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MT Laws & Histopathology Flashcards

1
Q

During the morning rush, your laboratory manager comes into the laboratory and starts explaining a
new policy regarding vacation requests. Word spreads of the change throughout the day, and the message has changed somewhat. Several in the laboratory are upset and complain to the laboratory manager. Which of the following actions is the most appropriate way to handle such a situation?
a. Nothing should be changed, it was handled appropriately
b. The manager should have posted the change on the bulletin board in the break room
c. The manager should have announced the policy on each shift
d. The manager should have discussed and distributed the policy at a laboratory meeting, or several laboratory meetings, so that all employees heard the policy from the manager

A

d. The manager should have discussed and distributed the policy at a laboratory meeting, or several laboratory meetings, so that all employees heard the policy from the manager

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2
Q

What is the most important role of the manager in charge?
a. Independent decision making
b. Communication
c. Informal discussions
d. None of the above

A

b. Communication

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3
Q

Your laboratory was just inspected by CAP. Your inspector noted a phase I (lower level) citation that the hematology laboratory space is quite small. What action should the laboratory take?
a. Submit a written plan to CAP outlining that the laboratory will reorganize the space to meet the needs of the department
b. Immediately begin remodeling the laboratory, because this type of citation must be corrected within 30 days
c. Ignore the phase I citation, because it is only a recommendation
d. Reply to the CAP that space issue is not their concern

A

a. Submit a written plan to CAP outlining that the laboratory will reorganize the space to meet the needs of the department

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4
Q

The role of NAACLS is to:
a. Accredit laboratories
b. Offer certification examinations
c. Offer continuing education
d. Accredit educational programs

A

d. Accredit educational programs

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5
Q

COLA is similar to which of the following agencies?
a. CAP
b. TJC
c. AABB
d. ASCLS

A

a. CAP

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6
Q

Your laboratory is going to begin offering drug testing to local employers. While setting up the laboratory, you will likely work with which of the following agencies for accreditation of the laboratory?
a. COLA
b. SAMHSA
c. AABB
d. CLSI

A

b. SAMHSA

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7
Q

Match the following three agencies with the correct application
they oversee.
__ CMS
__ FDA
__ DOT
a. Regulates shipments of human specimens
b. Approves new testing procedures and methods
c. Regulate laboratory testing via CLIA

A

c. CMS
b. FDA
a. DOT

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8
Q

Job descriptions can be viewed as a summary of the findings obtained from a job analysis.
a. True
b. False

A

a. True

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9
Q

Which of the following items should not be contained within a job advertisement?
a. Name of organization
b. Starting salary
c. Position title
d. Certification/licensure requirements

A

b. Starting salary

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10
Q

Which of the following qualifications is(are) necessary to be an effective evaluator?
a. Knowledge of job and work being done
b. Proximity to the person being judged
c. Time to conduct the review
d. All of the above

A

d. All of the above

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11
Q

There is no relationship between an evaluation instrument and the job description.
a. True
b. False

A

b. False

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12
Q

Rewards such as a reserved parking spot or the ability to attend conferences may be used to recognize employee accomplishments.
a. True
b. False

A

a. True

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13
Q

Which of the following is a benefit of teams in the workplace?
a. Sense of accomplishment
b. Increased communication
c. Relief for employees
d. All of the above

A

d. All of the above

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14
Q

Which of the following is a category for justification of capital expenditures?
a. Replacement
b. Cost reduction
c. New equipment
d. All of the above

A

d. All of the above

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15
Q

Which of the following government regulations apply standards for employers to apply for medical leave of absence:
a. CAP
b. FMLA
c. CLMA
d. CLSI

A

b. FMLA

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16
Q

You are the lead chemistry MLS. Your laboratory manager has asked you to evaluate two new methods for cholesterol analysis. In your evaluation, you found that method A was very accurate and precise and that method B was not very accurate and precise. However, the laboratory will make more money by investing in method B. Which of the following decisions would exhibit professionalism?
a. Recommend method A to your laboratory manager. It is important that the laboratory produce the most accurate and precise results
b. Recommend method B to your laboratory manager. It is important that the laboratory make as much money as possible
c. State that you are unable to make a recommendation, because no difference in the methods was noted
d. Recommend that you need more time to evaluate both methods

A

a. Recommend method A to your laboratory manager. It is important that the laboratory produce the most accurate and precise results

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17
Q

The three Rs of customer service include results, relationships, and reliability.
a. True
b. False

A

b. False

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18
Q

Legal personnel issues in the clinical laboratory include all of the following except:
a. Medical leaves
b. Reimbursement
c. Termination procedures
d. Interview questions

A

b. Reimbursement

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19
Q

Which of the following regulates overtime pay?
a. NLRB
b. FLSA
c. EPA
d. FMLA

A

b. FLSA

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20
Q

A hospital is reimbursed under the Medicare DRG program according to which of the following?
a. Amount of service provided
b. Costs incurred in providing care
c. Nature of the illness
d. Profit margin of the laboratory

A

c. Nature of the illness

21
Q

Which statement describes the appropriate scheduling process?
a. Matching the people presently working in the laboratory with current workload requirements
b. The setting of long-term goals and objectives for the number and types of personnel needed to meet
the labor requirements of the laboratory
c. Allow a democratic approach and have the staff schedule when they want to work
d. Placing all of the experienced personnel on one shift

A

a. Matching the people presently working in the laboratory with current workload requirements

22
Q

Which of the following is a goal of an interview?
a. Establish social contacts
b. Evaluate applicant’s skills and personality
c. Discuss the religious background of the applicant
d. Discuss prior arrests of the applicant

A

b. Evaluate applicant’s skills and personality

23
Q

Annual budget assumptions are based on ____________________.
a. Estimated direct costs
b. Estimated indirect costs
c. Projected reimbursement and revenue
d. All of the above

A

d. All of the above

24
Q

Ambulatory Payment Category (APC) codes are used for reimbursement purposes for which of the following?
a. Inpatients
b. Medicare inpatients
c. Outpatient and emergency room patients
d. None of the above

A

c. Outpatient and emergency room patients

25
Q

According to most managed care plans, the type of reimbursement similar to federal systems is:
a. Capitation
b. Per diem
c. Per case
d. Carve out

A

c. Per case

26
Q

Budgets should be reviewed ____________ to identify budget variances.
a. Weekly
b. Monthly
c. Quarterly
d. Annually

A

b. Monthly

27
Q

When calculating the costs per billable tests, the total test volume in the laboratory is not needed.
a. True
b. False

A

b. False

28
Q

Which of the following agency(ies) developed the Medical Compliance Plan (MCP)?
a. CAP
b. TJC
c. HHS OIG
d. NAACLS

A

c. HHS OIG

29
Q

The Clinical Laboratory Improvement Act of 1988 applies to which of the following?
a. All clinical laboratories
b. Hospital laboratories only
c. Laboratories engaged in interstate commerce only
d. Physician office laboratories only

A

a. All clinical laboratories

30
Q

What is the purpose of a compliance plan?
a. Reduce fraud and abuse billing practices
b. Monitor employee compliance to safety practices
c. Train employees on customer satisfaction
d. Ensure fairness in scheduling

A

a. Reduce fraud and abuse billing practices

31
Q

Which organization publishes guidelines for writing technical procedures that are usually acceptable to agencies that govern laboratory operations, such as CAP and COLA?
a. AABB
b. CLSI
c. OSHA
d. ASM

A

b. CLSI

32
Q

Which of the following arrangements offers the most instrument service coverage and “piece of mind” for
laboratory managers?
a. Pay as needed for time and materials
b. Establishing a service contract for key instruments
c. Fingers crossed that nothing breaks down
d. Order new instruments when the warranty runs out on the old one

A

b. Establishing a service contract for key instruments

33
Q

Given the following information, calculate the needed FTEs.
Standard unit: 0.5
Number of billable tests in 14 days: 10,000
a. 62.5
b. 125
c. 250
d. None of the above

A

a. 62.5

34
Q

Productivity can be calculated by which of the following?
a. Dividing actual hours worked by earned hours and multiply by 100
b. Dividing earned hours by actual hours and multiply by 100
c. Calculating the number of people on your staff and dividing by the number of shifts
d. Comparing the number of radiology technicians in comparison to laboratory technicians

A

a. Dividing actual hours worked by earned hours and multiply by 100

35
Q

Legal institutional issues in the clinical laboratory include all of the following except:
a. Confidentiality
b. Job announcements
c. Procedures
d. Chain of custody

A

b. Job announcements

36
Q

PRN employees are useful in the scheduling process because they help to decrease overtime and increase
flexibility.
a. True
b. False

A

a. True

37
Q

When using the 8 and 80 payroll regulation and guidelines, are employees paid overtime when they
work more than 8 hours in one day?
a. Yes, the employees would be paid overtime
b. No, the employees would not be paid overtime because they must have worked more than 80 hours also
c. It depends on how the employees desire to be paid
d. The employees are not paid overtime regardless of how many hours are worked

A

a. Yes, the employees would be paid overtime

38
Q

You are in charge of planning the schedule for the day shift. Your laboratory manager asks that you
identify three ways to reduce the labor costs for that shift. Of the following, which is not a way to reduce the costs?
a. Use PRN employees to reduce overtime costs
b. Switch to a 40-hour work week
c. Schedule your most educated and trained employees during first shift
d. Use a mix of highly educated employees and relatively new employees

A

c. Schedule your most educated and trained employees during first shift

39
Q

As part of the Blood-borne Pathogens Plan, employers must offer the hepatitis B vaccine to all employees at the expense of the clinical laboratory (or organization).
a. True
b. False

A

a. True

40
Q

Which of the following components should not be included in a written procedure?
a. Test method
b. Cost per billable test
c. Quality control procedures
d. Reagents and media needs

A

b. Cost per billable test

41
Q

Which of the following agencies has the inspection authority for laboratory accreditation?
a. CAP
b. TJC
c. State health departments
d. All of the above

A

d. All of the above

42
Q

Which of the following questions can be legally asked during an interview?
a. What is your date of birth?
b. Where have you previously worked?
c. Do you have any dependents?
d. Do you have any long-term health problems?

A

b. Where have you previously worked?

43
Q

Which of the following methods would be most helpful during the interview to assess an applicant’s abilities to resolve problems in a mature manner?
a. Read a scenario and ask the applicant how he or she would react if in the situation
b. Directly ask the applicant if he or she is mature
c. Observe the applicant during the interview
d. There is no way to assess these abilities during the interview process

A

a. Read a scenario and ask the applicant how he or she would react if in the situation

44
Q

An educational learning objective must:
a. Be written in broad terms
b. Not be measurable
c. Be provided after the educational unit ends
d. Explain exactly what the student should be able to do

A

d. Explain exactly what the student should be able to do

45
Q

The cognitive learning domain includes which of the following?
a. Evaluation
b. Demonstration
c. Attitudes
d. Motor skills

A

a. Evaluation

46
Q

Being described as a team player falls primarily within which learning domain?
a. Cognitive
b. Psychomotor
c. Affective
d. Level III

A

c. Affective

47
Q

Which of the following learning objectives is appropriately written?
a. The student will understand how to perform urine microscopy
b. The student will be able to accurately list the steps in performing a venipuncture
c. The student will be aware of professional behavior
d. The student will not make mistakes

A

b. The student will be able to accurately list the steps in performing a venipuncture

48
Q

An examination question that includes a comprehensive list of laboratory tests from a given patient and requests the examinee to make a diagnosis is an example of a question that belongs to which taxonomic level?
a. Level I
b. Level II
c. Level III
d. Level IV

A

c. Level III

49
Q
A

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