Legal and Ethical Aspects of Health Information Quiz

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 1/19 Quiz #5 Due Dec 3 at 11:59pm Points 30 Questions 30 Available until Dec 3 at 11:59pm Time Limit 90 Minutes Instructions This quiz was locked Dec 3 at 11:59pm. Attempt History Attempt Time Score LATEST Attempt 1 21 minutes 30 out of 30 Score for this quiz: 30 out of 30 Submitted Dec 1 at 2:47pm This attempt took 21 minutes. Chapters 14 & 15 30 questions 90 minutes 1 / 1 pts Question 1 At Frank’s recent medical appointment, his physician provided information to Frank, but Frank made his own treatment decisions. This situation describes what type of relationship? Informative Correct! Correct! Paternalistic Interpretive Mutual 

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 2/19 (Bloom’s Level: 3) 1 / 1 pts Question 2 The community benefit standard_________. Requires hospitals to accommodate all languages spoken by patients in a community Is required for tax-exempt status Correct! Correct! Requires communities to provide a percentage of tax revenue to their hospitals Ensures that healthcare providers do not violate the Civil Rights Act of 1964 (Bloom’s: Level 2) 1 / 1 pts Question 3 Bellville Community Hospital was required to provide a reasonable amount of uncompensated care under the Hill-Burton Act because it_________.

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 3/19 Was granted tax-exempt status Operated in a federally-designated low-income area Was the only hospital within a 50-mile radius Had received federal money for construction and modernization Correct! Correct! (Bloom’s Level: 3) 1 / 1 pts Question 4 Medicare requirements pertaining to seclusion and restraint_________. Encourage their use through flexible standards Restrict their use Correct! Correct! Prohibit seclusion for patients less than 18 years old Prohibit restraint for patients less than 18 years old (Bloom’s Level: 2) 1 / 1 pts Question 5 Esther is an 86-year-old patient of Dr. Brooks. When taking into consideration that Esther views the physician-patient relationship

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12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 4/19 differently because of her age, Dr. Brooks is exhibiting_________. Transparency Health literacy Meaningful use Cultural competence Correct! Correct! (Bloom’s Level: 3) 1 / 1 pts Question 6 What is an effect of Christy’s access to a patient health information portal? She has less access to her full medical record as a result It decreases price transparency for Christy It limits Christy’s ability to access her physician because it serves as a replacement It provides her with increased, timely access to her health information Correct! Correct! (Bloom’s Level: 5) 1 / 1 pts Question 7

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 5/19 Patients diagnosed with a mental illness and involuntarily committed: Can be confined indefinitely based on the diagnosis Sacrifice their substantive constitutional rights Are not necessarily deemed incompetent by virtue of the illness Correct! Correct! Lose their right to consent to or refuse treatment Lose their right to procedural due process (Bloom’s Level: 5) 1 / 1 pts Question 8 With respect to patient rights, the Joint Commission standards: Do not address patient rights Contain a provision regarding the review of patient complaints Correct! Correct! Address patient rights in most contexts, but do not address research and clinical trials Mandate the actual language to be used in patient rights policies (Bloom’s Level: 2)

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 6/19 1 / 1 pts Question 9 Which of the following is not a HIPAA individual right? Request restrictions regarding PHI use and disclosure for treatment Import PHR content into the provider’s health record Correct! Correct! Access to PHI Request amendments to PHI (Bloom’s Level: 2) 1 / 1 pts Question 10 The most widely-used feature provided by patient health information portals is_________. Online scheduling The ability to copy medical records onto paper Viewing test results Correct! Correct! Exchanging secure messages with providers

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12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 7/19 (Bloom’s Level: 1) 1 / 1 pts Question 11 Health literacy focuses on_________. Individuals for whom English is a second language Individuals with limited reading proficiency Varying levels of technological proficiency All of the above Correct! Correct! (Bloom’s Level: 1) 1 / 1 pts Question 12 At its most basic level, patient rights addresses_________. The ability of patients to make their own healthcare decisions Desired clinical outcomes Conduct between a healthcare provider and a patient Correct! Correct! Patient empowerment

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 8/19 (Bloom’s Level: 1) 1 / 1 pts Question 13 The patient-provider relationship that involves shared decision-making is_________. Informative Paternalistic Individualistic Interpretive Correct! Correct! (Bloom’s Level: 1) 1 / 1 pts Question 14 Which of the following has the right to consent to treatment? A 10-year-old boy An 88-year-old woman Correct! Correct! A 45-year-old man with severe mental retardation

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 9/19 All of the above have the right to consent to treatment (Bloom’s Level: 3) 1 / 1 pts Question 15 Which of the following should occur when a patient leaves a hospital against medical advice? Patient signs a form acknowledging potential consequences Patient signs a form acknowledging health insurance may refuse to pay for care provided Risks are discussed with the patient when possible Documentation of the AMA in the patient’s medical record All of the above Correct! Correct! (Bloom’s Level: 2) 1 / 1 pts Question 16 Marty Jones has been out of work for three months and has recently applied for a position at a local factory. As part of the employment process, the employer has asked Mr. Jones to complete a pre- employment physical that includes genetic testing for any diseases that

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12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 10/19 might interfere with Mr. Jones’ ability to run an expensive piece of factory equipment. Of the options below what is the best option? Mr. Jones complies with the request. Mr. Jones reluctantly complies with the request because he needs a job. Mr. Jones informs the employer that CLIA regulations prohibit employers from requiring genetic information as part of the employment process. Mr. Jones informs the employer that GINA regulations prohibit employers from requiring genetic information as part of the employment process. Correct! Correct! (Bloom’s Level: 5) 1 / 1 pts Question 17 Katie is 13 years old and lives with her mom who has custody of Katie since her parents are divorced. Katie has recently been in the hospital, and her mother is now seeking a copy of Katie’s health record. Who must sign the authorization form that will enable Katie’s mother to access Katie’s record? Katie Both of Katie’s parents must sign Katie’s mother because she has custody of Katie Correct! Correct! Katie may appoint a personal representative to sign for her

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 11/19 (Bloom’s Level: 4) 1 / 1 pts Question 18 Mr. Thompson was working on his roof and fell off, sustaining a severe head injury that has left him in a coma. Before he fell from the ladder, he and his wife were in the process of getting a divorce. However, the divorce was not final. Which statement best describes the circumstance regarding who may authorize access to Mr. Thompson’s records? Legal counsel must be sought to represent Mr. Thompson. Mr. Jones eldest son can authorize the access. His wife cannot authorize access because they were getting a divorce. His wife may authorize access because she is next of kin and they are still married. Correct! Correct! (Bloom’s Level: 4) 1 / 1 pts Question 19 Under which of the following conditions is Mr. Smith’s authorization required for the use and disclosure of his health information? When Mr. Smith’s attorney is requesting the information Correct! Correct!

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 12/19 When information is requested by the RAC for audit purposes When information on the patient’s venereal disease is given to the health department When the federal government suspects the patient is involved in terrorism activity (Bloom’s Level: 3) 1 / 1 pts Question 20 A mental health professional cannot be compelled to testify or disclose protected health information without patient authorization in a judicial situation except in what situation? Health professional performs an examination under court order Patient brings up the issue of mental or emotional condition Protect patient from harming self or others a and c All of the above Correct! Correct! (Bloom’s Level: 4)

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12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 13/19 1 / 1 pts Question 21 To which of the following does GINA apply? Disability insurers Long-term care insurers Health insurers Correct! Correct! Life insurers (Bloom’s Level: 2) 1 / 1 pts Question 22 Under federal drug and alcohol abuse regulations, what situation enables the disclosure of patient information without patient written authorization? Audits Insurance claims Program evaluation Scientific research a, b, and c a, b, and d a, c, and d Correct! Correct!

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 14/19 (Bloom’s Level: 3) 1 / 1 pts Question 23 Zach is 14 years old and consented to completing a three-month drug rehabilitation program. When he completes the program, who has the right to authorize the release of his health information to another party? Zach Correct! Correct! Zach’s doctor Zach’s parents Zach’s drug rehab counselor (Bloom’s Level: 2) 1 / 1 pts Question 24 When Greg was released from Metro Hospital substance abuse inpatient facility, he authorized his records to be released to General Hospital, where he had his knee replaced. Greg’s physical therapist has requested copies of his health record from the hospital. General Hospital releases Greg’s information from Metro Hospital along with its own information to the physical therapy service. Select the statement that best addresses this situation.

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 15/19 Redisclosure of Metro’s information on Greg has occurred, but it is okay since Greg signed an authorization to release his records to General Hospital. General Hospital has violated redisclosure regulations by releasing the records from Metro Hospital to Physical Therapy Services. Correct! Correct! Redisclosure of substance abuse health information is always permitted under HIPAA regulations. Release of the information was appropriate since it follows the alcohol and drug abuse patient records regulations on disclosure of health information. (Bloom’s Level: 5) 1 / 1 pts Question 25 A staff person at Thompson Laboratories received a request from Mrs. Blake to receive a copy of her lab results. What legislation enables the laboratory to release Mrs. Blake’s lab results directly to her? FACTA GINA UHCDA CLIA Correct! Correct!

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12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 16/19 (Bloom’s Level: 2) 1 / 1 pts Question 26 Most state laws deem adoption records to be confidential and allow their release only under what circumstance? Court order Correct! Correct! Subpoena Authorization adoptee Authorization of adoptive parent(s) (Bloom’s Level: 2) 1 / 1 pts Question 27 The release of information manager at Hope Hospital has received a request to obtain copies of an individual’s recent hospitalization for spousal abuse. Upon reviewing the request, the manager notices that the signature on the request does not look like the patient’s signature on the informed consent in the patient’s medical record. What would be the best course of action? Refer the request to the hospital’s medical identity theft committee to ascertain if this is indeed the patient requesting the information. Correct! Correct!

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 17/19 Copy the requested information and have it ready for pick up by the individual requesting the information. Ignore the request since you are pretty sure it is not legitimate. Wait until the person comes in to pick up the material and ask the person to sign their name again for comparison purposes; if it looks the same, give them the record. (Bloom’s Level: 5) 1 / 1 pts Question 28 An underwriter at the Thompson Insurance Agency received health information on Mrs. Blake, who is applying for health and life insurance through the agency. Upon review of Mrs. Blake’s health information, the underwriter finds documentation that indicates Mrs. Blake has the gene that is known to increase a woman’s chances of developing breast cancer. Based on this finding, the underwriter denies Mrs. Blake’s request for insurance. What federal law is this underwriter breaking as a result of his decision? CLIA GINA Correct! Correct! FACTA HIPAA

12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 18/19 (Bloom’s Level: 4) 1 / 1 pts Question 29 Ownership of a secondary data source such as a hospital trauma registry belongs to _____. The entity that created it Correct! Correct! The patients whose data makes up the registry The doctors who treated the patients No one owns it (Bloom’s Level: 2) 1 / 1 pts Question 30 What is the term used when public health departments engage in the systematic gathering and analysis of health data which may include PHI to detect a bioterrorism threat or an outbreak of Ebola? Disease surveillance Quality indicators Syndromic surveillance Correct! Correct! Data surveillance

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12/11/23, 11:53 AM Quiz #5: LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405 https://online.saddleback.edu/courses/13466/quizzes/89905 19/19 (Bloom’s Level: 2) Quiz Score: 30 out of 30

Quiz #5_ LEGAL AND ETHICAL ASPECTS OF HEALTH INFORMATION-19405

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