Legal and Ethical Responsibilities ICEV Exam

Intentionally threatening or attempting to harm a person is what?

Assault

Which of the following is TRUE of legal contracts?

A 35-year-old who is actively psychotic is not able to enter into a contract.

A well-known celebrity is in the hospital recovering from a heart attack. A health care worker takes several pictures of the celebrity without permission and gives the pictures to a newspaper reporter. What type of offense has the health care worker committed?

Invasion of privacy

Ricardo is a nursing assistant. According to scope of practice, who is Ricardo allowed to delegate work to and supervise in implementing care?

None of the above

What is it called when a person's freedom is intentionally violated?

False imprisonment

Which of the following may be considered an exception to the requirement for informed consent?

Performing CPR on an unconscious patient

What is it called when a person's right to be left alone is intentionally interfered with?

Invasion of privacy

Speaking false words about people with the intention of damaging their reputation is considered which of the following?

Slander

Which type of contract is specifically and clearly stated?

Expressed contract

What is the most common charge against health care workers?

Malpractice

Which of the following is included in informed consent?

An explanation of the test and permission from the patient

What is a case called in which a person is harmed because of another person's actions or failure to act?

Tort

What are the rules of conduct enacted and enforced by governments?

Laws

Intentionally touching another person without permission is called what?

Battery

What is professional negligence called?

Malpractice

What is a voluntary agreement between two or more people?

A contract

Which of the following is a type of abuse that should be reported to the proper authorities?

All of the above

Rhonda, a medical assistant, believes a patient is giving false information. How should Rhonda document the information?

Put the patient's exact words in quotation marks.

Tina has a primary care physician, and is meeting with an orthopedic specialist today. How can the specialist obtain Tina's medical information from her primary care physician?

Tina will have to give authorization for her primary care office to release the records to the specialist.

What is the best way to dispose of confidential information in a health care facility?

Shred it.

If an employer pays for a job-related physical examination, which of the following is TRUE?

The employer has rights to the medical records.

Which of the following is NOT a way to safeguard electronic medical records?

Send all confidential information by e-mail.

Vivian is a nurse at a children's hospital. A 10-year-old boy confides in Vivian that he has been abused by his parents, but he begs her not to tell anyone. What should Vivian do?

She should report the abuse to the proper authorities.

Which of the following is NOT a way to protect information when using a fax machine?

Walk away while a fax is sent.

How should a documentation error be corrected?

Draw a line through the error, add the correct information, initial, and date.

Jana does not want to receive calls from her health care provider at her home number. What should Jana do?

Request that calls be made to another phone number, such as a cell phone or work phone.

Which of the following is information that is shared within a protected relationship?

Privileged communication

A patient has requested a copy of his medical record in writing. As the office assistant, what should you do?

Make copies of everything but psychotherapy notes within 30 days.

Which of the following is TRUE of electronic medical records?

Electronic medical records are better organized.

Mrs. Marshall calls her husband's health insurance provider to clarify a service coverage issue. Which of the following is TRUE?

The insurance provider will not speak with Mrs. Marshall unless her husband has given the company permission to do so.

Kelsey is a health care worker who must call Mr. Grimm with the results of his blood tests. When Kelsey calls, no one picks up the phone and the answering machine plays. What should Kelsey do?

Leave a message with the name of the facility where she is calling, and a phone number where she can be reached.

Which of the following should be done when copying confidential information?

Remain by the copier and make sure to collect the original item.

Which of the following terms means releasing, transferring, or providing access to protected health information?

Disclosure

Which of the following is a purpose of HIPAA?

Ensure that a patient's medical information is private

Dr. Josef is recording his dictating notes in the emergency room and you hear him mention that the patient in the next room is a victim of domestic violence. Which of the following describes your knowledge of the situation according to HIPAA?

Incidental disclosure

In which of the following cases must organ donation NOT occur?

The spouse wants to donate a patient's organs, but the living will forbids it.

A patient's friend has power of attorney rights. Which of the following is the agent NOT permitted to do?

Allow dialysis when a living will prohibits it

The Omnibus Budget Reconciliation Act (OBRA) included which of the following regulations?

Residents' Bill of Rights

Which of the following is a type of advance directive?

Living will

What are legal documents that allow people to state what medical treatments they want or do not want in the event that they are unable to make decisions or communicate?

Advance directives

Which of the following is a requirement of the Patient Self-Determination Act?

Providers must give patients information on their rights and advance directives.

Which of the following is TRUE of the Residents' Bill of Rights?

Promotes independence and self-determination

Who is given the right to make decisions as a result of a durable power of attorney?

An agent

Which one of the following overrides the others?

Living will

Darnell's insurance company has refused to pay for a treatment Darnell received while in the hospital. Which of the following is NOT TRUE?

The insurer must pay because Darnell has a right to make health care decisions.

Which of the following is considered a civil right?

Freedom of religion

A female patient does not want a male nurse to care for her. Which of the following is TRUE?

The patient has the right to refuse care from the male nurse.

A resident was restrained after refusing to take his medication. What right is being violated?

To be free from abuse

A long-term care facility's policy is that a patient's door must remain open when meeting with visitors. Which of the following is being violated?

Residents' Bill of Rights

Which of the following defines client rights?

Rights granted in a professional relationship

A nursing team is short-staffed and extremely busy. An RN asks a nursing assistant to give a patient his afternoon medication. Who is liable?

The nursing assistant, the RN, and the employer

An event report does NOT need a statement from which of the following?

Any person who can speak to the character of the patient

A facility has a policy that states: "Use precautions to prevent the spread of pathogens." Which of the following is a procedure for this policy?

Wash your hands between patients.

Paula is a nurse and holds firmly to the Catholic faith. She is assigned to treat a patient who is an outspoken Muslim. According to the code of ethics, how should Paula treat her patient?

She should treat the patient respectfully and without discrimination.

What is a list of written statements describing proper conduct for a group of people?

Code of ethics

Regina is a nurse at a community hospital. She is assigned a young pregnant patient, Allyson, who is being treated for injuries received in a car accident. Allyson tells Regina that she and her boyfriend have decided to have an abortion. Regina believes that abortion is unethical. How should Regina respond to Allyson?

She should care for Allyson as she would any other patient and be respectful.

Liability can be defined as which of the following?

Legal responsibility for causing harm

What is a process of identifying, evaluating, and preventing sources of liability?

Risk management

Which of the following defines an ethical dilemma?

A conflict of moral beliefs

What are rules of proper conduct among a group of people, such as a religion or profession?

Ethics

Which type of health care worker would be most concerned with the safety standards established by the Clinical Laboratories Improvement Amendments, or CLIA?

Lab technician

In which case does the employer have just cause to fire an employee?

The employee was caught stealing medications from work.

Worker compensation laws do which of the following?

Require employers to insure employees in case they are injured at work

What is the responsibility of the Occupational Safety and Health Administration?

Enforce safety and health standards in the workplace

For what reason may an employer legally NOT hire an applicant?

The applicant is not a legal U.S. resident.

What is the purpose of ERISA?

Regulates health care and pension plans in private companies.

The Family and Medical Leave Act allows employees to take unpaid leave for which of the following reasons?

To recover from the birth of a child

What is the purpose of the Centers for Disease Control and Prevention?

Protect people from infectious, occupational, environmental, and terrorist threats

Which of the following is NOT included in the Fair Labor Standards Act?

Dictates employers pay overtime pay for weekend hours.

Which of the following is NOT sexual harassment?

An employee politely asks a coworker out for dinner and respects the coworker's decision.

How many children are exposed to domestic violence each year?

1 in 15

Medical records cannot be used as legal evidence to support a victim's claim of abuse.

False

Domestic violence includes:

All of the above

Threat of "outing" is one reason victims of domestic violence in the LGBT community are substantially less likely to come forward.

True

Approximately how many adolescent girls in the U.S. are victims of domestic violence from a dating partner?

1 in 5

Which of the following can be perpetrators of domestic violence against the elderly?

All of the above

You should avoid judgmental comments and negative characterizations when documenting a patient's file.

True

About how many men are victims of domestic violence each year?

3.2 million

Possible motivators for pregnant women who are victims of domestic violence to get help is the desire to change their life and to be a good parent.

True

Children who live in homes where there is domestic violence suffer abuse or neglect at much higher rates of up to:

60%

What percentage of pregnant women receive prenatal care?

96%

Once a patient has confirmed domestic violence, one step you should take is to help the victim assess their immediate safety and the safety of any involved children.

True

The two categories of domestic violence against the elderly are: domestic violence of old age and late onset domestic violence.

False

Domestic violence is the victimization of an individual with whom the abuser has not had an intimate or romantic relationship.

False