CHAA Advance Directives and Patient Rights 3

Question 1

Which entity is responsible for investigating patient grievances related to violations of patient rights in a hospital setting?

Accepted Answer

The hospital's Patient Relations or Patient Advocacy department

Answer

The Joint Commission (TJC)

Answer

The Centers for Medicare & Medicaid Services (CMS) directly

Answer

The state Department of Labor

Question 2

A patient formally complains that they were not given information about their rights at admission. This type of complaint is classified as:

Accepted Answer

A patient grievance

Answer

A billing dispute

Answer

A peer review matter

Answer

An incident report

Question 3

When should the Patient Access associate ask a patient about existing advance directives?

Accepted Answer

At or before the time of each inpatient admission or outpatient surgery

Answer

Only when the patient is being admitted for end-of-life care

Answer

Only when requested by the attending physician

Answer

After the patient has been stabilized following an emergency admission

Question 4

A patient refuses a blood transfusion citing religious beliefs. The attending physician believes the transfusion is medically necessary. The Patient Access associate's MOST appropriate action is to:

Accepted Answer

Document the refusal in the record and alert the clinical team and patient advocacy

Answer

Override the patient's refusal because the physician's judgment takes precedence

Answer

Call the hospital chaplain to counsel the patient before recording the refusal

Answer

Require the patient to sign a form acknowledging they are leaving against medical advice

Question 5

Which of the following BEST describes the role of a healthcare proxy?

Accepted Answer

An individual legally authorized to make healthcare decisions for an incapacitated patient

Answer

A hospital employee assigned to advocate for uninsured patients

Answer

A physician designated to perform procedures when the primary physician is unavailable

Answer

An insurance company representative who authorizes medical services

Question 6

If a patient does NOT have an advance directive on file, which action is REQUIRED under the Patient Self-Determination Act?

Accepted Answer

Document in the medical record that the patient was offered information about advance directives

Answer

Deny the patient admission until they complete one

Answer

Contact the patient's next of kin to complete one on the patient's behalf

Answer

Refer the patient to an attorney before proceeding with care

Question 7

A patient who was previously deemed incapacitated regains decision-making capacity. Regarding their existing advance directive, which statement is TRUE?

Accepted Answer

The patient's own current decisions take precedence over the advance directive

Answer

The advance directive remains in effect regardless of the patient's current capacity

Answer

The healthcare proxy's decisions continue to take precedence until discharge

Answer

The hospital must obtain a physician order to reactivate the patient's decision-making rights