CNHA Ethics and Legal Issues

Question 1

Under the Omnibus Budget Reconciliation Act (OBRA) of 1987, which of the following is a fundamental right guaranteed to nursing home residents?

Accepted Answer

The right to be free from unnecessary physical or chemical restraints

Answer

The right to a private room at no additional cost

Answer

The right to select their own physician from any licensed provider nationwide

Answer

The right to unlimited visitation at any hour

Question 2

What is the primary purpose of obtaining informed consent from a nursing home resident before initiating a new treatment?

Accepted Answer

To ensure the resident understands and voluntarily agrees to the proposed treatment

Answer

To protect the facility from liability lawsuits

Answer

To satisfy Medicare billing requirements

Answer

To document the physician's recommendation in the medical record

Question 3

A resident presents a legally executed advance directive stating they do not want CPR. What is the nursing home administrator's primary responsibility?

Accepted Answer

Ensure the directive is honored and communicated to all relevant care staff

Answer

Override the directive if family members object loudly

Answer

Require a new directive to be signed upon each admission

Answer

Consult with the medical director before acknowledging the directive

Question 4

Under HIPAA, which of the following disclosures of a resident's protected health information (PHI) does NOT require the resident's written authorization?

Accepted Answer

Disclosing information to another treating provider for treatment purposes

Answer

Sharing records with an insurance company for marketing purposes

Answer

Providing records to the resident's employer upon request

Answer

Releasing records to family members not involved in the resident's care

Question 5

When a nursing home staff member suspects resident abuse by a coworker, what is the legally required first step?

Accepted Answer

Report the suspicion immediately to the administrator and appropriate state agency

Answer

Confront the coworker privately to resolve the matter internally

Answer

Wait until there is more definitive evidence before making a report

Answer

Document the suspicion and review it at the next staff meeting

Question 6

Which ethical principle is MOST directly violated when a nursing home administrator accepts gifts from a vendor seeking a supply contract?

Accepted Answer

Justice

Answer

Beneficence

Answer

Autonomy

Answer

Non-maleficence

Question 7

What legally distinguishes negligence from intentional abuse in a long-term care setting?

Accepted Answer

Negligence results from failure to meet the standard of care, while abuse involves deliberate harmful acts

Answer

Negligence involves physical harm while abuse involves only emotional harm

Answer

Negligence is a criminal matter while abuse is handled through civil litigation only

Answer

Negligence applies only to licensed staff while abuse applies to all employees regardless of license