CPHRM Old CH3

A 28-year-old uninsured male patient is received unannounced from a rural acute care hospital. The patient is fully alert and oriented, but he is cachectic, HIV-positive and has a knife wound to his leg, His hemoglobin is extremely low. A staff member is directed to start a blood transfusion, but the staff member refuses. Another staff member attempts to give him a blood transfusion, but the patient refuses the transfusion. Although aggressive medical care is rendered to the degree possible, the patient expires 12 hours later.

Which of the following statements is true about the staff member who refused to administer the transfusion?

When the above patient refuses the transfusion, which of the following actions should be taken?

The committee that generally is charged with oversight of investigative patient research is the:

Which of the following are examples of advance medical directives?

1. Living will
2. Durable power of attorney for health are
3. Physician’s do not resuscitate (DNR) order
4. Legal guardianship papers

The Patient Self-Determination Act (PSDA) obligates which of the following entities to provide their clients with information regarding advance directives?

1. Hospitals
2. Providers of outpatient services
3. Health maintenance organizations (HMOs)
4. Home healthcare services

Ethics consultations and decision-making done systematically will help to ensure that ethical principles are met. This approach would include all of the following except:

The Health Insurance Portability and Accountability Act (HIPAA):

1. Prohibits the flow of individually identified health information for unauthorized purposes
2. Allows individuals to know who is accessing their information
3. Allows individuals the opportunity to obtain corrections to inaccurate or incorrect information
4. Provides for legal recourse against individuals who misuse or mishandle health information

Medical devices may play an essential role in the management of a claim. If a medical device is involved, which of the following should not be done?

The Americans with Disabilities Act (ADA) makes it unlawful to discriminate in employment against a qualified individual with a disability and requires that places of public accommodation be accessible to disabled persons. Which of the following may NOT be considered discriminatory under the ADA guidelines?

11. Federal or state criminal convictions of healthcare practitioners related to the delivery of healthcare services must be reported to the:

Under the requirements of the Healthcare Quality Improvement Act, hospitals must query the national Practitioner Data Bank upon physician appointment and reappointment, but no less than:

The False Claims Act prohibits which of the following activities? 1. Presenting a false claim for payment 2. Conspiracy involving federal claims 3. Embezzlement by government contractors 4. Purchase on the black market

Under EMTALA, a patient is entitled to:

1. A medical screening examination
2. Free medical treatment
3. Prompt medical treatment
4. All treatment necessary to stabilize any identified emergency medical condition

 Documentation is the essence of the medical record, and risk managers have a personal stake in preserving the record and enhancing the quality of the documentation. The rules that govern documentation come from which of the following sources?

1. Joint Commission
2. State and federal statutes
3. Professional practice standards
4. Insurance companies

Which of the following is NOT a type of consent?

A group of obstetricians and neonatologists submits a proposal for a study on a new drug that might improve fetal lung maturity and, therefore, the survival of newborn infants. The proposal is approved by the institutional review board (IRB), and the study commences. Two months into the study, the physicians decide to alter the drug regimen. Instead of giving the drug during just the second month of the pregnancy, they want the drug given until the completion of the first trimester. The IRB has a backlog of proposals, and the investigators fear their revised proposal will not be evaluated for a few months. The investigators should: