Domain 5

Question 1

5 Ethical Principles for Care Delivery

Answer 1

1.Autonomy- individual’s rights to make own decisions
2.Beneficence- to do good
3.Justice- treat others fairly and equally
4.Nonmaleficence- to do no harm
5.Fidelity- to follow through

Question 1

Advanced Directives

Answer 1

Legally executed document that explains the client’s healthcare-related wishes, created while competent and used if unable to make own decisions, two forms: states medical treatment to be given/withheld or appoint proxy

Question 2

Living Will

Answer 2

States which life-sustaining medical treatments the person would like to have given or withheld if death from terminal condition is immient or if they’re in a vegetative state

Question 3

Medical Durable Power of Attorney

Answer 3

Designates who makes healthcare decisions on behalf of the person if they’re unable to

Question 4

Veracity

Answer 4

Healthcare professional should be honest and give full disclosure, abstain from misrepresentation or deceit, and report known lapses of standards of care

Question 5

Root Cause Analysis (RCA)

Answer 5

Designed to identify what, how, and why an adverse events occurred by identifying the factors that contributed to the event

Question 6

Negligent Referral

Answer 6

Referral of a patient to a healthcare provider who is known to be unqualified

Question 7

Physician Payments Sunshine Act (PPSA)

Answer 7

Act created to provide transparency between physicians and manufacturers of drugs/devices/medical supplies in relation to payments/investment interests of manufacturers

Question 8

1996 Newborns’ and Mothers’ Health Protection Act

Answer 8

Act created that requires health plans and insurance issuers to not restrict a mother’s or new born’s benefits for a hospital stay connected to a childbirth to less than 48 hours following vaginal birth and 96 hours via c-section

Question 9

1998 Women’s Health and Cancer Rights Act

Answer 9

Act created requiring health plans to provide coverage for mastectomies and reconstruction

Question 10

2009 Health Information Technology for Economic and Clinical Health (HITECH) Act

Answer 10

Act that made it a national goal for the use of electronic health records, electronic exchanges of summary of care, and electronic prescriptions

Question 11

1986 Emergency Medical Treatment and Labor Act

Answer 11

Act that made it required for emergency departments to treat individuals regardless of their ability to pay

Question 12

Capacity

Answer 12

Person’s ability to make informed decisions and provide informed consent, determined by physician

Question 13

Compentency

Answer 13

Legal process determining if a person has the capacity to make decisions for themself, determined by judge

Question 14

Negligence/Malpractice

Answer 14

Failure to exercise reasonable care that results in harm/damage

Question 15

Professional Negligence/Malpractice

Answer 15

Failure to meet professional standard which results in damage/injury

Question 16

Quadruple Aim

Answer 16

Triple aim plus goal of improving provider work life