TB Test Ethics and Regulations 3

Question 1

Which ethical principle is most directly violated when a clinician administers a TB test to a patient without explaining the procedure or obtaining consent?

Accepted Answer

Autonomy

Answer

Failing to obtain informed consent violates patient autonomy, the principle that individuals have the right to make informed decisions about their own care.

Question 2

A state law requires reporting of latent TB infection (LTBI) to the health department. A clinician in that state is treating a patient with LTBI. What must the clinician do?

Accepted Answer

Report the case in accordance with the state law, regardless of treatment status

Answer

Clinicians must comply with applicable state reporting laws; if the state mandates LTBI reporting, it supersedes individual provider discretion.

Question 3

An employee tests positive on their annual TB screening IGRA. The employer demands the full lab report including unrelated health information in the same document. What should the healthcare provider do?

Accepted Answer

Provide only the TB test result relevant to the occupational requirement and withhold unrelated PHI

Answer

HIPAA's minimum necessary standard requires disclosing only the information needed for the specific purpose; unrelated PHI must be protected.

Question 4

What is the primary purpose of a TB control program's contact investigation following an infectious TB case?

Accepted Answer

To identify exposed individuals, test them, and offer preventive treatment to limit transmission

Answer

Contact investigations aim to find those exposed, test for infection, and provide preventive therapy to interrupt TB transmission chains.

Question 5

A healthcare worker with a newly positive TST refuses to have a chest X-ray to rule out active TB disease. Under occupational health regulations, what can the employer typically require?

Accepted Answer

Removal from direct patient care until evaluation for active TB disease is completed

Answer

Employers may restrict a worker's duties to protect patients and coworkers until active TB is ruled out, consistent with OSHA and CDC guidance.

(TB Test) Tuberculosis Test Certification Practice Test

(TB Test) Tuberculosis Test Certification Practice Test

TB Test Ethics and Regulations 3