HCA 503 -Legal and Ethical Issues for Health Care Professionals (Set-2)

| March 14, 2016

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 physician

The 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.

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