NATA-BOC Healthcare Admin and Ethics Questions and Answers 1 — Questions and Answers
Question 1: An athletic trainer at a public high school is approached by a local newspaper reporter who asks for specific details about the starting quarterback's knee injury. Which of the following laws primarily dictates how the athletic trainer should respond?
- Health Insurance Portability and Accountability Act (HIPAA)
- Family Educational Rights and Privacy Act (FERPA) (Correct answer)
- BOC Standards of Professional Practice
- State medical practice act
Correct answer: Family Educational Rights and Privacy Act (FERPA)
In a public school setting, a student-athlete's health records maintained by the school are considered 'education records.' Therefore, they are protected by FERPA. HIPAA generally applies to healthcare providers who conduct certain electronic transactions, but FERPA is the primary governing law for records held by the school itself. [13, 22] The athletic trainer cannot release specific health information to the media without explicit parental/student consent.
Question 2: An athletic trainer fails to inspect the playing field for hazards before practice. During the practice, an athlete steps in a large hole and sustains a severe ankle fracture. This failure to perform a required duty is a type of negligence known as:
- Malfeasance
- Misfeasance
- Nonfeasance (Correct answer)
- Comparative negligence
Correct answer: Nonfeasance
Nonfeasance is an act of omission, where an individual fails to perform a legal duty. [21, 23] In this case, the athletic trainer had a duty to ensure a safe playing environment and failed to do so. Malfeasance is committing an act that is not legally theirs to perform. Misfeasance is performing a legal duty improperly. [26] Comparative negligence relates to assigning fault between multiple parties.
Question 3: Which of the following is the MOST compelling reason for an athletic trainer to maintain thorough, accurate, and timely medical documentation?
- To provide a historical archive of team injuries for the athletic department.
- To justify the purchase of new therapeutic modalities and equipment.
- To ensure continuity of care and provide legal protection. [2] (Correct answer)
- To create performance metrics for annual coaching staff reviews.
Correct answer: To ensure continuity of care and provide legal protection. [2]
While documentation can support equipment requests or provide data, its primary purposes in healthcare are to ensure continuity of care by communicating with other providers and to serve as a legal record of the care provided, which protects both the patient and the practitioner. [6, 9, 10]
Question 4: An athletic trainer is offered a bonus payment from a specific orthopedic clinic for every athlete they refer to that clinic. According to the NATA Code of Ethics, this arrangement constitutes which type of ethical violation?
- Breach of confidentiality
- Scope of practice violation
- Conflict of interest (Correct answer)
- Misrepresentation of credentials
Correct answer: Conflict of interest
This situation creates a conflict of interest, as the athletic trainer's judgment on where to refer a patient may be influenced by financial gain rather than the patient's best interest. Principle 4 of the NATA Code of Ethics explicitly states that members shall not place financial gain above the patient's welfare or engage in conduct that could be construed as a conflict of interest. [1, 3, 4, 7, 11]
Question 5: A 17-year-old athlete arrives for their pre-participation physical with a consent-to-treat form signed by their parent. During a game, the athlete sustains a fractured tibia requiring immediate transport to the hospital. In this emergency situation, what legal principle allows the athletic trainer to provide immediate care and arrange for transport?
- The Good Samaritan Law
- Sovereign Immunity
- Implied Consent (Correct answer)
- Statute of Limitations
Correct answer: Implied Consent
While the signed form provides express consent for the season, in a true emergency where the athlete is unable to make a decision and a parent is not present, the law operates under the principle of implied consent. It assumes that a reasonable person (or parent) would consent to life- or limb-saving treatment if they were able. The Good Samaritan Law protects bystanders, not professionals with a duty to act. Sovereign immunity protects government employees, and the statute of limitations is the time frame for filing a lawsuit.
Question 6: An athletic trainer working at a small college is asked by the head coach to administer a pre-filled syringe of a prescription painkiller to an athlete before a game. The medication was prescribed to another athlete but they have similar symptoms. Performing this action would be a violation of which of the following?
- Assumption of Risk
- Standard of Reasonable Care
- The athletic trainer's scope of practice (Correct answer)
- The institution's Emergency Action Plan
Correct answer: The athletic trainer's scope of practice
Administering a prescription medication, especially one prescribed to another individual, falls outside the legally defined scope of practice for an athletic trainer in virtually all jurisdictions. [18] It is an act that only licensed professionals such as physicians or nurses can perform. This action constitutes malfeasance (committing an act one is not legally permitted to do) and is a serious ethical and legal breach.
NATA-BOC Healthcare Admin and Ethics Questions and Answers 1
An athletic trainer at a public high school is approached by a local newspaper reporter who asks for specific details about the starting quarterback's knee injury.
Which of the following laws primarily dictates how the athletic trainer should respond?