Health Informatics Ethics
Final Exam Questions
Course Introduction
Health Informatics Ethics explores the ethical principles, legal frameworks, and professional responsibilities that guide the collection, management, and use of health information in digital environments. The course examines topics such as patient privacy, confidentiality, informed consent, data security, and the social implications of emerging technologies in health care. Students learn to navigate complex ethical dilemmas, understand relevant legislation and standards, and develop frameworks for ethical decision-making within the context of health informatics. Through case studies and discussion, participants critically analyze the balance between technological innovation, patient rights, and societal needs.
Recommended Textbook
Legal and Ethical Aspects of Health Information Management 4th Edition by Dana C. McWay
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15 Chapters
625 Verified Questions
625 Flashcards
Source URL: https://quizplus.com/study-set/2583 Page 2
Chapter 1: Workings of the American Legal System
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58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/51422
Sample Questions
Q1) A felony is defined as a crime _____.
A) for which probation is always assigned
B) involving civil or private law
C) of grave or serious nature
D) that is punishable by a term of less than 1 year
Answer: C
Q2) The U.S.Constitution can be modified with _____.
A) amendments
B) majority Senate vote
C) popular culture
D) presidential order
Answer: A
Q3) Separation of powers as it pertains to the branches of federal government is in place:
A) as a way to increase the number of jobs created in the country.
B) if the president is unable to fulfill his duties and responsibilities.
C) so that no one particular branch overpowers the other branches.
D) to prevent any interaction between factions of political parties.
Answer: C
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Page 3
Chapter 2: Court Systems and Legal Procedures
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A deposition is a:
A) Formal request for information from another entity.
B) Request for specific documents from a health care facility.
C) Testimony provided under oath outside of the courtroom.
D) Written questions presented to a party to obtain admissions of certain fact(s).
Answer: C
Q2) The person who initiates a lawsuit is the _____.
A) Attorney
B) Defendant
C) Plaintiff
D) Surrogate
Answer: C
Q3) What term refers to the actions of a party who processes data to make efforts to prevent routine destructions and preserve electronically stored data?
A) court order
B) litigation hold
C) restraining order
D) subpoena duces tecum
Answer: B
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Page 4
Chapter 3: Judicial Process of Health Information
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A notice of preservation _____.
A) notifies the opposing party of the need to preserve relevant electronic evidence
B) requires the opposing party to preserve electronic evidence and paper-based records
C) serves to facilitate the production of automated and paper-based health records
D) treats paper-based health records as more important than automated health records
Answer: A
Q2) What is a court order?
A) authorization for disclosure that would otherwise be prohibited by statute or regulation.
B) command by the court to appear in person and produce all health and business records.
C) request for production of documents,which also has to be signed by the patient.
D) subpoena duces tecum,which is signed by the court clerk to produce health records.
Answer: A
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5
Chapter 4: Principles of Liability
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The unauthorized acquisition,access,use or disclosure of protected health information,which compromises the privacy or security of such information is called
A) breach of confidentiality
B) corporate negligence
C) failure to warn
D) intentional tort
Q2) Respondeat superior is associated with _____.
A) comparative negligence
B) corporate liability
C) professional negligence
D) vicarious liability
Q3) An intentional tort may include a(n)_____.
A) assault
B) failure to warn
C) negligence
D) vicarious liability
Q4) Describe the difference between libel and slander.
Q5) List the 4 elements that must be proven in a negligence claim.
Q6) List the 3 types of damages mentioned in the textbook.
Page 6
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Chapter 5: Ethical Standards
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Immanuel Kant founded the theory of _____.
A) Deontology
B) Medical research
C) Utilitarianism
D) Veracity
Q2) Justice refers to the obligation to be fair to all people.Comparative justice refers to:
A) Balancing the competing interests of individuals and groups against one another.
B) Determining how HMOs should be reimbursed.
C) Creating a staffing formula or acuity scale to determine the nurse-patient ratio.
D) Selecting how Medicaid benefits should be provided.
Q3) The concept of rights _____.
A) Always encompass ideas of fairness,honesty,and impartiality
B) Derives from the concept of justice in that both involve obligations
C) Includes dependency,which encompasses self-determination
D) Undermines the affirmation or violation of basic human rights
Q4) Describe the difference between comparative and distributive justice.
Q5) What are two times that an individual looks to ethics to help?
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Chapter 6: Ethical Decisions and Challenges
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Patient rights involve the _____.
A) Concept that the physician is permitted to arrive at the choice of whether to order or withhold a procedure or service
B) Legal authority that the patient is to be provided with health care under the constraints of the insuring organization
C) Patient having complete autonomy as to which healthcare services he receives since he is paying the insurance premium
D) Recognition that the patient is entitled to determine for herself the extent to which she will receive or forego treatment
Q2) An ethical situation could arise when an administrative team member asks the HIM manager to "fudge" statistical numbers to ensure compliance with an accrediting body. A)True
B)False
Q3) Ethics has been a cornerstone of the HIM profession since its beginning. A)True
B)False
Q4) List the 9 steps in ethical decision making
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8
Chapter 7: Bioethical Issues
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40 Flashcards
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Sample Questions
Q1) An advanced directive is best described as a document that _____.
A) Advises heirs as to a patient's desires regarding making endowments to hospitals
B) Describes treatment a patient wishes to have or not have in case of incapacitation
C) Orders the disbursement of an estate after death,similar to a power of attorney
D) Results in a requirement that the patient's last will and testament be probated
Q2) Under GINA,it is permissible for the health information manager to _____.
A) Allow genetic information to be used as a qualification for medical insurance
B) Prohibit the release of genetic information to other health care providers
C) Refuse the release of genetic information for insurance or employment qualifications
D) Release genetic information as a part of an employment physical examination
Q3) An ethical concern related to persons infected with HIV involves _____.
A) Best-interest standard
B) Double effect principle
C) Right to privacy
D) Veracity
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Chapter 8: Patient Record Requirements
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Enterprise content and record management (ECRM)aids in combating potential increased costs associated with the discovery process.An example of an enterprise management principle is _____.
A) creating both digital and analog records for use in the facility
B) differentiating between clinical and nonclinical health record content
C) policies establishing about how long to save emails and text files
D) streamlining the process of responding to discovery requests
Q2) Authorship of a health record entry may be complicated by _____.
A) Allowing the user to copy and paste,possibly into the wrong record
B) Authenticating the identification of the person making the entry
C) Taking care not to repeat entries that are no longer acceptable
D) The patient's right to alter or delete unsatisfactory entries
Q3) The use of physician handwritten signature stamps to authenticate health record entries _____.
A) Has been eliminated by CMS
B) Is considered acceptable by CMS
C) Proves to be a best practice standard
D) Saves time for physicians and their designees
Q4) Describe the best way to make a correction to a paper based record.
Q5) Describe what a certificate of destruction is and how long it should be kept?
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Chapter 9: Confidentiality and Informed Consent
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41 Flashcards
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Sample Questions
Q1) Privacy refers to the right to be left alone.Confidentiality is the _____.
A) Authorization to release protected health information by incompetent patients
B) Ethical principle that states protected health information must be disseminated
C) Obligation of a healthcare provider to prevent dissemination of patient information
D) Right to control personal information,regardless of competency or condition
Q2) Describe the physician- patient privilege and when is it used.
Q3) Advance directives are written instructions recognized under state law,such as living wills or durable power of attorney for health care,that relate to the kind of health care the patient wishes to have or not have when incapacitated.
A)True
B)False
Q4) Health information becomes confidential _____.
A) After it is made available to the healthcare provider
B) Only when it contains particularly sensitive information
C) Until the patient no longer receives provider services
D) When the patient expressly indicates it is not to released
Q5) Describe the difference between a living will and durable power of attorney.
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Chapter 10: Access to Health Information
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A redisclosure notice _____.
A) Allows information released by a facility to be submitted to RHIO agencies.
B) Is optional when the patient information pertains to drug and alcohol abuse treatment.
C) Protects information from the patient record from being shared with a third party.
D) Prohibits information from being only for the stated purpose included on ROI form.
Q2) The Belmont Report established guidelines for research projects,which promotes _____.
A) Choosing subjects equitably to avoid exploitation of vulnerable populations
B) Fiduciary laws and statutes for conducting research on human subjects
C) Research that doesn't benefit subjects if it benefits society as a whole
D) Selecting subjects from just one ethnic group due to difficult processes
Q3) The Declaration of Helsinki applies to _____.
A) Freedom of patient access to medical records relative to research
B) Guidelines followed when conducting research involving human subjects
C) Protection of human and non-human subjects involved in medical research
D) Legal consequences of ethical violations occurring during research
Q4) List three items that must be included on a valid release of information form.
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Page 12
Chapter 11: Specialized Patient Records
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Mental health records can be released just like a general medical record.
A)True
B)False
Q2) A notice regarding redisclosure of information of substance abuse treatment records _____.
A) applies only to litigation
B) is needed for minor patients only
C) must accompany any disclosure
D) varies among states
Q3) The proper disclosure of home health care records is regulated by _____.
A) Family members of the patient
B) Health care facility policies
C) Medicare conditions of participation
D) Patient legal representatives
Q4) The release of mental health information is _____.
A) Not allowed to be revoked by the patient or any of her family members
B) Required when the facility's representative signs the release authorization
C) Strictly prohibited under any circumstance,regardless of court involvement
D) Subject to strict rules regarding confidentiality,pursuant to individual state laws
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Chapter 12: Risk Management, Quality Management, and Utilization Management
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Before an incident report is admitted into evidence,the document must _____.
A) be reviewed by the plaintiff's attorney
B) comply with attorney work product privileges
C) overcome the application of privileges
D) produce desired results in a court of law
Q2) How does risk management differ from quality management?
A) Quality management lessens effects of unavoidable risks.
B) Quality management processes are outcome oriented.
C) Risk management's primary focus is on improving clinical care.
D) Risk management identifies areas of operational and financial loss.
Q3) State statutes regarding peer review activities _____.
A) Are well defined to protect the activities of a peer review committee
B) Cover the medical staff credentialing process in health care facilities
C) Expressly protect peer review activities performed by HMOs in all states
D) Protect peer review participants from liability unless they act in malice
Q4) Medicare's inpatient prospective payment system _____.
A) Changed reimbursement per diem rates to predetermined rates
B) Defined APCs,APGs,DRGs,MS-DRGs,RBRVS,and RUGs
C) Established minimum reimbursement amounts for hospital stays
D) Provided payment to facilities in advance of inpatient admission
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Chapter 13: Information Systems
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) An electronic health record includes _____.
A) Healthcare information that always resides off site in a computer system
B) Patient documentation created,authenticated,and retrieved manually
C) Systems that may contain links to clinical decision support systems
D) Warehoused data that is accessible by patients and third-party payers
Q2) E-health practices _____.
A) Are subject to the same requirements for safeguarding confidentiality of PHI
B) Have been assigned exempt status from HIPAA regulations and requirements
C) Govern only those patients who receive Medicare reimbursable services
D) May be implemented by entities subject to Medicare Conditions of Participation
Q3) The health care provider should consider improved controls,including the establishment of written policies and procedures covering the loan and use of _____ and whether ePHI should even be maintained on these media/devices at all
A) Computer devices that are portable
B) Electronic surveillance equipment
C) Mainframe and archived computers
D) Off-site storage of paper records
Q4) List three ways for risk prevention in an EHR.
Q5) List three benefits of telemedicine.
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Chapter 14: Health-Care Fraud and Abuse
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The primary responsibility for investigating claims of fraud committed against the military's health insurance programs is the responsibility of the _____.
A) Centers for Medicare and Medicaid Services
B) Defense Criminal Investigative Service
C) DHHS Office of the Inspector General
D) Office of the Surgeon General
Q2) The 48-hour project focused on the payments made to hospitals for services provided to patients within a three-day window of the patient's admission.
A)True
B)False
Q3) Compliance programs seek to _____.
A) Enhance health information management functions in organizations
B) Maximize reimbursement from federally funded healthcare programs
C) Prevent and detect conduct that does not conform to applicable laws
D) Punish healthcare providers who engage in illegal billing practices
Q4) Audits and other evaluation techniques are used to monitor compliance.
A)True
B)False
Q5) List three main laws that address fraud and abuse.
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Chapter 15: Law and Ethics in the Workplace
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Unemployment insurance _____.
A) is administered by a third party
B) covers exempt employees
C) is financed by the federal government
D) is funded through a tax on employers
Q2) An employer is obligated to verify the _____ of employees who are hired to work.
A) Age,gender,and disability status
B) Employment authorization and identity
C) Independent contractor status
D) Medical ability and competency
Q3) Sexual harassment is welcomed sexual advance.
A)True
B)False
Q4) Describe what Worker's Compensation is.
Q5) Not hiring a woman because she is a senior citizen is an example of age discrimination.
A)True
B)False
Q6) List two ethics elements in a performance appraisal.
Q7) List the four types of sex discrimination listed in your textbook.
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