
 
The length of time medical records must be retained
Answer
 
	is set by insurance carriers
 
	is set by federal law
 
	is the same in all states
 
	varies from state to state
Question 17
 
The Privacy Act of 1974 was enacted to
Answer
 
	safeguard the privacy of healthcare professionals
 
	discourage misuse of state records
 
	provide individuals with legal access to federal records concerning themselves
 
	safeguard individual privacy and discourage misuse of federal records

		
Question 18
 
Ordinary business documents are
Answer
 
	considered privileged
 
	generally protected from discovery by state statutes
 
	not protected as privileged communications by state statutes
 
	are considered strictly confidential information and their contents cannot be exposed except with some exceptions in a court of law

Question 19
 
The medical record must be
Answer
 
	complete and accurate
 
	legible and inaccurate
 
	available solely to those conducting research
 
	available basically for billing purposes


Question 20
 
Rewriting record entries by a nurse
Answer
 
	is a good practice even after the patient has been discharged
 
	is well-publicized as the right thing to do
 
	will illustrate how conscientious the caretaker is, especially during a lawsuit
 
	can cast doubt  on the accuracy of other medical record entries


Question 21
 
Verbal consent
Answer
 
	is not as binding as written consent
 
	should be in proved in writing with a written agreement
 
	is more difficult to corroborate
 
	is invalid

Question 22
 
A physician is
Answer
 
	not under a duty to elucidate upon all the possible risks of a proposed procedure
 
	under a duty to elucidate upon all the potential risks of a proposed procedure
 
	certainly under a duty to elucidate upon all the possible risks and benefits of a proposed procedure
 
	truly under a duty to elucidate upon all the possible benefits, risks, and benefits of a proposed procedure


Question 23
 
Although hospitals are not generally responsible for informing patients as to the risks, benefits and alternatives to specific procedures, hospitals
Answer
 
	always have duty to provide patients with informed consent, especially in complicate surgical cases
 
	in some cases owe a duty to provide patients with informed consent.
 
	in any situation never have a duty to provide a patient with informed consent
 
	must delegate the need for informed consent to the nursing staff

When applying the objective standard of informed consent
Answer
 
	one must take into account the characteristics of the plaintiff, including the plaintiff- idiosyncrasies, fears, age, medical condition, and religious beliefs
 
	the standard to be applied is whether an unreasonable person in the patient- position would have consented to the procedure or treatment in question if adequately informed of all significant perils
 
	the plaintiff- testimony is the sole factor when determining the issue of informed consent
 
	the issue is whether a particular patient would have chosen a different course of treatment

Question 25
 
The best form of consent is
Answer
 
	implied
 
	verbal
 
	written
 
	informal


Question 26
 
Data bank queries can be made by
Answer
 
	state licensing boards only
 
	all persons wishing to learn more about a physician- malpractice history
 
	professional societies only
 
	hospitals, state licensing boards, and professional societies

Question 27
 
The director of nursing at a nursing facility was fined for failure to report an instance of patient neglect. In one incident, a patient had been left unattended in a shower by an orderly, and the patient sprayed himself with hot water, which resulted in second-degree burns on his forehead. Upon investigation, the department of health determined
Answer
 
	the incident constituted patient neglect
 
	the incident did not merit reporting
 
	failure to report these incidents was not a violation of public health law
 
	the incident was too minor to read court and of no serious consequence to the patient
health care services to the patient.


Question 28
 
Incident reports contain statements made by employees and physicians regarding
Answer
 
	a deviation from acceptable patient care
 
	best practices
 
	investigative reporting of hospital acquired infections
 
	regulatory purposes

Question 29
 
The Health Care Quality Improvement Act of 1986 was enacted to
Answer
 
	to improve the quality of medical care
 
	encourage physicians to participate in peer review
 
	restricting incompetent physicians' ability to move from state to state
 
	to improve the quality of medical care by encouraging physicians to participate in peer review and by restricting incompetent physicians' ability to move from state to state without disclosure or discovery of their previous substandard performance or unprofessional conduct

Question 30
 
A sentinel event is
Answer
 
	an expected occurrence of improved health
 
	an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof
 
	an unexpected earthquake
 
	an unanticipated improvement in patient status