Deck 5: Confidentiality and the Management of Health Care Information

Question 1

The two basic principles found to be in conflict in the Tarasoff case were confidentiality and ____________________.

A) beneficence
B) justice
C) role fidelity
D) veracity

Answer 1

beneficence

Question 2

The _________________ requires that healthcare providers refrain from acts of omissions that would foreseeably result in harm to others, especially in cases in which the individuals are particularly vulnerable to the risk.?

A) HIPAA privacy rule
B) Tarasoff law
C) harm principle
D) Right to Privacy Act

Answer 2

harm principle

Question 3

In 1996 Congress enacted the ____________________ to encourage the use of electronic transmission of health information and provide new safeguards to protect the security and confidentiality of the information.?

A) harm principle
B) Right to Privacy Act
C) Health Insurance Portability and Accountability Act (HIPAA)
D) Tarasoff Act

Answer 3

Health Insurance Portability and Accountability Act (HIPAA)

Question 4

From the vantage point of a _______________ perspective, the practice of patient confidentiality has been a mainstay of health care practice and forms one of the virtues one would expect from the "good practitioner."?

A) utilitarian
B) duty-oriented reason
C) virtue ethics
D) deontological

Question 5

Which of the following invasion of privacy issues usually deals with the unpermitted use of a person's name or likeness for another's benefit or advantage??

A) slander
B) libel
C) misappropriation
D) fraud

Question 6

The allowance of unessential or lay personnel to be present during a surgical procedure or examination is a clinical example of: ?

A) slander
B) libel
C) intrusion
D) misappropriation

Question 7

Common legal reporting requirements found in most American jurisdictions include which of the following?

A) child abuse
B) drug abuse
C) blood transfusion reactions
D) all of these answers apply

Question 8

With regard to health records and legitimate access, which of the following is involved in level-two supportive services??

A) physician
B) nurse
C) insurance agent
D) service payer

Question 9

With regard to health records and legitimate access, which of the following is involved in level-three social services??

A) service payer
B) media
C) nurse
D) risk management

Question 10

Which of the following is NOT considered a minimum standard set by institutional review boards??

A) Research results should be presented in such a fashion as to protect the anonymity of the patients.
B) Safeguards to protect the patient's privacy will be part of the research protocol.
C) The same level of obligation to maintain patient confidentiality in the practice of health care is expected in the conduct of medical research.
D) Any member of the public will have access to the raw data collected from the study.

Question 11

Match each item to the statement or question listed below

-Federal legislation designed to encourage the use of electronic transmission of health information (to assist in cost containment) and provide new safeguards to protect the security and confidentiality of the information

A) harm principle
B) HIPAA
C) institutional review board
D) legitimate interest
E) Privacy
F) utilization review

Question 12

Match each item to the statement or question listed below

-If confidentiality is the professional duty, this is the legal right.

A) harm principle
B) HIPAA
C) institutional review board
D) legitimate interest
E) Privacy
F) utilization review

Question 13

Match each item to the statement or question listed below

-A review of the appropriateness of care and the various types of patient care provided within an institution

A) harm principle
B) HIPAA
C) institutional review board
D) legitimate interest
E) Privacy
F) utilization review

Question 14

Match each item to the statement or question listed below

-A research committee set up to examine the protocol design for research to ensure that the research conforms to appropriate standards for humans

A) harm principle
B) HIPAA
C) institutional review board
D) legitimate interest
E) Privacy
F) utilization review

Question 15

Match each item to the statement or question listed below

-Used in cases where patient confidentiality places a vulnerable population or individual at risk; limits the practitioner's obligation to maintain confidentiality

A) harm principle
B) HIPAA
C) institutional review board
D) legitimate interest
E) Privacy
F) utilization review

Question 16

Match each item to the statement or question listed below

-Access to the patient record is limited to those whose functions require the access

A) harm principle
B) HIPAA
C) institutional review board
D) legitimate interest
E) Privacy
F) utilization review

Question 17

Write a defense for the principle of confidentiality within health care from a utilitarian point of view.

Question 18

Write a defense for the principle of confidentiality within health care from a duty-oriented point of view.​

Question 19

Write a defense for the principle of confidentiality from a virtue ethics point of view.​

Question 20

Explain and defend the court's decision in the Tarasoff case.

Question 21

List five instances in which the practitioner has a legal responsibility to report confidential matters that relate to health care and to report information. Explain how these are related to the harm principle.​

Question 22

Explain how vulnerability guides the decision-making process when confidentiality is overridden by the duty to warn. Give an example.​

Question 23

Explain why confidentiality is considered a principle with qualifications. Give examples.

Question 24

List the basic ethical principles that are foundational to the conduct of research using human subjects.​

Question 25

List three patient rights regarding control over patient information that has been provided for or strengthened by the HIPAA legislation.​

Question 26

List five groups not involved in direct patient care that have a legitimate interest in the medical record.​

Question 27

List rights that patients receive from the Privacy Rule.​

Question 28

Beginning with the Hippocratic Oath, Western health care providers have had strong guidance in regard to the maintenance of patient confidentiality. Certain non-Western cultures, such as the Chinese with equally long health care traditions, have had no traditional requirements in this area. Write an essay in regard to the concept that patient confidentiality is an unnecessary principle for health care.​

Question 29

Explain what place the basic principles (autonomy, beneficence, nonmaleficence, confidentiality, and justice) play in Institutional Review Board (IRB) determinations.​