Question 1

The Patient Self Determination Act of 1990:
A) addresses end-of-life decisions and care related thereto
B) provides for the use of living wills, health care proxies, and advance directives
C) was made necessary in part by technological advances in life support systems
D) All of these are correct

Accepted Answer

The Patient Self Determination Act of 1990 encompasses all these aspects: it addresses end-of-life decisions, promotes the use of living wills and advance directives, and was influenced by technological advances in life support systems.

Question 2

Of the following, the most likely reason for entrenched employee resistance to change is:
A) the uneasiness created among employees when they anticipate having to change the way they do their work
B) employees' lack of knowledge of what is coming; that is, fear of the unknown
C) dislike of the manager or distrust of management overall
D) None of these are correct

Accepted Answer

B

Question 3

In addition to encouraging acceptance of a necessary change affecting their jobs, involvement of employees in changing methods and practices is valuable because ____________,
A) it invariably gives them control over the change
B) it automatically prevents most resistance
C) it can empower employees with a sense of ownership of the change
D) employees are then more accepting of management direction because they have been included

Accepted Answer

Involving employees in the change process can empower them with a sense of ownership, making them more likely to support and engage with the change.

Question 4

All of the following are characteristics of the change process associated with adjustments to Y2K, EXCEPT:
A) managers were dealing with a predicted change
B) the need for the change was known several years ahead of the deadline
C) the change involved a combination of predictable and unpredictable aspects
D) the change involved little or no opportunity for making other system wide improvements

Accepted Answer

The Y2K change process provided opportunities for system-wide improvements as organizations updated and replaced outdated systems.

Question 5

The changes associated with the Patient Self-Determination Act resulted in renewed interest in, and activity by, which committee of the patient care team?
A) Disaster response committee
B) Peer review committee
C) Ethics review committee
D) Utilization review committee

Accepted Answer

The Patient Self-Determination Act emphasizes patients' rights to make decisions about their own healthcare, which often involves ethical considerations, thus increasing the role of the ethics review committee.

Question 6

The changes associated with the Patient Self-Determination Act include all of the following, EXCEPT:
A) rapid routinization through update of existing documentation processes
B) crisis approach to unanticipated change in requirements for documentation
C) patient and family outreach and education program offerings
D) rapid routinization through update of existing admissions processes

Accepted Answer

The Patient Self-Determination Act focuses on ensuring patients are informed about their rights to make decisions regarding their medical care, including advance directives. It does not specifically involve a crisis approach to unanticipated changes in documentation requirements.

Question 7

Resistance to change is an unnatural state within the individual.

Accepted Answer

Resistance to change is a natural response as individuals often prefer stability and familiarity over uncertainty and disruption.

Question 8

The Health Insurance Portability and Accountability Act (HIPAA) was passed principally to ensure that workers could change jobs without being denied health insurance based on preexisting conditions.

Accepted Answer

HIPAA was passed to ensure that workers could change jobs without being denied health insurance based on preexisting conditions.

Question 9

Involvement, often the strongest force in overcoming employee resistance to change, is sometimes not an available option.

Accepted Answer

Involvement can be limited by factors such as time constraints, organizational structure, or the nature of the change, making it not always feasible to engage all employees in the process.

Question 10

Conformity to the requirements of HIPAA has cost many organizations considerably more than the government's estimates.

Accepted Answer

The implementation of HIPAA often involves significant expenses related to technology, training, and compliance measures, which can exceed initial government estimates.

Question 11

There is presently a reasonable chance that HIPAA, because of its unpopularity among healthcare providers, will be repealed.

Accepted Answer

HIPAA is a well-established law that provides important privacy protections for patients' health information, and there is no current indication or widespread movement towards its repeal.

Question 12

Providing employees with clear, specific orders is probably the most effective means of ensuring acceptance of change.

Accepted Answer

Clear, specific orders may not ensure acceptance of change as employees may resist if they do not understand or agree with the change. Involving employees in the change process and addressing their concerns can be more effective.

Question 13

The implementation of the electronic health record is an example of proactive change.

Accepted Answer

Proactive change involves anticipating future needs or problems and implementing changes in advance. Implementing electronic health records is a proactive measure to improve healthcare efficiency and patient care.

Question 14

Implementation of changes within an organization in response to the electronic health record initiatives is the primary responsibility of the American Health Information Association.

Accepted Answer

The primary responsibility for implementing changes related to electronic health record initiatives typically falls on healthcare organizations and their IT departments, not the American Health Information Management Association (AHIMA), which focuses on health information management and advocacy.

Question 15

Stakeholders in the implementation processes associated with the electronic health record include the National Library of Medicine.

Accepted Answer

The National Library of Medicine (NLM) is involved in the implementation of electronic health records (EHR) as it provides medical information and standards that support the development and use of EHR systems.

Question 16

The American Health Information Association's legislative advocacy program concerning nondiscrimination based on health conditions primarily focuses on the personal health record.

Accepted Answer

The answer of The American Health Information Association's legislative advocacy...

Quiz 2: The Challenge of Change

The Patient Self Determination Act of 1990:

Of the following, the most likely reason for entrenched employee resistance to change is:

In addition to encouraging acceptance of a necessary change affecting their jobs, involvement of employees in changing methods and practices is valuable because ____________,

All of the following are characteristics of the change process associated with adjustments to Y2K, EXCEPT:

The changes associated with the Patient Self-Determination Act resulted in renewed interest in, and activity by, which committee of the patient care team?

The changes associated with the Patient Self-Determination Act include all of the following, EXCEPT: