Deck 4: Ethical and Legal Perspectives

Question 1

The purpose of the Health Insurance Portability and Accountability Act of 1996 was to:

A)allow care providers to communicate with one another.
B)protect the confidentiality of patient health records. ​
C)reduce the amount of documentation required by insurance companies.
D)require medical service providers to justify their services.

Answer 1

B

Question 2

In what way have the policies of deinstitutionalization and treatment within the least restrictive environment contributed to the escalating violence in our society?

A)By allowing individuals who may have a mental illness and are homeless to carry weapons for protection.
B)By establishing policies for the treatment and release of people with mental illnesses who have been incarcerated.
C)By releasing into the community individuals who do not have the resources to care for themselves.
D)By requiring that individuals who do not have the resources to care for themselves be placed in nursing homes.

Answer 2

C

Question 3

Julia is a case manager at a domestic violence shelter in a small, rural community. Because this agency is the only one of its kind in several surrounding counties, Julia's responsibilities include traveling to different counties and communicating with different officials in these communities. Oftentimes, Julia is called to respond to crises many miles from her office. She has found herself spending hours at a time away from her desk and has had trouble keeping up with necessary paperwork. Because her job involves so much time away from her office, Julia has started using her personal laptop computer whenever she is working in other locations. By doing so, she has found that she can complete client intake forms and other required documentation more quickly and more accurately because she does not have to wait until she returns to her office to complete the forms. Instead, Julia can complete the forms, and then e-mail them back to the office. The use of the laptop has contributed to Julia's ability to complete needed paperwork quickly; because of this, her clients are able to receive services sooner. In order to ensure that Julia's laptop is appropriate for use in her work, she needs to do which of the following?
I.Install a firewall system
II.Use an encryption program
III.Ensure that others do not have access
IV.Have a back-up battery

A)I, II, III, and IV
B)I, II and III
C)II and IV
D)III and IV

Answer 3

B

Question 4

In addition to the policies of deinstitutionalization and treatment within the least restrictive environment, violence in our society is compounded by which of the following?
I.Changing values
II.Access to weapons
III.Managed care
IV.Government programs

A)II, III and IV
B)I, II, III, and IV
C)III and IV
D)I and II

Question 5

One of the fundamental principals of case management is:

A)to promote the client's autonomy.
B)to strictly adhere to ethical codes.
C)to promote your personal values.
D)to determine the competence of clients.

Question 6

When faced with an ethical dilemma, the case manager may be able to petition for an exception to a rule. This is beneficial because:

A)it helps co-workers and administrators recognize the personal commitment of the case manager to his or her clients.
B)it helps those who make the rules see that rapid enforcement may violate the reason for which the rule was made.
C)it helps the client by demonstrating the case manager's willingness to meet his or her needs.
D)it helps the case manager's supervisor, because he or she will not be forced to make a decision or be held accountable.

Question 7

When helping clients who are thinking about end-of-life decisions, case managers can support client autonomy by attending to which of the following guidelines?
​ 1.         Help the client decide who he or she would want to make decisions on his or her behalf
2.         Help the client decide the kind of medical treatment that he or she wants or does not want
3.         Help the client decide how he or she wants to be treated during end-of-life care
4.         Help the client decide whether or not he or she would lie to establish advance directives

A)I, II, III, and IV
B)I and III
C)II, III and IV
D)II and IV

Question 8

Whenever family members disagree about the care of the patient and no advance directive is in place:

A)the mother or father of the patient is asked to make a decision.
B)​​ the spouse of the patient is asked to make a decision.
C)the patient's case manager is asked to make a decision. ​
D)the medical staff is asked to make a decision.

Question 9

Prior to collecting any information from clients, the case manager-in order to anticipate confidentiality problems-should address which of the following?
I.   Decide what information is needed to do the job, and why.
II.Decide what you, as the case manager, would like to know.
III.Decide under what circumstances the information will be shared.
IV. Decide what information will become a part of the permanent record.

A)I, II, III, and IV
B)II and IV
C)I, II and III
D)I, III and IV

Question 10

Julia is a case manager at a domestic violence shelter in a small, rural community. Because this agency is the only one of its kind in several surrounding counties, Julia's responsibilities include traveling to different counties and communicating with different officials in these communities.
Oftentimes, Julia is called to respond to crises many miles from her office. She has found herself spending hours at a time away from her desk and has had trouble keeping up with necessary paperwork. Because her job involves so much time away from her office, Julia has started using her personal laptop computer whenever she is working in other locations. By doing so, she has found that she can complete client intake forms and other required documentation more quickly and more accurately because she does not have to wait until she returns to her office to complete the forms. Instead, Julia can complete the forms, and then e-mail them back to the office.
The use of the laptop has contributed to Julia's ability to complete needed paperwork quickly; because of this, her clients are able to receive services sooner.
In addition to protecting sensitive data, Julia also needs to consider which of the following before using e-mail in her work?
I.What types of client services she will provide via e-mail
II.How she will address issues of communicating with clients via e-mail
III.Not allowing her family members to have full access to the laptop
IV.Communicating to clients the steps she will take to protect their information.

A)I, II, III, and IV
B)I and II
C)III and IV
D)I, III and IV

Question 11

When using technology to communicate, store, or retrieve confidential information about clients, the case manager must attend to which of the following security issues?
I. Maintaining accurate contact information.
II.The use of e-mail to send the data.
III. Securing the communication site.
IV.Using a firewall to protect the data.

A)I and II
B)I and III
C)I, II and III
D)II, III and IV

Question 12

In an ethical dilemma, the case manager should consider which of the following guidelines?
I.What is the purpose of the rule, and how does it help the client?
II.What are the chances that I might get caught if I ignore the rule?
III.What does the client lose and/or gain if the rule is followed?
IV.What are the consequences for the client or for me if I violate the rule?

A)I, II, III, and IV
B)I, II and III
C)II, III and IV
D)I, III and IV

Question 13

When addressing issues of violence, the case management team should follow which of the following guidelines?
I. Members of the team need to identify potentially violent clients and vulnerable situations.
II.Members of the team need to understand several triggers of violence such as lack of control.
III. Members of the team should receive training to de-escalate a potentially violent situation.
IV.Members of the team need to know how to write a report on violence in the workplace.

A)II and IV
B)I, II and III
C)I and III
D)I, II, III, and IV

Question 14

Julia is a case manager at a domestic violence shelter in a small, rural community. Because this agency is the only one of its kind in several surrounding counties, Julia's responsibilities include traveling to different counties and communicating with different officials in these communities.
Oftentimes, Julia is called to respond to crises many miles from her office. She has found herself spending hours at a time away from her desk and has had trouble keeping up with necessary paperwork. Because her job involves so much time away from her office, Julia has started using her personal laptop computer whenever she is working in other locations. By doing so, she has found that she can complete client intake forms and other required documentation more quickly and more accurately because she does not have to wait until she returns to her office to complete the forms. Instead, Julia can complete the forms, and then e-mail them back to the office.
The use of the laptop has contributed to Julia's ability to complete needed paperwork quickly; because of this, her clients are able to receive services sooner.
​ Although the use of the laptop has ultimately benefited Julia's clients, she should be cautious because:

A)the information she is sending is confidential in nature.
B)laptops are not always dependable, and she might lose data.
C)she might focus on completing forms, instead of on her clients.
D)she might be asked to justify her time away from the office.

Question 15

If a case manager is asked to testify in court regarding the confidential information of a client, he or she is required to do so unless:

A)the client does not consent.
B)doing so will cause harm.
C)protected by the state.
D)other family members will be present.

Question 16

Whenever a case manager believes that a client is a threat to him- or herself or to other people, the case manager:

A)should refer the client.
B)needs to teach coping skills.
C)must confront the client.
D)has a duty to warn.

Question 17

When developing plans of care, the preferences of the client:

A)should be considered if they are in line with the case manager's beliefs.
B)should receive priority in order to promote self-determination.
C)should be heard even though the case manager will make the decision.
D)should be heard so the client will feel respected by the case manager.

Question 18

Whenever a case manager is in a position of working with a difficult family (of an incompetent client), he or she should follow which of the following guidelines?
I. Hold a private meeting with the interdisciplinary team and the spouse of the client.
II. Ask family members to attend a meeting with the case manager and the team.
III.If the family cannot reach consensus, the ask the spouse of the client to make a choice.
IV.Encourage the patient's spouse to sign a medical power of attorney or a living will. ​

A)III and IV
B)I, II and IV
C)I and II
D)II and III

Question 19

In our society, managed care is a part of the health and mental health care system. Case managers today must be prepared to face challenges in working with managed-care organizations. Which of the following are challenges that case managers might face?
I.Making treatment decisions
II.Choosing cost-efficient providers
III.Providing best services
IV.Advocating for clients

A)I, II and IV
B)II and III
C)III and IV
D)I and III

Question 20

When working with managed-care organizations, case managers may serve their clients more effectively by adhering to which of the following guidelines?
​
I.Write clear, well-documented treatment plans
II.Encourage clients to use a fee-for-service plan
III.Help clients understand the managed-care system
IV.Make treatment decisions on behalf of the client

A)I and III
B)II and III
C)I, II and IV
D)I and IV