Final 9,10,11,12 Flashcards
The prescribing physician should keep records concerning the administering or dispensing of a controlled drug on file for _______years.
Two years
A physician prescribes a narcotic pain medication for a woman with breast cancer. A copy of this order should be filed in the __________________________.
Patient Record
The role of the medical assistant concerning compliance with __________regulations is to remind the physician of license renewal dates, to keep accurate records for scheduled drugs, to maintain an accurate inventory and inventory records, and to ensure the security of scheduled drugs kept in the office.
DEA
A physician prescribes cough medicine with codeine for a patient with a persistent cough. This drug belongs to the category known as Schedule _______drug.
V
Schedule III refers to nonnarcotic _________________________system depressants.
Central Nervous
A drug such as Xanax® has a low potential for abuse and has a currently accepted medical uses in the United States. This drug is an example of a Schedule ______drug.
IV
One criteria for the potential for abuse is a significant diversion of the drug from legitimate drug channels, such as might occur when heroin is sold on the street. This type of drug is categorized as a Schedule _______drug.
I
Schedule _________drugs have been used strictly for research.
I
A pharmacist ________________drugs by delivering controlled substances in some type of bottle, box, or other container to a patient.
Dispenses
The federal law giving authority to the Drug Enforcement Administration to regulate the sale and use of drugs is known as the __________________________________.
Controlled Subtance Act
The ________________________________, a branch of the Department of Justice, regulates the sale and use of drugs, including controlled substances.
Drug Enforcement Act
In 2001, Bayer Pharmaceuticals withdrew Baycol, a popular statin, from the market when data showed that 31 patients taking Baycol had died from a severe muscle disorder called rhabdomyolysis. This type of drug recall is under the jurisdiction of the agency known as the _____________________________________.
Food and Drug Administartion
The _____________________________________, an agency within the Department of Health and Human Services, tests and approves drugs before releasing them for public use.
Food and Drug Administartion
A patient attempts to hide her battered face from a physician by wearing make-up and sunglasses. This is an example of a(n) ____________________sign of abuse.
Behavioral
As of February 2011, 35 states recognized the death of an unborn child, in certain circumstances, as ______________________.
Homicide
The _________________________________Act, also called Laci and Conner’s Law, is a 2004 federal law that provides for the prosecution of anyone who causes injury to or the death of a fetus in utero.
Unborn Victims Of violence
A physician is treating a mentally challenged adult patient who was the victim of bullying in a group home. This patient may be protected under some states as a _________________________________.
Vuneral Adult
The 1987 Amendments to the Older Americans Act defines elder abuse, neglect, and exploitation, but does not deal with______________________.
Enforcement
The ___________________ Act created the Administration on Aging and outlined 10 objectives aimed at preserving the rights and dignity of older citizens.
Older Americans
Unlike cases of child abuse, most state laws do not specifically require a physician to report______________ abuse, unless the victim admits his or her injuries were the result of it.
Spousal
A physician suspects a child patient is a victim of child abuse. The ___________________________________Act requires this physician to report the abuse.
Child and abuse prevention
The _____________________________________Act requires physicians and other health care providers administering vaccines to report adverse events following vaccination and to keep permanent records on vaccines administered and health problems occurring after vaccination.
National Childhood Vaccine injury
A physician administers a vaccination to a child who has an adverse reaction to the vaccine. Compensation for this child may be provided by the ____________________ _______________________________Program.
National Childhood Vaccine Compesation
Federal law requires ______________________________ prepared by the CDC, be handed out to recipients, parents, or legal representatives of certain vaccines.
Vaccine Info statements
The _____________________________________________program is a no-fault system designed to compensate those individuals, or families of individuals, who have been injured by childhood vaccines.
National Vaccine Injury Compensation Program (VICP)
When children reach school age, most states ask for proof of __________________ for children entering the public school system for the first time.
Vaccination
In some states epilepsy must be reported to determine an individual’s eligibility to ______________________________.
Drive a Vehicle
One noncommunicable disease that must be reported in some states to determine environmental causes is ________________________.
Cancer
On April 4, 2003, at the request of the Centers for Disease Control, President George W. Bush signed Executive Order 13295, adding ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬_______________________________ to the list of communicable diseases for which federal isolation and quarantine is authorized.
Severe Acute respiratory Syndrome
Most of the 50 states now have laws that require individuals infected with _______________________to notify past and present sexual partners.
HIV
A physician is treating a patient diagnosed with gonorrhea. In most states, this type of __________________ transmitted infection must be reported whenever diagnosed.
Sexually
Diseases that may have mandated reporting if a higher than normal incidence occurs are influenza and streptococcal and _________________ infections.
Staphylococcal
__________________diseases that are most likely to have mandated reporting by state statutes include: diphtheria, cholera, meningococcal meningitis, plague, smallpox, tuberculosis, anthrax, HIV and AIDS, brucellosis, infectious and serum hepatitis, leprosy, malaria, rubeola, poliomyelitis, psittacosis, rheumatic fever, rubella, typhoid fever, trichinosis, and tetanus.
Communicable
Since enforcing public health laws is vital to the health of individuals within communities, the states have enforcement power granted through each state’s ______________________.
Constitution
The state and federal government both mandate that patient medical records be kept confidential. Health care professionals must follow whichever guidelines are most stringent when keeping medical records. This sharing of power of the governments is called______________________.
Federalism
The power of the states to initiate public health statutes is inferred from the ____________Amendment to the U.S. Constitution, included in the Bill of Rights.
Tenth
A person is trained to help identify a criminal, victim, and others involved in a crime. This person is called a crime scene _______________________.
Investigator
___________________ is a division of medicine that incorporates law and medicine and involves medical issues or medical proof at trials having to do with malpractices, crimes, and accidents.
Forenics
A ________________________ is a physician, frequently a pathologist, who investigates suspicious or unexplained deaths in a community.
Medical Examiner
If a death did not occur under suspicious circumstances, consent from _________________________ or a legally responsible party must be obtained for an autopsy to be performed.
Next of kin
A person dies as a victim of a fatal shooting in an attempted robbery. In this case, the ___________________or medical examiner must sign the death certificate.
Coroner
A person dies with no discernable cause of death. In this case a(n) _______________ or postmortem examination may be performed to determine the cause or to obtain physiological evidence.
Autopsy
After a person is pronounced dead, the _______________physician must complete the medical portion of the certificate of death.
Attending
A midwife nurse delivers babies in patient’s homes. The person responsible for filing the birth certificates for these babies is the ____________________________
Midwife nurse
An obstetrician delivering babies in a hospital knows that all live births must be reported to the _________________________.
State registar
A U.S. citizen is applying for a passport to travel. A copy of this person’s ____________________________is a permanent record required in this process.
Birth Certificate
To assess population trends and needs, state and federal governments collect _______________________.
Vital Statistics
On what type of scheduled prescriptions are no refills allowed?
Schedule 2
Which of the following is an example of a Schedule V drug?
Cough medicine with codeine
A physician prescribes pentobarbital for a patient who is experiencing seizures. Phenobarbital is an example of what schedule of drug?
Schedule II
Which of the following schedules of drugs are used strictly for research?
Schedule I
A physician issues a medical prescription for a patient. What is the term for this practice?
Prescribed
General regulations mandated by the Controlled Substances Act require physicians who purchase, prescribe, dispense, administer, or in any way handle controlled drugs to follow certain procedures. Which of the following accurately describes one of these procedures
The physician must keep records concerning the administering or dispensing of a controlled drug on file for two years.
Which of the following agencies tests and approves drugs before releasing them for public use?
Food and Drug Administration
A health care practitioner is treating a female patient who presents with signs of abuse. Her husband is standing protectively nearby. Which of the following is a recommended initial action when treating this patient?
Place a sign with tear-off hotline numbers for battered women in the restroom.
A health care practitioner suspects a female patient has been abused by her husband. Which of the following type of questions/statements might be used to encourage the patient to
Has someone harmed you?”
Which of the following is an example of a behavioral sign of abuse?
Illogical explanation for injuries
As of February 2011, 35 states recognized the death of an unborn child, in certain circumstances as which of the following?
Homicide
Which of the following victims was the Laci and Conner’s Law passed to protect?
Fetuses
Which of the following is an example of a vulnerable adult who many states have passed laws to protect?
A mentally challenged adult
Which of the following acts created the Administration on Aging and outlined 10 objectives aimed at preserving the rights and dignity of older citizens?
The Older Americans Act
To help prevent violence against children, in 1974 Congress passed the Child Abuse Prevention and Treatment Act, mandating the reporting of cases of child abuse. Which of the following is a provision of this act?
Failure to report suspected cases of child abuse may be a misdemeanor.
Which of the following cases in most states is not mandated as a reportable injury?
A physician suspects spousal abuse; however, the patient does not admit it occurred.
The National Childhood Vaccine Injury Act requires physicians and other health care providers administering vaccines to keep permanent records on vaccines administered and health problems occurring after vaccination. Which of the following information does not need to be documented in the patient’s permanent medical record?
Location of the vaccine manufacturer
Which of the following children may be declared exempt from vaccination programs on medical grounds?
Children with egg allergies
Several years ago a British physician named Andrew Wakefield published speculation that a relationship between the MMR vaccines and what disorder in children existed?
Autism
Which of the following children would be most likely to receive an influenza vaccination annually?
A child who has asthma
Who decides who will get compensation as a result of problems caused by vaccines?
U.S. Court of Federal Claims
The National Childhood Vaccine Injury Act of 1986 created the National Vaccine Injury Compensation Program (VICP). For which of the following was this legislation created to protect?
Vaccine manufacturers
Immunization records are confidential and anyone who fails to protect this confidentiality is guilty of which of the following?
Misdemeanor
A physician injects a drug containing a vaccination into the body of a patient. What is the term for this process?
Administer
In some states, certain noncommunicable diseases must also be reported, to allow public health officials to track causes and/or treatment or to otherwise protect the public’s health and safety. Which of the following is one of these diseases?
Epilepsy
Which of the following is an example of a communicable disease that has largely been eradicated in the United States?
Smallpox
For which of the following individuals would requirements for reporting communicable disease be more stringent?
A waitress
On April 4, 2003, at the request of the Centers for Disease Control, President George W. Bush signed Executive Order 13295, adding which of the following diseases to the list of communicable diseases for which federal isolation and quarantine is authorized
Severe acute respiratory syndrome (SARS)
hich of the following persons with a sexually transmitted disease would be required by most states to tell a sexual partner of this disease?
A person with HIV
What is the main reason health care practitioners are required to report sexually transmitted infections (STIs) to the state health department?
To treat others who may be infected
Certain sexually transmitted infections (STIs) must be reported whenever diagnosed. Which of the following is not a reportable STI?
Cervical cancer
Under each state’s public health statutes, physicians, other health care practitioners, and anyone who has knowledge of a case must report to county or state health agencies the occurrence of certain diseases that, if left unchecked, could threaten the health and well being of the population. Which of the following diseases is most likely to have mandated reporting by the state?
Diphtheria
Which of the following examples of public health statutes is enforced by citations for noncompliance?
Smoking bans
Which of the following is an example of a state law that requires behavioral changes on the part of the public?
Promoting the use of child safety seats
The state of Virginia checks all restaurants to make sure the conditions are sanitary. This is an example of which of the following?
Public health statutes
Which of the following is an example of federalism?
A state retains police powers not expressively granted to the federal government.
The power of the states to initiate public health statutes is inferred from which amendment to the U.S. Constitution, included in the Bill of Rights?
Tenth Amendment
Which of the following accurately describes the role of the coroner or medical examiner in the event of a violent death?
A medical examiner who is frequently a pathologist may order and perform an autopsy.
A death has occurred under normal circumstances and the body released to the funeral home. Who is responsible for filing the death certificate with the state?
The mortician
A person dies as a victim of a carjacking. Who is responsible for signing the death certificate for this individual?
The coroner
In which of the following cases would it be legal for a physician to sign a death certificate?
If the physician attended to the deceased before the death
Which of the following is not information that is usually found on a death certificate?
Date of birth
Who completes the medical portion of a death certificate after a person is pronounced dead?
Attending physician
Generally, birth and death certificates are not required for fetal deaths occurring prior to what week of gestation?
20th
An obstetrician who delivers babies knows that all live births need to be recorded. To which of the following agencies should these statistics be reported?
State registrar
A physician is completing a death certificate for a patient who died of cancer. Which of the following is a recommended guideline for this procedure?
Do not use rubber stamps or initials in place of signatures.
Who is responsible for gathering and filing many of the vital statistics collected by the state and federal government?
Health Care Practitioner
The state and federal governments collect vital statistics in the U.S. including births, deaths, marriages, divorces, and changes in civil status. What is the main purpose for collecting this information?
To assess population trends and needs
Prior to government regulations a physician who owned a physician’s office could hire a nurse with a traditional “employment-at-will” concept in place. Which of the following best describes this type of employment?
The employer or employee can end the employment anytime for any reason.
A hospital administer fires a nurse and cannot provide a legal reason for the dismissal. This is an example of which of the following?
Wrongful discharge
Which of the following may be used as evidence of just cause should a wrongful discharge lawsuit be filed by an employee against an employer?
The employee is sexually harassing another employee.
An employee is fired for acting for “the common good” by challenging workplace policies that put patients at risk for harm. What is the term for the common law concept of wrongful discharge when an employee has acted for the “common good”?
Public policy
A female nurse is fired because she is an “older adult” and the employer claims she is not up-to-date on current procedures. This would be considered what kind of form?
Discrimination
Which of the following acts makes sexual discrimination and sexual harassment illegal?
Title VII of the Civil Rights Act
The1980 Equal Employment Opportunity Commission (EEOC) defined sexual harassment. Which of the following is a condition that must be met for sexual harassment to occur?
Such conduct has the purpose or effect of unreasonably interfering with an individual’s work performance.
The first two parts of the 1980 Equal Employment Opportunity Commission (EEOC) definition of sexual harassment prohibit quid pro quo sexual harassment. Which of the following is an example of this type of harassment?
A surgical resident is offered opportunities to scrub in on a procedure if he dates the surgeon.
Title VII of the Civil Rights Act of 1964 addresses discrimination in hiring and firing. To which of the following businesses does this act apply?
Businesses with 15 or more employees working at least 20 weeks of the year
Which of the following federal laws makes it illegal to discriminate in hiring or firing because of union membership or organizational activities?
Wagner Act of 1935
A hospital administrator sets up programs to give preferential treatment to minority persons who did not have opportunities given to them in the past. What is the term for this policy?
Affirmative action
Which of the following is a provision of the Civil Rights Act of 1991?
Employees may collect punitive damages for discrimination.
Which of the following wage and hour laws provides for overtime pay and a minimum wage?
1938 Fair Labor Standards Act
The Family Leave Act of 1991 applies to employers with 50 or more employees and mandates allowing employees to take unpaid leave time for certain conditions. Which of the following conditions is not covered by this act
Recovering from substance abuse
OSHA was passed in 1970 and has had a major impact on the operation of health care facilities. What is the major concern covered by this legislation?
Safety in the workplace
All employers must know the OSHA standards that apply to their business. Which of the following is the best source of information for these standards?
The Federal Register
An OSHA inspector finds that a construction company is operating under unsafe conditions that could endanger the lives of employees. What is the initial action that would be taken by the inspector?
Ask the employer to voluntarily remedy the situation.
Which of the following is the second highest priority of workplace inspections?
Investigation of fatalities or accidents
Which of the following occurs when an OSHA compliance officer informs an employer that he is subject to “Failure to Abate” alleged violations?
The business is subject to daily fines.
Many states have employee right-to-know laws. What employee right do these laws protect?
Protection from unsafe work environments
