Deck 4: Workplace Issues

Question 1

What would be illegal to ask in an interview?

A) The candidate's age
B) The candidate's work history
C) The candidate's references
D) Why the candidate left their previous job

Answer 1

A
It is illegal to ask the potential employee about age, religion, race, or color; the existence of children; weight and height; the existence of disabilities; arrest records; and maiden name.

Question 2

OSHA regulates:

A) physician licensing.
B) privacy for patients.
C) safety in the workplace.
D) discrimination in hiring.

Answer 2

C
All physical hazard spaces, medical waste, and medical biohazards (such as used sharps) must be handled following specific guidelines initiated by OSHA, the Occupational Safety and Health Administration. OSHA has been established for all kinds of businesses and safeguards employees from potential risks for illness or injury.

Question 3

At-will employment means:

A) the employee must be warned before being fired.
B) the employee may perform duties not listed on the job description.
C) the employer may change the employee's position at-will.
D) the employer may fire an employee without warning.

Answer 3

D
An employment-at-will is designed so that either party may discontinue the employment agreement at any time. For at-will employees, there is no need to follow protocols for termination; instead, the agreement itself dictates that this type of employee may be discharged without cause.

Question 4

All of the following are components of the medical record except:

A) progress notes.
B) plan of care.
C) flow sheets.
D) all of the above.

Question 5

A patient comes to a medical office and demands that she be given her medical record. Which of these statements is false in this situation?

A) The patient is allowed to take her personal medical record.
B) The patient is not allowed to take her medical record because the physical record belongs to the physician or healthcare facility.
C) The patient is the owner of the information in the record.
D) The patient is not the owner of the physical record.

Question 6

Which is a false statement about errors in a medical record?

A) Draw a single line through the error.
B) Write the corrected entry above it.
C) The word error should be written above the wrong entry.
D) Initial and date the correction.

Question 7

Which is true about CLIA?

A) It is a governmental agency.
B) It is a professional organization.
C) It is a group of laws.
D) It is a proposed law.

Question 8

Sue is a nurse providing care for patients. In which of the following situations is she not using the medical record according to the purposes of documentation?

A) Sue uses the information in the record to write a care plan.
B) Sue checks the record to determine whether the patient refused her last medication.
C) Sue looks at the record to confirm the spelling of a drug, which another patient is also taking, so that she can document it in the second patient's chart.
D) Sue documents an instance during which the patient refuses to take her medication.

Question 9

Define professionalism.

A) All the behaviors of the individual
B) Finding humor in tough situations
C) Acting with sympathy for a patient
D) Bringing personal problems into the workplace

Question 10

Why are clear and concise expectations important for an employer to provide to an employee on the grounds for immediate dismissal?

A) So the employee knows what things he or she can do wrong without being fired
B) So a patient cannot sue the healthcare provider for questionable care
C) So the employer may terminate an employee without following the corrective action procedures
D) So the employer may fire anybody at any time

Question 11

The primary purpose of a medical record is to:

A) prevent liability lawsuits.
B) provide a format for healthcare professionals to communicate with one another.
C) serve as a reference for previous care the patient has received.
D) plan for future care.

Question 12

Why are corrective action steps important to be included in an employer's policy and procedure manual?

A) So the employee can make the same mistake several times without being fired
B) So the employer can get rid of someone with whom they have a personality conflict
C) So the employer can counsel the employee about his or her performance and help the employee improve
D) So the employee can be trained correctly

Question 13

Using the SOAP format, which are objective data?

A) "My stomach hurts."
B) Patient given Milk of Magnesia for stomach discomfort.
C) Patient points to lower area of stomach.
D) Stomach pain present.

Question 14

If a hospital performs clinical testing and does not comply with CLIA, what policies might it be violating?

A) Conditions of Participation for Hospitals for Laboratory Services
B) Clinical Laboratory Improvement Act
C) Occupational Safety and Health Act
D) All of the above

Question 15

To ensure the efficient and effective care for all patients, a healthcare provider should always treat the patient:

A) with honesty and integrity.
B) with dignity and respect.
C) with smiles and hugs.
D) with dignity and integrity.

Question 16

High levels of ______ are essential in the medical field.

A) dependability
B) integrity
C) honesty
D) professionalism

Question 17

Using the SOAP format, which is an assessment?

A) Patient lifts eyelid to show foreign object.
B) "I have something in my eye."
C) Patient states eye has been watering for 3 days.
D) Foreign object is in left eye.

Question 18

Which healthcare professional is bound to protect the confidentiality of the medical record?

A) The nurse providing patient care
B) The physician and his or her staff
C) The ancillary personnel in the hospital
D) All healthcare personnel

Question 19

Qui tam means:

A) you too.
B) who as well.
C) you cannot.
D) who must.

Question 20

An employee handbook should outline all of the following, except:

A) policies and procedures.
B) hiring and termination.
C) advancement within the organization.
D) coworker responsibilities.

Question 21

How can a lost medical record be damaging to a physician?

A) It shows a patient that his or her physician is careless.
B) It may look like an attempt to hide the record in a lawsuit.
C) It may cause the patient to think something is wrong.
D) The patient may think the physician is lying about his or her condition.

Question 22

The medical record, used to determine whether healthcare professionals met obligations to patients and followed policies and guidelines, is considered which of the following?

A) Ethical document
B) Medical document
C) Legal document
D) Facility policy

Question 23

The length of record retention is determined by:

A) the local government.
B) the state government.
C) the federal government.
D) the American Medical Association.

Question 24

As a result of increased use of computers in the healthcare setting, the following was established to decrease the potential for breach of confidentiality:

A) OSHA
B) HIPAA
C) ethics
D) CMS

Question 25

Which laws pertains to medical record security?

A) OSHA
B) HIPAA
C) CLIA
D) CPR

Question 26

Why is it wise for a physician to never destroy a record?

A) A lawsuit may occur after the record is destroyed.
B) The physician can reviews records periodically to learn from them.
C) A patient may want it years later.
D) A deceased person's family may need it for genetic information.