HCA Documentation and Legal Ethics 2

Question 1

Which of the following is the correct way to correct an error in a paper medical record?

Accepted Answer

Draw a single line through the error, write the correct information, and initial with date/time

Answer

Errors in paper records must be corrected by drawing a single line through the mistake, writing the correction, and initialing with date and time—never use correction fluid or erase.

Question 2

A patient's family member asks you to share the patient's diagnosis over the phone. What is the appropriate action?

Accepted Answer

Decline to share information and direct the caller to the nurse or patient's authorized representative

Answer

HIPAA requires patient authorization before disclosing PHI; the HCA should direct unauthorized callers to the nurse or the patient's designated representative.

Question 3

What does 'scope of practice' mean for a Health Care Assistant?

Accepted Answer

The range of tasks and duties an HCA is trained, competent, and legally permitted to perform

Answer

Scope of practice defines the specific duties and responsibilities an HCA is authorized to perform based on training, certification, and state regulations.

Question 4

An HCA observes a co-worker falsifying a patient's vital signs in the medical record. What is the HCA's ethical obligation?

Accepted Answer

Report the observation to the supervising nurse or charge nurse immediately

Answer

Falsifying medical records is illegal and endangers patient safety; the HCA has an ethical and legal duty to report it to the supervisor promptly.

Question 5

Which of the following best describes 'informed consent'?

Accepted Answer

A patient agreeing to treatment after being given complete information about risks, benefits, and alternatives

Answer

Informed consent requires that a competent patient receive full information about a procedure—including risks, benefits, and alternatives—before voluntarily agreeing to it.

(HCA) Health Care Assistant Certification Practice Test

(HCA) Health Care Assistant Certification Practice Test

HCA Documentation and Legal Ethics 2