Medical Organization And Physician + Verified Test Bank Ch.8

Chapter 8 Medical Organization and Physician Liability

Multiple Choice

1. The ___________ committee is generally responsible for the development of policies and procedures for the investigation and control of infections.

a. infection control

b. bylaws

c. executive

d. credentials

2. The ___________ committee of the medical staff reviews and acts on reports of the various medical staff department chairpersons and designated medical staff committees.

a. quality assurance

b. executive

c. bylaws

d. peer review

3. The ___________ committee is responsible for reviewing surgical procedures.

a. tissue

b. quality assurance

c. medical records

d. infection control

4. The ___________ committee monitors and evaluates utilization issues such as medical necessity and appropriateness of admission and continued stay, as well as delay in the provision of diagnostic, therapeutic, and supportive services.

a. tissue

b. medical records

c. utilization review

d. credentials

5. The ___________ committee oversees the application process for new medical staff applicants.

a. bylaws

b. credentials

c. peer review

d. quality assurance

6. The ___________ committee is responsible for reviewing medical records for timeliness, accuracy, legibility, and completeness.

a. executive

b. bylaws

c. peer review

d. medical records

7. The ___________ committee is responsible for developing and/or approving policies relating to the handling and administration of drugs.

a. pharmacy and therapeutics

b. institutional review

c. executive

d. bylaws

8. ___________ is the most common cause of malpractice suits against physicians.

a. Abandonment

b. Delay in treatment

c. Misdiagnosis

d. Failure to refer to a specialist

9. The probability of malpractice suits against physicians can be reduced through ___________.

a. guarantee of treatment outcomes

b. defensive medicine

c. personalized care

d. increased insurance coverage

10. A consultation should be ordered by the attending physician ___________.

a. when the attending physician is in doubt as to diagnosis

b. when requested by the patient

c. when requested by a consulting physician on the case

d. all of the above

11. The premature dismissal of a case without notifying the patient can be construed as ___________.

a. aggravation

b. delay in treatment

c. misdiagnosis

d. abandonment

12. A physician who decides to withdraw his services should ___________.

a. notify the patient’s family that he no longer wishes to care for the patient

b. notify the patient that he is immediately withdrawing his services

c. provide the patient with reasonable notice of his or her decision to discontinue the patient’s care

d. have the hospital’s patient care representative notify the patient of the his decision to discontinue treatment

13. A physician is ___________.

a. expected to guarantee the results of his or her treatment.

b. negligent if his or her treatment is not performed as required by the recognized standard of care.

c. negligent by the mere fact that an adverse result occurred following treatment.

d. expected to perform novel procedures if he or she decides to do so, regardless of the medical standard across the country.

14. The ___________ committee develops blood usage policies and procedures. It is responsible for monitoring transfusion services and reviewing indications for transfusions, blood ordering practices, each transfusion episode, and transfusion reactions. The committee reports its findings and recommendations to the medical staff executive committee.

a. credentials

b. pharmacy and therapeutics

c. infection control

d. blood and transfusion

15. The ultimate authority for granting clinical privileges rests with the ___________.

a. governing body

b. executive team of the medical staff

c. CEO

d. president of the medical staff

16. The National Practitioner Data Bank was created by Congress ___________.

a. as an individual state repository of information with the primary purpose of facilitating a comprehensive review of a physician’s insurance coverage

b. protect physicians who leave one state to practice in another state

c. as a national repository of information with the primary purpose of facilitating a comprehensive review of physicians’ and other healthcare practitioners’ professional credentials

d. as a national repository of information with the primary purpose of facilitating professional licensure

17. When a doctor fails to inform his patient in a timely manner of a serious condition that turns deadly, fails to refer him to a specialist, and does no further tests, he can be found negligent by reason of ___________.

a. delaying treatment

b. strict liability

c. vicarious liability

d. misdiagnoses

18. When a physician fails to perform an adequate history and physical and the patient suffers a injuries as a result of that failure, ___________.

a. the physician cannot be held liable for a patient’s injuries resulting from such failure

b. the physician has violated a standard of care required of physicians and, therefore, can be liable for injuries suffered by the patient

c. a private practicing physician cannot be liable for injuries suffered

d. an independent practicing physician cannot be liable for injuries suffered

19. When a patient is injured as a result of a physician who's practicing in a clinical area with which he is not familiar, the patient must show ___________.

a. the physician was not board-certified in that area

b. the physician failed to meet the standard of care required of the specialty in which the physician was practicing at the time of the injury

c. he had to arrange for a consultation by another physician

d. the physician had sloppy record-keeping practices regarding the patient's care

20. Before surgery, if a patient is not told about the risks and benefits of an operation, ___________.

a. there has been a failure to provide informed consent

b. a different course of treatment should be followed

c. the patient's signature should be obtained after surgery

d. it doesn't matter as long as the physician knows the patient’s wishes

21. A psychiatrist has a duty to warn of his patient’s danger to a third party if ___________.

a. the psychiatrist is absolutely sure the patient will not harm the third person

b the patient has never harmed others in the past

c. the patient leaves his office with a positive attitude

d. the psychiatrist determines that the patient poses a serious threat of violence to a foreseeable victim or victims

22. A patient who is prematurely terminated from treatment by his physician could file a legal action for ___________.

a. discontinuance

b. termination

c. abandonment

d. unreasonable harm

23. The delineation of clinical privileges is the process by which the medical staff ___________.

a. evaluates the physician’s understanding of medical staff bylaws

b. determines precisely what procedures a physician is authorized to perform

c. determines each physician’s mental and physical capacity to be a member of the hospital’s ethical staff

d. determines the physician’s ability to work with others

24. A State Medical Board ___________.

a. can permanently revoke a physician’s license

b. cannot permanently revoke a physician’s license

c. cannot permanently revoke a physician’s license without the concurrence of the hospital in which the physicians practices

d. must comply with hospital guidelines for removal of a physician’s license

25. Physicians on call in an emergency department are expected to ___________.

a. ask the emergency department to seek help from another physician

b. respond to requests for emergency assistance within three business days

c. respond to requests for emergency assistance when it is considered necessary by the emergency department

d. respond after dinner