Deck 6: Ethical Decisions and Challenges

Question 1

In the context of ethics,the belittling or criticizing of skills,knowledge or qualifications of another professional is referred to as _____.

A) Defamation
B) Disparagement
C) Libel
D) Slander

Answer 1

Disparagement

Question 2

Which requires healthcare providers to inform patients about the law and their right to make advance decisions concerning health care?

A) AHA
B) ARRA
C) HIPAA
D) PSDA

Answer 2

PSDA

Question 3

Which provides the most accurate sequence in the ethical decision making process?

A) Determine available options,determine the facts,evaluate the outcome of the decision
B) Determine the facts of the situation,decide what should be done,define the issue
C) Define the issue,determine available options,implement the decision
D) Determine stakeholders,determine facts of the situation,define the issue

Answer 3

Define the issue,determine available options,implement the decision

Question 4

Which is an ethical healthcare model wherein the healthcare professional acted in the role a "father to his children?"

A) Fraternalism
B) Paternalism
C) Res ipsa loquitur
D) Respondeat superior

Question 5

Which would create an ethical concern?

A) Altering statistics to meet accreditation requirements.
B) Documenting late entries as such in a patient's record.
C) Revealing conflicts of interests to hospital administration.
D) Televising press conferences at the health care facility.

Question 6

Under paternalism providers act as the patient's father,meaning they pay for the visit.

Question 7

Patient rights involve the _____.

A) Concept that the physician is permitted to arrive at the choice of whether to order or withhold a procedure or service
B) Legal authority that the patient is to be provided with health care under the constraints of the insuring organization
C) Patient having complete autonomy as to which healthcare services he receives since he is paying the insurance premium
D) Recognition that the patient is entitled to determine for herself the extent to which she will receive or forego treatment

Question 8

Which is established within an organization or profession to evaluate current guidelines and establish new guidelines?

A) covered entity
B) ethics committee
C) patient representative
D) statutory provision

Question 9

The ethical role of a supervisor involves _____.

A) Just her own conduct and behavior on the job,even if hostile
B) Never publicly admitting to her own mistakes if she is incorrect
C) Presuming that employees bear responsibility for their own behavior
D) Serving as a role model to employees and others in an organization

Question 10

Patient rights _____.

A) are ethically based and cannot be enforced by law
B) have been formalized into statutory provisions by some states
C) recognize that the provider determines the extent of treatment
D) require patients to be passive participants in their health care

Question 11

Insurance companies may cause an ethical dilemma by requiring _____.

A) adherence with Medicare coding practices
B) limitations of inpatient hospitalization stays
C) primary care referrals to a healthcare specialist
D) use and distribution of just formulary medications

Question 12

Ethical challenges involve situations in which _____.

A) Differences in opinion have no effect
B) Just one perfect solution exists
C) Many or few provisions are included
D) There are no clear cut right answers

Question 13

A written list of a profession's values and standards of conduct would best be described as the _____.

A) Bylaws
B) Code of ethics
C) Rules and regulations
D) Statutes

Question 14

Which is an ethical challenges related to coding?

A) Assigning multiple codes to increase DRG payments.
B) Bundling codes and charges where appropriate.
C) Coding at lower levels in accordance with guidelines.
D) Focusing on accuracy to improve reimbursement.

Question 15

Which is true of ARRA?

A) ARRA provisions specify that patients are to receive a paper-based printout of all information transmitted in an electronic health record format.
B) ARRA reinforces a patient's right to have access to her own healthcare information when the patient record is in stored in a paper-based format.
C) ARRA restricts the transmission of healthcare information to the patient if the information was originally received in a manual format.
D) ARRA states that patients have the right to require a covered entity to electronically re-transmit information to an entity designated by the patient.

Question 16

A code of ethics is a written list of a profession's values and standards of conduct.

Question 17

A HIM Manager is expected to be friends with all his staff members.

Question 18

Conflicts of interest that appear to be inappropriate but do no harm are described as _____.

A) Actual
B) Advancements
C) paternal
D) potential

Question 19

A physician from a local hospital sends all his surgical patients to a clinic that he has part ownership in.This would be considered a conflict of interest.

Question 20

The function of an ethics committee may vary among organizations.

Question 21

Conflicts of interest are present if the health care practitioner engages in sexual relations with the patient.

Question 22

Conflict of interest can be potential or actual.

Question 23

A patient right under to HIPAA is to be able to request a accounting of disclosures of their protected health information.

Question 24

It is part of the supervisor's ethical role to ensure everyone has the exact desk they want within the HIM department.

Question 25

Describe two challenges HIM professionals deal with in a healthcare setting.

Question 26

List the 9 steps in ethical decision making

Question 27

Deciding what should be done is the first step in ethical decision making.

Question 28

An ethical situation could arise when an administrative team member asks the HIM manager to "fudge" statistical numbers to ensure compliance with an accrediting body.

Question 29

The last thing a HIM professional should do when following the steps of ethical decision making is to examine how to prevent the issue from recurring.

Question 30

Ethics has been a cornerstone of the HIM profession since its beginning.

Question 31

One way to monitor employee conduct is to make the matter of ethics a part of the employee's performance evaluation.

Question 32

When patients enter a healthcare facility they are asked to sign a confidentiality/ privacy statement before treatment if they are able to sign.This form gives the patient an explanation of all her rights.

Question 33

The HIPAA privacy rule has been around since the 1950's.

Question 34

Describe what the ARRA is and how it has changed the HIM professional's role in healthcare.

Question 35

Some states have formalized the concept of patient's rights into statutory provisions.

Question 36

An employee that reports to work drunk multiple times is a good example of an impaired colleague.

Question 37

Different aspects of ethical problems include culture,laws,rights,morals,etc