Nurse Executive Test Regulatory Frameworks & Compliance 4

Question 1

A nurse executive is implementing a new restraint policy to comply with CMS regulations. Which patient population requires ADDITIONAL documentation requirements for restraint use under CMS CoPs?

Accepted Answer

Patients in behavioral health settings where restraints are used for violent behavior

Answer

CMS CoPs have specific, more stringent documentation and physician order requirements for restraints used in behavioral health settings for violent or self-destructive behavior.

Question 2

The Health Information Technology for Economic and Clinical Health (HITECH) Act strengthened HIPAA primarily by:

Accepted Answer

Extending HIPAA obligations directly to business associates and increasing civil penalties

Answer

HITECH directly extended HIPAA Privacy and Security Rule obligations to business associates and significantly increased civil monetary penalty tiers.

Question 3

A state health department cites a hospital for violating a state licensure regulation that is MORE stringent than the corresponding federal CMS requirement. The hospital must comply with:

Accepted Answer

The state standard, because states may impose requirements that exceed federal minimums

Answer

Federal law generally sets a floor, not a ceiling; states may enact more stringent healthcare regulations and hospitals must comply with the higher state standard.

Question 4

When a nurse executive receives an OIG Advisory Opinion, its primary purpose is to:

Accepted Answer

Give the requesting party OIG's view on whether a specific arrangement violates the AKS or other fraud statutes

Answer

OIG Advisory Opinions are specific to the requesting party's arrangement and provide the OIG's assessment of risk under fraud and abuse laws, but are not binding on third parties.

Question 5

A nurse executive is responding to a sentinel event. Under TJC standards, a root cause analysis (RCA) must be completed within how many days of the event?

Accepted Answer

45 calendar days

Answer

TJC requires that a root cause analysis and action plan be completed and submitted within 45 calendar days of the sentinel event or of becoming aware of it.

Nurse Executive Test Practice Test

Nurse Executive Test Practice Test

Nurse Executive Test Regulatory Frameworks & Compliance 4