Relias Industry Regulations 3 — Questions and Answers
Question 1: Which law protects employees who report workplace safety violations from retaliation by their employer?
- The Family and Medical Leave Act
- Section 11(c) of the Occupational Safety and Health Act (Correct answer)
- Title VII of the Civil Rights Act
- The National Labor Relations Act
Correct answer: Section 11(c) of the Occupational Safety and Health Act
Section 11(c) of the OSH Act prohibits employers from retaliating against workers who exercise their safety rights, including filing OSHA complaints.
Question 2: A behavioral health facility must comply with 42 CFR Part 2, which specifically addresses:
- Infection control standards
- Confidentiality of substance use disorder patient records (Correct answer)
- Staffing ratios for psychiatric units
- Involuntary commitment procedures
Correct answer: Confidentiality of substance use disorder patient records
42 CFR Part 2 provides heightened confidentiality protections for records related to substance use disorder treatment programs.
Question 3: Under CMS regulations, a hospital's Utilization Review (UR) Committee is primarily responsible for:
- Reviewing employee performance evaluations
- Ensuring appropriate use of hospital resources and admission criteria (Correct answer)
- Managing quality improvement data
- Overseeing credentialing of medical staff
Correct answer: Ensuring appropriate use of hospital resources and admission criteria
The UR Committee reviews the medical necessity and appropriateness of admissions and continued stays to ensure proper resource utilization.
Question 4: Which federal regulation requires nursing facilities to conduct comprehensive assessments of each resident using the Minimum Data Set (MDS)?
- OBRA 1987 (Correct answer)
- The Americans with Disabilities Act
- The Patient Protection and Affordable Care Act
- HIPAA Privacy Rule
Correct answer: OBRA 1987
OBRA 1987 mandated comprehensive resident assessments using the MDS to create individualized care plans in nursing facilities.
Question 5: A nurse aide witnesses a colleague stealing a resident's money. Under abuse reporting regulations, the aide must:
- Document the incident and wait for a supervisor to decide
- Immediately report the incident to the state survey agency and the facility administrator (Correct answer)
- Confront the colleague directly before reporting
- Report only if the resident or family requests it
Correct answer: Immediately report the incident to the state survey agency and the facility administrator
Federal and state regulations require immediate reporting of financial exploitation to both the facility administration and state authorities to protect residents.
Question 6: The Occupational Exposure to Bloodborne Pathogens standard (29 CFR 1910.1030) requires employers to offer hepatitis B vaccination to employees at no cost within:
- 30 days of hire
- 10 working days of initial assignment to tasks with occupational exposure (Correct answer)
- 60 days of hire
- 90 days upon request only
Correct answer: 10 working days of initial assignment to tasks with occupational exposure
OSHA's Bloodborne Pathogen Standard requires employers to offer hepatitis B vaccination within 10 working days of initial assignment to occupationally exposed roles.
Question 7: Which accreditation body uses National Patient Safety Goals (NPSGs) as part of its hospital evaluation process?
- The Centers for Medicare & Medicaid Services (CMS)
- The Joint Commission (TJC) (Correct answer)
- The National Committee for Quality Assurance (NCQA)
- The Accreditation Association for Ambulatory Health Care (AAAHC)
Correct answer: The Joint Commission (TJC)
The Joint Commission develops and updates National Patient Safety Goals annually to help accredited organizations address specific areas of patient safety concern.
Relias Industry Regulations 3
Which law protects employees who report workplace safety violations from retaliation by their employer?