Relias Core Knowledge and Fundamentals 2 — Questions and Answers
Question 1: Which level of Maslow's hierarchy of needs must be met before safety needs can be addressed?
- Safety needs
- Physiological needs (Correct answer)
- Esteem needs
- Belonging needs
Correct answer: Physiological needs
Physiological needs (food, water, shelter, warmth) form the base of Maslow's hierarchy and must be met before higher-level needs like safety can be prioritized.
Question 2: A client refuses a prescribed medication. The most appropriate first action by the healthcare professional is to:
- Document the refusal and move on
- Administer the medication anyway
- Explore the client's reasons for refusal (Correct answer)
- Notify the physician immediately and withhold all care
Correct answer: Explore the client's reasons for refusal
Exploring the client's reasons for refusal respects autonomy and may reveal misunderstandings, side-effect concerns, or correctable barriers.
Question 3: Which communication technique involves repeating the client's exact words to encourage elaboration?
- Paraphrasing
- Reflection
- Restatement (Correct answer)
- Clarification
Correct answer: Restatement
Restatement (or restating) involves repeating the client's exact words back to them, signaling attention and prompting them to expand on the topic.
Question 4: Under HIPAA, a covered entity may share protected health information (PHI) WITHOUT patient authorization for:
- Marketing purposes
- Treatment, payment, and healthcare operations (Correct answer)
- Employment background checks
- Life insurance underwriting
Correct answer: Treatment, payment, and healthcare operations
HIPAA permits disclosure of PHI without authorization for treatment, payment, and healthcare operations as essential functions of care delivery.
Question 5: The ethical principle of 'justice' in healthcare refers primarily to:
- Telling patients the truth about their condition
- Avoiding harm to patients
- Fair and equitable distribution of resources and care (Correct answer)
- Respecting patient decision-making
Correct answer: Fair and equitable distribution of resources and care
Justice in healthcare ethics refers to the fair, equitable treatment of all patients and the impartial distribution of benefits and burdens.
Question 6: Which of the following is an example of nonverbal communication?
- Asking open-ended questions
- Writing a progress note
- Maintaining appropriate eye contact (Correct answer)
- Using medical terminology
Correct answer: Maintaining appropriate eye contact
Maintaining eye contact is a nonverbal communication behavior that conveys attentiveness, respect, and engagement with the patient.
Question 7: When documenting in a patient's medical record, the best practice is to:
- Use abbreviations freely to save time
- Record events as soon as possible after they occur (Correct answer)
- Leave blank spaces between entries for additions
- Use correction fluid to fix errors
Correct answer: Record events as soon as possible after they occur
Timely documentation ensures accuracy, reduces memory errors, and provides an accurate chronological record of patient care events.
Relias Core Knowledge and Fundamentals 2
Which level of Maslow's hierarchy of needs must be met before safety needs can be addressed?