Chapter 15 Quiz

Question 1

A competent adult may appoint another person to be his or her personal representative, which gives that person the right to _______.

a. Make healthcare decisions for the individual
b. Request healthcare information related to the individual
c. Receive information on the mental health of the individual
d. Request information on the personal affairs of the individual
e. All of the above

Answer 1

All of the above

Question 2

The baby of a mother who is 15 years old was recently discharged from the hospital. The mother is seeking access to the baby’s health record. Who must sign the authorization for release of the baby’s health record?

a. Both mother and father of the baby
b. Mother of the baby
c. Maternal grandfather of the baby
d. Maternal grandmother of the baby

Answer 2

Mother of the baby

Question 3

The adoptive parents of Susan, a minor, wish to access her health record. What is the best way for them to obtain a copy of Susan’s operative report?

a. Present an authorization that at least the mom or dad signed
b. Present an authorization signed by the court that granted the adoption
c. Present an authorization signed by Susan’s natural (birth) parents
d. Wait until Susan is 18

Answer 3

Present an authorization that at least the mom or dad signed

Question 4

Dr. Williams is on the medical staff of Sutter Hospital, and he has asked to see the health record of his wife, who was recently hospitalized. Dr. Jones was the patient’s physician. Of the options below, which is the best course of action?

a. Refer Dr. Williams to Dr. Jones and release the record if Dr. Jones agrees.
b. Request that Dr. Williams ask the hospital administrator for approval to access his wife’s record.
c. Inform Dr. Williams that he may review his wife’s health record in the presence of the privacy officer.
d. Inform Dr. Williams that he cannot access his wife’s health information unless she authorizes access through a written release of information.

Answer 4

Inform Dr. Williams that he cannot access his wife’s health information unless she authorizes access through a written release of information.

Question 5

An employer has contacted the Health Information Management Department and requested health information on one of his employees. Of the options below, what is the best course of action?

a. Provide the information requested
b. Refer the request to the attending physician
c. Request the employer’s written authorization for release of the employee’s information
d. Request employee’s written authorization for release of information

Answer 5

Request employee’s written authorization for release of information

Question 6

The age of majority in most states is _____.

a. 16 and older
b. 18 and older
c. 21 and older
d. None of the options are correct

Answer 6

18 and older

Question 7

Employees in the hospital business office may have legitimate access to patient health information without patient authorization based on what HIPAA standard/principle?

a. Compound authorization
b. Accounting of disclosures
c. Minimum necessary
d. Preemption

Answer 7

Minimum necessary

Question 8

Select the best response to complete this statement: Natural (birth) parents of a child who has been adopted by adoptive parents

a. Are permitted to inspect their child’s health records for three years after the adoption occurs
b. Are permitted to inspect their child’s medical records when that child reaches the age of majority
c. Relinquish the right to inspect their child’s health records once their parental rights have been terminated
d. None of the options are correct

Answer 8

Relinquish the right to inspect their child’s health records once their parental rights have been terminated

Question 9

Tarasoff v. The Regents of the University of California is a landmark case related to the release of psychiatric patient information without patient authorization. The healthcare provider must release such information based on what circumstance?

a. Admission of facts
b. Involuntary commitment proceedings
c. Duty to warn
d. Res judicata

Answer 9

Duty to warn

Question 10

A 22-year-old male has come to the HIM department and requested to see a copy of his medical record. He indicated he was a patient of Dr. Schmidt, a psychiatrist, and that he was on the sixth floor of St. Joseph’s psych ward for the last two months. These records are not psychotherapy notes. Of the options below, what is the best course of action?

a. Allow the patient to access his record if, after contacting his physician, his physician does not feel it will be harmful to the patient.
b. Prohibit the patient from accessing his record, as it contains psychiatric diagnoses that may greatly upset him.
c. Allow the patient to access his record.
d. Deny access because HIPAA prevents patients from reviewing their psychiatric records.

Answer 10

Allow the patient to access his record if, after contacting his physician, his physician does not feel it will be harmful to the patient.

Question 11

In some states, if an individual has filed a workers’ compensation claim, who may access the individual’s health information without the individual’s authorization?

a. Employer’s insurer
b. Employer’s attorney
c. Patient’s employer
d. Employee’s attorney
e. a, b, and c
f. b and c
g. All of the above

Answer 11

All of the above

Question 12

Under which of the following conditions is the patient’s authorization required for the use or disclosure of medical information?

a. When information is requested by the state’s QIO for Medicare audit purposes
b. When a patient’s life insurance company requests the information
c. When information on the patient’s venereal disease is given to the health department
d. When the federal government suspects the patient is involved in terrorist activity
e. a and c
f. b and d

Answer 12

When a patient’s life insurance company requests the information

Question 13

Minors are basically deemed legally incompetent to access, use, or disclose their health information. What resource should be consulted in terms of who may authorize access, use, or disclose the health records of minors?

a. HIPAA because there are strict HIPAA rules regarding minors
b. State law because HIPAA defers to State laws on matters related to minors.
c. Hospital attorney because they know the rules of the hospital
d. None of the options are correct

Answer 13

State law because HIPAA defers to state laws on matters related to minors

Question 14

Securing the authorization of the attending physician, in addition to the patient’s authorization, for the release of medical information to the patient’s insurance company is

a. A legal requirement under privileged communication statute
b. Not legally required
c. A legal requirement under common law
d. Necessary only if the patient is a minor

Answer 14

Not legally required

Question 15

Mrs. Rollins was admitted to University Hospital by Dr. Connor. Mrs. Rollins’ hospital bill will be paid by Blue Cross Insurance. Upon discharge from the hospital, who owns the health record of Mrs. Rollins?

a. Mrs. Rollins
b. Dr. Connor
c. Blue Cross
d. University Hospital

Answer 15

University Hospital

Question 16

A secretary in the nursing office was recently hospitalized with ketoacidosis. She comes to the health information management department and requests to review her health record. Of the options below, what is the best course of action?

a. Allow her to review her record after obtaining authorization from her.
b. Refer the patient to her physician for the information.
c. Tell her to go through her supervisor for the information.
d. Tell her that hospital employees cannot access their own medical records.

Answer 16

Allow her to review her record after obtaining authorization from her.

Question 17

Mark Bates has been declared legally incompetent by the court. Mr. Bates’ sister has been appointed his legal guardian. His sister is requesting a copy of Mr. Bates’ health records. Of the options below, what is the best course of action?

a. Comply with the sister’s request, but first request documentation from the sister that she is Bates’ legal guardian.
b. Provide the information as requested by the sister.
c. Require that Mark Bates authorize the release of his health information to the sister.
d. Refer the sister to Mark Bates’ doctor.

Answer 17

Comply with the sister’s request, but first request documentation from the sister that she is Bates’ legal guardian.

Question 18

In the situation of behavioral healthcare information, a health care provider may disclose health information on a patient without the patient’s authorization in which of the following circumstances?

a. Court order
b. Duty to warn
c. Involuntary commitment proceedings
d. All of the options are correct

Answer 18

All of the options are correct

Question 19

Many states have mandatory reporting requirements for suspected abuse or mistreatment of the following categories of individuals except _____.

a. Children
b. Nursing home residents
c. Residents of state mental health facilities
d. Competent adults

Answer 19

Competent adults

Question 20

Emancipated minors _____.

a. Must be married to be declared emancipated by a court
b. Are under the custody of their parents
c. Are determined by federal law
d. Generally may authorize disclosure of their own PHI

Answer 20

Generally may authorize disclosure of their own PHI

Question 21

Substance abuse patient information is afforded federal protection through HIPAA and Alcohol and Drug Abuse Regulations. If a minor wishes to authorize the release of his or her health information he or she may do so if ______.

a. State statute allows the minor to authorize release
b. State statute allows minor and parent to authorize release
c. He or she gets permission from the court to release
d. Both court and minor authorizes release
e. a and b
f. c and d
g. All of the above

Answer 21

State statute allows the minor to authorize release and if State statute allows minor and parent to authorize release

Question 22

What rights does a competent individual have in regard to his or her healthcare?

a. Right to consent to treatment
b. Right to access his or her own phi
c. Right to refuse treatment
d. a and c
e. All of the above

Answer 22

All of the above

Question 23

Dr. Jordan, a member of the medical staff, asks to see the medical records of his adult daughter who was hospitalized in your institution for a tonsillectomy at age 16. The daughter is now 25. Dr. Smith was the patient’s physician. Of the options below what is the best course of action?

a. Inform Dr. Jordan that he cannot access his daughter’s health record without her signed authorization allowing him access to the record.
b. Allow Dr. Jordan to see the records because he was the daughter’s guardian at the time of the tonsillectomy.
c. Call the hospital administrator for authorization to release the record to Dr. Jordan since he is on the medical staff.
d. Refer Dr. Jordan to Dr. Smith and release the record if Dr. Smith agrees.

Answer 23

Inform Dr. Jordan that he cannot access his daughter’s health record without her signed authorization allowing him access to the record.

Question 24

The Uniform Health-Care Decision Act (UHCDA) refers to _____.

a. Medicaid and Medicare funding priorities
b. Selecting an individual to make healthcare decisions for a competent adult
c. Requiring the selection of a guardian for an incompetent adult
d. Use of CPT and HCPCS for reporting healthcare claims

Answer 24

Selecting an individual to make healthcare decisions for a competent adult