Medical law & ethics chp 7 session 9

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question
A nurse documenting patient care makes an error when recording the vital signs. Which of the following is the correct guideline for correcting errors in a patient's medical record? Black out the information with a permanent magic marker and write above the entry. Draw a line through the error so that it is still legible and write above or below the line. Use correction fluid to white out the error and write the entry on top of the white-out. Do not place the correction on a separate piece of paper, rather write in the margins of the original copy.
answer
Draw a line through the error so that it is still legible and write above or below the line.
question
A physician has a private practice employing a physician assistant and two nurses. The physician also has hospital privileges at a nearby facility. Who owns the medical records generated by his office? The patient The hospital The nurses The physician
answer
The physician
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A physician has an obligation to his or her patient based on trust and confidence. What is the term for this obligation? Fiduciary duty Breach of confidence Consent Caring relationship
answer
Fiduciary duty
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A physician in a private practice examines a patient who is being considered for a job with a pharmaceutical company. The prospective employer pays for the physical. Who is the owner of the medical record in this example? The patient The physician The prospective employer The government
answer
The physician
question
A physician receives a subpoena for a patient's medical records to help determine an award in a workmen's compensation case. How would the physician handle this request? Send the entire original medical record to the court. Photocopy the medical record and send it to the plaintiff. Photocopy the medical record and send to the attorney who issued the subpoena. Send a release of information form to the patient to sign for release of the records.
answer
Photocopy the medical record and send to the attorney who issued the subpoena.
question
A plastic surgeon documents the before and after pictures of a patient after receiving a signed consent from the patient. Which of the following torts might occur from photographing a patient without proper consent? Assault Defamation Invasion of privacy Negligence
answer
Invasion of privacy
question
A plastic surgeon routinely photographs patients to document care. Which of the following accurately describes information that should be included on the consent form for this type of photography? The patient understands that ownership rights to the photos belong to the patient. The patient understands that the photos will be kept for an undetermined time period. The patient understands that he or she cannot view the photographs. The patient understands that authorization must be given to release photos outside the facility.
answer
The patient understands that authorization must be given to release photos outside the facility.
question
According to Kathleen Sebelius, secretary of the U.S. Department of Health and Human Services, as quoted in the July 13, 2010, issue of the New York Times, what percent of doctors use even the most basic electronic records? 10 20 30 40
answer
20
question
For which of the following examples would implied consent not be legally appropriate? A physician treats a patient for prostate cancer. A patient provides a urine specimen to check for UTI. A patient agrees to a test for HIV. A patient has his blood pressure taken during an examination.
answer
A patient agrees to a test for HIV.
question
In Planned Parenthood v. Casey, 505 U.S. 833 (1992) which of the following provisions was the only provision to fail the \"undue burden\" test? The husband notification requirement The parental consent for a minor A 48-hour waiting period prior to the procedure Informed consent of the pregnant woman following a 24-hr waiting period
answer
The husband notification requirement
question
In which of the following cases would patient authorization for release of his or her medical record be waived? For an insurance claim When transferring to another physician When a subpoena duces tecum is issued When a patient dies
answer
When a subpoena duces tecum is issued
question
In which of the following situations is a physician not expected to obtain consent before proceeding with treatment? When a parent or legal guardian is present for a minor. When the physician is acting in an emergency situation. When an emancipated minor is seeking testing for HIV/AIDS. When a patient is mentally incompetent or unconscious.
answer
When the physician is acting in an emergency situation.
question
Technically, abortion is legal in how many states? 25 30 40 50
answer
50
question
The Good Samaritan Acts were passed to protect physicians from being charged with which of the following torts? Invasion of privacy Assault Battery Negligence
answer
Negligence
question
The doctrine of informed consent is the legal basis for informed consent. Under which of the following is this doctrine usually outlined? Local government regulations Facility policy State medical practice acts Federal statutes
answer
State medical practice acts
question
The person in charge of medical records for a physician's office is preparing to release medical records requested by an insurance company. Which of the following is a recommended guideline for this procedure? Receive a verbal authorization from the patient prior to releasing the patient record. Verify the patient's name, address, and date of birth on the authorization. Release the entire record, not just the information specifically requested. Warn patient that once authorized, consent to release information cannot be rescinded.
answer
Verify the patient's name, address, and date of birth on the authorization.
question
Under which of the following circumstances should a separate consent form be obtained to use patient images? When they will be used for teaching purposes. When they will be used to document routine care. When they will be used to document a new procedure. When they will be used to document before and after patient conditions.
answer
When they will be used for teaching purposes.
question
When a patient medical record is subpoenaed by the court, which of the following information must be listed on the subpoena? The name and phone number of the judge The trial date and time The physician's license number The formal complaint of the patient
answer
The trial date and time
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Which of the following information is not usually included in the process of the doctrine of informed consent? Proposed modes of treatment Risks involved in the procedure Available alternative modes of treatment The reputation of the physician performing the procedure
answer
The reputation of the physician performing the procedure
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Which of the following information is the federal statute known as the Confidentiality of Alcohol and Drug Abuse, Patient Records designed to protect? Patient treatment Patient convictions Patient behavior Physician liability
answer
Patient treatment
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Which of the following is a central component of health information technology (HIT)? The patient's medical file Informed consent Good Samaritan Acts Negligence
answer
The patient's medical file
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Which of the following is a result of the promotion of health information technology (HIT) in the medical industry? ecreased administrative efficiency Expanded access to affordable care Increased paperwork Increased medical errors
answer
Expanded access to affordable care
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Which of the following is an example of a patient who usually cannot give informed consent? An emancipated minor A married minor A mature minor An adult who is mentally incompetent
answer
An adult who is mentally incompetent
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Which of the following legislation states that patients that ask to see and/or copy their medical records must be accommodated with a few exceptions? FDA JACHO HIPAA OSHA
answer
HIPAA
question
Which of the following statements is true regarding the provisions of the Good Samaritan Acts? They protect physicians who are employed to work in an emergency department. The person giving aid owes the stranger a duty of being reasonably careful. A person who is qualified to do first aid is obligated to do so in most states. The person's consent is not required in emergency situations.
answer
The person giving aid owes the stranger a duty of being reasonably careful.
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