course material

1. Hca 503 -legal and ethical issues for health care professionals set-2
51. A legal obligation of care, performance or observance imposed on one to safeguard the
rig hts of others.InjuryDutyCausationd.Respondeatsuperiore. Negligence52. The pleadings
of a case may involve which of the following?SummonsComplaintAnswerBill of
particularsAll of the above53. The Amendment to the Constitution that provides that a state
cannot act to deny any person equal protection of the laws.a. 11thb.13thc. 14thd.21ste. 1
st54. A source of public policy can include _legislationadministrative rules, regulations or
decisionsjudicial decisionsall of the abovenone of the abovePursuant to Title VI of the Civil
Rights Act of 1964, the guidelines of the Department of Health and Human Services (HHS)
prohibit the practice of _political malpracticeracial discriminationrestraint of tradepublic
policyright to self-determination56. The Privacy Act of 1974, Title 5 United States Code
(U.S.c.) 552, was enacted tosafeguard individual privacy from the misuse of federal
recordsgive individuals access to records concerning themselves that are maintained by
federal agenciesestablish a Privacy Protection Safety Commissionall of the abovea and
conly57. The Health Care Quality Improvement Act of 1986 (HCQIA) was enacted in part
toa. provide those persons giving information to professional review bodies and those
assisting in review activities limited immunityb. encourage damage suits that may arise as a
result of adverse decisions that affect a physician’s medical staff privilegesencourage the
right to execute an advanced directivea and b onlyall of the aboveWhat Act prohibits
physicians who have ownership interest or compensation arrangements with a clinical
laboratory from referring Medicare patients to that laboratory.Sherman Antitrust ActEthics
in Patient Referral Act of 1989Health Care Quality Improvement Act14th
AmendmentPrivacy Act of 1974What Act was enacted to ensure that patients are informed
of their rights to execute advance directives and accept or refuse medical care.Ethics in
Patient Referral ActPatient Self-Determination Act of 1990Oregon Death with Dignity
ActHealth Care Quality Improvement ActHealth Insurance Portability and Accountability
Act60. An organization’s code of ethics _provides guidelines for behaviorhelp carry out an
organization’s mission, vision and valuesbuild trustincrease awareness of ethical issuesall
of the above61. Unethical conduct that is closely being monitored includes _false
advertisementsfraudulent reimbursement schemesaccepting kick backsall of the abovea
and b only62. A corporation has a _a. chief executive officer that has ultimate responsibility
for decisions made in the organizationb. governing body that has ultimate responsibility for
decisions made in the organizationc. medical staff that has ultimate responsibility for
decisions made in the organizationd. chief financial officer that has ultimate responsibility

2. for the decisions made in the organizatione. community advisory board that has ultimate
responsibility for the decisions made in the organization63. Testimony presented by
witnesses is considered _documentary evidencedirect evidenceevidenceburden of proofan
exhibit64. The authority of a corporation specifically delegated by statute.Express corporate
authorityImplied authorityUltra vi res actsa and conlynone of the aboveSituations in which
a person has opportunity to promote self-interests that could have a detrimental effect on
an organization.Financial incentiveProfit motiveConflict of interestVirtueValue66.
Corporate duties include _fiduciary dutyduty to supervise and manageduty to act as a
prudent person would act under similar circumstancesnone of the abovea, b, and c67.
Professional codes of ethics for health care professionals have been developed toprovide
guidance to those faced with ethical dilemmasprovide punishment for the those who break
the lawprovide guidance in dealing with government regulationsdescribe the job duties and
responsibilities of a particular professionprovide clinical guidance in caring for patientsIf
the public is aware that a hospital furnishes emergency services and relies on that
knowledge, the hospital _has no duty to provide those services to the publichas a duty to
provide those services to the publichas a duty to provide every service that a patient may
requireis only responsible to care for Medicare and Medicaid patientsnone of the aboveThe
American Health Information Management Association code of ethics provides that _the
medical record must be preserved and protectedit refuses to participate in or conceal
unethical practices or procedurethe confidential nature of the medical record must be
preservedthe medical records administrator must strive to advance knowledge and practice
of medical record administration, including continued self- improvement, in order to
contribute to the best possible medical caree. all of the aboveLicensed professionals who
exceed his or her scope of practice as defined by a particular state professional practice act
can be found to _have violated licensure provisionshave performed tasks that are reserved
by statute for another health careprofessionalhave performed appropriate tasksa and b
onlyall of the aboveThe power and authority to regulate drugs, their products, packaging
and distribution rests primarily with _hospital managementfederal and state
governmentsfederal drug enforcement agencyfood and drug administrationHIPAAA is a
registered nurse who has completed the necessary education to engage in primary health
care decision-making.licensed practical nursenursing assistantstaff nu rsenurse
specialistnurse practitionerA is an aide who has been certified and trained to assist
patients with activities of daily living.nursing assistantRNLPNphysician’s
assistantenvironmental services aide74. The Hippocratic Oath provides that a
physician _follow regimen I consider for the benefit of my patientgive no deadly medicine
to anyone if askednot give to a woman a pessary to produce abortionwill abstain from
seduction of females or malesall of the above75. A physician’s efforts do not constitute
negligence simply because _a physician cannot be required to guarantee care resultshis or
her treatments was unsuccessful in a particular casethere was another treatment the
physician could have useda and b onlynone of the aboveA deliberate falsification by a
physician of his patient’s medical record to protect his own interests at the expense of his
patient’s _is a necessary actregarded as gross malpracticecannot endanger the health or life
of his patientis often encouraged by the medical staffnone of the above77. A physician’s

3. moral responsibilities to his or her patients include _the right to privacyrespecting a
patient’s decision to refuse treatmentthe right to informed consentproviding the patient
with the risks, benefits and alternatives to treatmentall ofthe above78. A physician who
falsifies entries on a patient’s medical record _does it intentionallydoes it to avoid liability
for one’s medical negligencerisks losing credibility with a jury should a case go to trialmay
endanger the life of the patientall of the above79. Misdiagnosis may involve diagnosis and
treatment of _a disease different from that which patient actually suffersa disease that the
patient does not havesymptoms of a disease but not the underlying diseasea and conlya and
b only80. Evidence of a disruptive physician _can have negative impact on staffcan affect
quality of careis disruptive to ensuring patient welfareall of the abovenone of the above81.
The Hippocratic Oath provides that a physician will not _give to a woman a pessary to
produce abortionfollow regimen he considers to be for the benefit of his patientgive deadly
medicine to anyone if askedabstain from seduction offemales or malesall of the above82.
The common-law “employment-at-will” doctrine provides that employmentis at the will of
the employer not the employeeis at the will of either the employer or the employeemay be
terminated by the employer or the employee at any timemay be terminated at the will of the
employer or employee for any or no reason, unless there is a contract in place that specifies
the terms and duration of employmente. b, c and d onlyPublic policy originates with
legislative enactments that prohibit discharge of employees on the basis
of _disabilityageracecreedall of the above84. There is a tendency for those in power to
abuse that power through _threatsabuseintimidationretaliatory dischargeall of the
aboveThe person who should be responsible for reviewing with patients the risks, benefits,
and alternatives of a proposed diagnostic test or treatment is the _patient’s assigned
primary care nursehospital chaplaintreating physicianindividual assigned by the hospital,
usually a social workerpatient’s assigned medical assistant86. Consent can be _express
consentverbal consentwritten agreement authorizing treatmentimplied consentall of the
above87. A written informed consent form should include _nature of the illness or injury
and procedure or treatment consented topurpose of proposed treatmentrisks and probable
consequences of the proposed treatmentsignatures and date of the patient, physician, and
witnessesall of the aboveA patient’s refusal to consent to a medical or surgical procedure
must be adhered to, whether the refusal is _grounded on lack of confidence in the
physicianfear of the proceduredoubt as to the value of a particular procedurebased on a
mere whimall of the above89. The various states have enacted various child abuse statutes
to _discourage good faith reportingrequire good faith reportingprotect the
abuserencourage abuseto reward the abuser90. An individual who reports child abuse
should be aware of _the physical and behavioral indicators of abusemaltreatment that
appear to be part of a patternbruisesburns and broken bonesall of the above91. Behavioral
indicators of abuse include _improved psychological or intellectual functioningcontrol of
aggressionself-destructive impulsesability to think and reasonfailure to act out92. Balancing
the law and principles of ethics, the administrator of a health care facilityis not responsible
for reporting evidence of abuseis responsible for the unsafe conditions in his or her nursing
facilityshould be aware that statutes are created to protect the defendantthe administrator
of a nursing facility is not responsible for the safety hazards that exist in his or her facilitye.

4. none of the above93. A patient has a right to _have special needs addressedkeep a stash of
medications in his or her bedside cabinet for pain because nurses are generally slow in
administering pain medicationsc. not to inform their physician of the ten herbal products
that he or she has been ingesting for the past ten yearsd. take aspirin before surgery to
bring his or her temperature down out of fear that ifthe nurse reports a spike in
temperature, the surgical procedure mightbe delayede. none ofthe above94. Patient abuse
is _of little concernnever occurs in an individual’s homethe mistreatment or neglect of
residents/patients/clients while under the care of a health care organizationis limited to an
institutional settingis not the mistreatment of individuals who are under the care of nursing
homes95. Signs of abuse include _broken bonesagitationunexplained or unexpected
deathsudden and unexpected emotional outburstsall of the above96. Patients have a right
to _ask questions about their rightsexecute an advance directivea written copy of their
rightsrefuse treatment based on religious beliefsall of the above97. Patients have a
responsibility to speak up and ask questions regarding _proposed treatmentdietneed for a
consultantmedicationsall of the abovePatients have a right to expect that information
regarding their care and treatment will be kept confidential by _nurses and
physiciansvolunteershousekeepersboard membersall ofthe abovePatients have a right to
receive “Notice of Privacy Standards;’ a requirement under the _Limitation and Disclosure
ActRight to Know ActHealth Insurance Portability and Accountability ActHMO Act of
1972None of the above100. A patient’s right to “speak-up” includes asking such questions
as _Before changing my dressing … did you wash your hands?Are you my nurse?Why am I
being given this medication?Why am Ion a low fat diet?all of the above