CHL Law and Ethics 3

Question 1

A healthcare organization wants to share de-identified patient data with a research university. Under HIPAA, de-identification requires:

Accepted Answer

Removal of the 18 specific identifiers listed in the Safe Harbor method or expert statistical determination

Answer

Patient authorization in all cases

Answer

IRB approval only

Answer

A signed business associate agreement with the university

Question 2

Which document legally designates another person to make healthcare decisions on behalf of a patient who becomes incapacitated?

Accepted Answer

Durable power of attorney for healthcare

Answer

Living will

Answer

POLST form

Answer

Do-not-resuscitate order

Question 3

An ethics committee is consulted when a family demands aggressive life-sustaining treatment that the care team believes is futile. The ethics committee's primary role is to:

Accepted Answer

Facilitate communication, clarify values, and provide recommendations to resolve the conflict

Answer

Issue legally binding treatment orders

Answer

Replace the attending physician's judgment

Answer

Report the family to legal authorities

Question 4

Under Title VII of the Civil Rights Act, a healthcare employer is prohibited from discriminating based on all of the following EXCEPT:

Accepted Answer

Clinical competence

Answer

Religion

Answer

National origin

Answer

Sex

Question 5

A healthcare leader is structuring a management services agreement with a physician group. To avoid Anti-Kickback Statute liability, the compensation must be:

Accepted Answer

Set at fair market value and not tied to referral volume

Answer

Based on the volume of referrals the physicians generate

Answer

Approved by the state medical board

Answer

Fixed at no more than $50,000 annually

Question 6

A nurse manager notices a colleague charting medications as administered that were never given. The ethical principle most relevant to the manager's obligation to act is:

Accepted Answer

Veracity (truthfulness)

Answer

Justice

Answer

Fidelity

Answer

Paternalism

Question 7

A hospital system is subject to a Corporate Integrity Agreement (CIA) with the OIG. This typically occurs after:

Accepted Answer

Settlement of a federal healthcare fraud or abuse case

Answer

A Joint Commission accreditation survey

Answer

Completion of a Medicare cost report

Answer

Voluntary self-disclosure with no prior violations