Ch17 Complete Test Bank Legal Reporting Requirements

Chapter17 Legal Reporting Requirements

Multiple Choice

1. ___________ is the intentional serious mental, emotional, sexual, and/or physical injury inflicted by a family member or other person who is responsible for the child’s care.

a. Child Status Protection Act

b. Child abuse

c. Child Protection Act

d. Child care

2. The term child abuse can be used to described a situation in which a child ___________.

a. has failed to suffer immoral associations

b. has been stopped from being in a disreputable place

c. has been free from association with a vagrant, vicious, or immoral person

d. has been neglected through starvation

3. __________ states have enacted child abuse laws.

a. 50

b. 49

c. 18

d. 35

4. The following persons in a health care setting are required to report child abuse: ___________.

a. physicians, social workers and nurses only

b. registered nurses only

c. administrators, physicians, interns, registered nurses, chiropractors, social workers, psychologists, dentists, osteopaths, optometrists, podiatrists, and mental health professionals,

d. physicians only

5. An individual who reports child abuse should be aware of the physical and behavioral indicators of abuse and maltreatment, including ___________.

a. bruises, burns, and broken bones

b. cigarette burns only

c. a lack of broken arms or leg and skull injuries

d. black and blue marks from playing school football during lunch break

6. The ___________ provides minimum standards that states must incorporate in their definitions of child abuse and neglect.

a. Child and Elder Abuse Act

b. Victims Awareness Act

c. Federal Abuse Act

d. Federal Child Abuse and Treatment Act

7. Any report of suspected child abuse must be made with ___________.

a. a good-faith belief that the injuries were accidental

b. a good-faith belief that injuries were not accidental

c. knowledge that the health care practitioner is acting from his or her desire to harass the child's parents

d. knowledge that the health care practitioner is acting on the wrong assumptions

8. Marks v. Tenbrunsel^[1] established how information learned during a private counseling session ___________.

a. will remain confidential

b. would not be open to public review

c. would not necessarily remain confidential

d. would be reported to other family members

9. The criminal and civil risks for health care professionals in child abuse cases ___________.

a. lie in good-faith reporting

b. lie in reporting suspected incidents of abuse

c. lie in the failure to report abuse

d. are governed by local municipalities as opposed to state laws

10. Elder abuse is _________.

a. any form of mistreatment that results in harm or loss to an older person

b. any form of mistreatment that results in harm or loss to a child

c. assault

d. failure to apply restraints

11. Most states have enacted statutes mandating the reporting of elder abuse. In general, elder abuse ___________.

a. is slightly more reported than child abuse

b. is more likely to be reported than child abuse

c. is less likely to be reported than child abuse

d. is reported as frequently as child abuse

12. Signs of elder abuse or neglect include __________________.

a. expected death from natural causes and no hesitation to talk openly

b. plausible stories by a senior citizen

c. a calm demeanor

d. dehydration and/or malnourishment without an illness-related cause.

13. Caregivers who suspect abuse ___________.

a. are not expected to report their findings

b. should note the symptoms and conditions of suspected abuse in a clear and objective manner

c. should keep personal notes as to their observations

d. should report symptoms and conditions of suspected abuse vaguely

14. Most states have enacted laws that require the reporting of ___________.

a. actual or suspected cases of communicable diseases

b. actual or suspected cases of the common cold

c. actual or suspected cases of smallpox

d. actual or suspected cases of poison ivy

15. The need for statutes requiring the reporting of communicable diseases is to ___________.

a. protect citizens' health by placing patients in public places

b. quarantine patients with communicable diseases to prevent the spread of a disease

c. ensure some reporting of infection or disease

d. quarantine patients with non-communicable diseases and ensure reporting of infection or disease

16. Births and deaths are reportable ___________.

a. by local ordinances

b. by a hospital’s tissue committee

c. by a hospital’s autopsy committee

d. according to applicable statutes

17. Unnatural deaths must be referred to the ___________.

a. administrator for review

b. pathologist for review

c. medical examiner for review

d. tissue committee for review

18. The purpose of a medical examiner's investigation is ___________.

a. to determine the actual cause of death and provide assistance to criminal investigations

b. primarily for education purposes

c. primarily for research purposes

d. to assist in intern and resident training

19. The Health Care Quality Improvement Act of 1986 was enacted to ___________.

a. improve the quality of medical care

b. encourage physicians to participate in peer review

c. restrict incompetent physicians' ability to move from state to state

d. improve the quality of medical care by encouraging physicians to participate in peer review and by restricting incompetent physicians' ability to move from state to state without disclosure or discovery of their previous substandard performance or unprofessional conduct

20. The National Practitioner Data Bank was created by Congress as a ___________

a. national repository of health information for elder abuse

b. national repository of health information with the primary purpose of facilitating a comprehensive review of health care practitioners' professional credentials

c. national repository of health information for sex offenders

d. national repository of health information on communicable diseases

21. Data bank queries can be made by ___________.

a. state licensing boards only

b. all persons wishing to learn more about a physician’s malpractice history

c. professional societies only

d. hospitals, state licensing boards, and professional societies

22. Incident reports contain statements made by employees and physicians regarding ___________.

a. a deviation from acceptable patient care

b. best practices

c. investigative reporting of hospital acquired infections

d. regulatory purposes

23. A sentinel event is ___________.

a. an expected occurrence of improved health

b. an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof

c. an unexpected earthquake

d. an unanticipated improvement in patient status

24. A root cause analysis (RCA) is ___________.

a. strictly a medical staff function

b. a chronological review of an event to identify what, how, why, when, and where an unwanted event occurred in order to prevent reoccurrence of the event.

b. a monthly review of infection rates

d. a review of a corporate compliance program

25. An effective corporate compliance program is ___________.

a. designed to improve employee performance

b. reasonably designed, implemented, and enforced so that it will be effective in preventing and detecting appropriate conduct

c. designed to prevent negligence

d. designed to detect and prevent violations of the law

26. In one incident, a patient had been left unattended in a shower by an orderly, and the patient sprayed himself with hot water, which resulted in second-degree burns on his forehead. Upon investigation, the department of health determined ___________.

a. the incident constituted patient neglect

b. the incident did not merit reporting

c. failure to report these incidents was not a violation of public health law

d. the incident was too minor to bring to court and had no serious consequence for health care services to the patient.

27. Physicians are also required to report complaints, disciplinary actions, and criminal offenses to the ___________.

a. National Security Agency

b. appropriate professional licensure board

c. American Medical Association

d. Internal Revenue Service

28. Incident reports should ___________.

a. be filed in the patient’s medical record with a copy sent to the hospital’s legal counsel

b. provided to the patient

c. be placed in the medical record

d. not be placed in the medical record

29. Information reported to the data bank ___________.

a. is considered strictly not confidential

b. can be disclosed to all third parties

c. is considered strictly confidential and cannot be disclosed except as specified in the NPDB regulations

d. can be easily accessed fraudulently, with no civil penalties for the perpetrator.

30. Elements of an effective corporate compliance program include ___________.

a. adequate discipline of individuals responsible for an offense

b. harsh discipline to send a message of zero tolerance regardless of the severity of the wrong committed

c. inadequate discipline of individuals responsible for an offense

d. standards that are based on the level of importance of the wrongdoer (e.g., CEOs should get preferential treatment)

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