HLAB 1401 Exam 2 Quality Assurance, And Legal Issues

26 Questions | Total Attempts: 66

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HLAB Quizzes & Trivia

Review for Exam 2 is based on the QA/Legal Issues powerpoint and parts of the Professionalism powerpoint.


Questions and Answers
  • 1. 
    Out of these five criteria, which one is NOT part of the NAACLS criteria for entry-level histotechnician competencies?
    • A. 

      Properly maintain all laboratory equipment.

    • B. 

      Correctly diagnose prepared tissue slides.

    • C. 

      Identify tissue structures and staining characteristics.

    • D. 

      Pursue continuing education.

    • E. 

      Receive and accession, or log in, specimens.

  • 2. 
    What is included in the NAACLS's criteria for a competent entry-level histototech? Identify ALL answer choices that are correct.
    • A. 

      Demonstrate professional conduct and interpersonal communication skills with patients, healthcare professionals, and the public

    • B. 

      Recognize factors that affect procedures and results, and implement standard corrective measures

    • C. 

      Study the nature, cause, and development of diseases in people.

    • D. 

      Direct all the activities of the pathology department.

    • E. 

      Assist with gross examination and adequately section frozen tissue

  • 3. 
    As a professional histotech, following ethical behavior is required by NAACLS.  What is the general term for ethics in the work place?
    • A. 

      A positive attitude.

    • B. 

      Personal hygeine.

    • C. 

      Performing more than what is required for the given profession.

    • D. 

      Professional standards in work practices and behaviors.

  • 4. 
    The largest accreditation agency is JCAHO.  What does this abbreviation stand for?
    • A. 

      Joint Commission on Accreditation of Health Care Organizations

    • B. 

      Joint Commission on Accreditation of Health Organizations

    • C. 

      Joint Commission for Academic Hospital Organizations

    • D. 

      Judicial Council of Anti-Hate Organizations

  • 5. 
    What is the correct order of steps generally taken by the JCAHO Office of Quality Monitoring once they recieve a complaint from patients, family members, and hospital employees?
    • A. 

      Evaluate how well the hospital deals with complaint, then immediately make an unannounced visit to the hospital, and then obtain a submitted response from the hospital concerning the complaint.

    • B. 

      Enter complaint into a database, then receive a written response from the hospital about the complaint, and then evaluate the hospital's compliance to address the issue.

    • C. 

      Immediately make an unannounced site visit, then evaluate the hospital's compliance to address the issue, and then analyze the trends on the complaint database.

  • 6. 
    The College of American Pathologists, or CAP, is an outgrowth of ASCP.  What does ASCP stand for?
    • A. 

      American Society for Cruelty Prevention

    • B. 

      Association of Standard Clinical Practices

    • C. 

      American Society of Clinical Pathologists.

    • D. 

      Association of Superior Clinical Pathology

  • 7. 
    The College of American Pathologists (CAP) does not compete with the JCAHO accreditation service becuase CAP only addresses Pathology laboratory standards.  What exactly does the College of American Pathologists (CAP) do?
    • A. 

      They manage federal healthcare programs concerned with pathology and laboratories.

    • B. 

      They provide proficiency testing and onsite inspection for all healthcare facilities.

    • C. 

      They provide proficiency testing and onsite inspection for laboratories.

    • D. 

      All of the above

  • 8. 
    What is the abreviation for the institute that develops global standards for all areas of the laboratory? hint: The institute was originall called the National Committee for Clinical Laboratory Standards (NCCLS)
    • A. 

      CLSI

    • B. 

      CLIA

    • C. 

      NAACLS

    • D. 

      ASCP

  • 9. 
    In 1988, this Amendment was administered to establish a standard of quality within an institution's adopted Quality Assurance and Quality Control programs, proficieny tests, personnel qualifications, etc.  What is this Amendment called and what is the agency that adminstered it?
    • A. 

      Clinical Laboratory Improvement Amendments of 1988(CLIA '88), Centers for Medicare and Medicaid Services

    • B. 

      Healthcare Improvement Amendments of 1988, Centeres of Medicare and medicaid Services

    • C. 

      Quality Impovement for Laboratories Amendments of 1988 (QILA '88)

    • D. 

      None of the above

  • 10. 
    What does the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) accredit?
    • A. 

      Quality Assurance programs

    • B. 

      Laboratory safety procedures

    • C. 

      Educational programs

    • D. 

      None of the above

  • 11. 
    Many unfortunate outcomes such as death, loss of limb function, and psyhlogical distress can occur when providing health care.  What is NOT one of the steps implemented by Risk Management committees in order to identify and minimize these sentinel/harmful events?
    • A. 

      Investigate cause of sentinel event

    • B. 

      Prevent others from knowing about sentinel event

    • C. 

      Implement remedial actions

    • D. 

      Monitor effectiveness of remedial actions

    • E. 

      All of the above

  • 12. 
    What is the difference between Quality Assurance and  Quality Control?
    • A. 

      Quality Assurance is regularly reviewing patient care outcomes while Quality Control is a subset of Quality Assurance and uses check points to record how well an institution meets standards at all times.

    • B. 

      Quality Control is regularly reviewing patient care outcomes while Quality Assurance is a subset of Quality Control and uses check points to record how well an institution meets standards at all times.

    • C. 

      Quality Assurance is a measurable indicator while Quality Control consists of established threshold values.

  • 13. 
    Documentation is part  of establishing a good Quality Assurance program.  Which of these types of documents is the most important of legal documents?
    • A. 

      QC Charts and Incident Reports

    • B. 

      Equipment Manuals

    • C. 

      Procedural Manuals

    • D. 

      Medical Records

    • E. 

      Chemical Safety Manuals

  • 14. 
    Sentinel events in the Histology Lab consists of loss of tissue, specimen mislabeling and tissue specimens that are non-diagnostic.  Which of the following actions will render a tissue specimen as non-diagnostic?
    • A. 

      Delayed fixation, causing autolysis.

    • B. 

      Improper choice of fixative.

    • C. 

      Improper tissue processor settings.

    • D. 

      Paraffin temperature too high and improper rotation of reagents.

    • E. 

      All of the above.

  • 15. 
    It is a good work practice, when handling specimens, to know which procedure is needed for the type of test that is ordered by the pathologist.  Therefore, which procedure is mismatched with its purpose?
    • A. 

      A routine slide is fixed in glutaraldehyde

    • B. 

      A specimen issued for EM is frozen in OCT

    • C. 

      For muscle enzyme studies, you should always fix in formalin.

    • D. 

      For immunohistochemistry, you should always snap freeze in isopentane/liquid nitrogen.

    • E. 

      All of the above.

  • 16. 
    True or False.  Daily documentation of paraffin temperatures and fluid rotations are types of Quality Control for Tissue Processing.
    • A. 

      True

    • B. 

      False

  • 17. 
    Following good work practices when embedding tissue means:
    • A. 

      Always reviewing gross worksheets for special instructions

    • B. 

      Always slowly opening cassettes one at a time

    • C. 

      Daily documentation of paraffin temperatures

    • D. 

      All of the above

  • 18. 
    For the H&E(Hematoxylin and Eosin) Stainer, good work practices do NOT include:
    • A. 

      Documentation of fluid rotation schedules

    • B. 

      Documentation of paraffin temperatures

    • C. 

      Running a control slide and checking the stain quality every day.

    • D. 

      Documenting results of control slides and implementing corrective actions as needed.

  • 19. 
    What should you do if sections are noticeably incomplete or torn?
    • A. 

      Request for another biopsy.

    • B. 

      Request that they be delivered to the physician's office.

    • C. 

      Request that they be recut and restained

  • 20. 
    What roles do Staff Meetings play in Quality Assurance?
    • A. 

      They help identify QA problems

    • B. 

      They explore possible causes and solutions

    • C. 

      They evaluate the effectiveness of solutions

    • D. 

      They establish new policies by updating appropraite manuals

    • E. 

      All of the above

  • 21. 
    Which of the following can be considered a tort, or a wrongful act committed against a person, common in civil trials?
    • A. 

      Assault/threat.

    • B. 

      Battery, or harmful touch.

    • C. 

      Fraud, such as false billing.

    • D. 

      Invasion of privacy, such as unauthorized release of information, or walking into a patient's room unannounced.

    • E. 

      All of the above

  • 22. 
    Which tort is mismatched with its specific example?
    • A. 

      An example of breach of confidentiality is failure to keep privileged medical information private.

    • B. 

      An example of negligence is unintentional failure to exercise due care.

    • C. 

      An example of malpractice is negligence of a professional such as a physician.

    • D. 

      All of the above

    • E. 

      None of the above

  • 23. 
    What is the definition of "respondeat superior" and what does this mean in legal issues?  note: choose the best 2 answer choices
    • A. 

      Let the servant respond

    • B. 

      Let the master respond

    • C. 

      Agencies are responsible for the actions of their employees at the workplace

    • D. 

      An employee is solely held responsible for something that is not whithin his or her duties of training

  • 24. 
    Following legislation that governs consent is important.  For example you may be charged with assault and battery for violation of Consent for Minors.  Therefore what should you do to verify Refusal of Consent?
    • A. 

      Record the the patient's verbal refusal on a form.

    • B. 

      Have the patient verify the refusal in writing on a special form.

    • C. 

      Have the patient nod "YES"

    • D. 

      None of the above

  • 25. 
    There are 4 phases in the Litigation Process.  Choose the answer that best summarizes each phase in the correct order.
    • A. 

      Phase 1: Patient consults with a lawyer to negotiate a settlement, Phase 2: The lawyer files a formal complaint if a settlement cannot be made, Phase 3: Both sides conduct formal discovery, or enterrogation of parties involved. Phase 4: an appeal of the final decision is possible

    • B. 

      Phase 1: Patient consults with a lawyer to negotiate a settlement, Phase 2: The lawyer files a formal complaint if a settlement cannot be made, Phase 3: Both sides conduct formal discovery, or enterrogation of parties involved. Phase 4: The final decision is made by the jury

    • C. 

      Phase 1: Patient becomes aware of possible injury, Phase 2: A lawyer is consulted and either attempts to negotiate a settlement or file a formal complaint and conducting formal discoveries, Phase 3: A trial is held before a judge and jury, Phase 4: a final decision by the jury is made

    • D. 

      Phase 1: Patient becomes aware of possible injury, Phase 2: A lawyer is consulted and either attempts to negotiate a settlement or file a formal complaint and conducting formal discoveries, Phase 3: A trial is held before a judge and jury, Phase 4: a possible appeal of the jury's decision

  • 26. 
    During Phase 2 of the Litigation Process, formal discovery is conducted by both parties by both sides giving depositions.  What is a depostion?
    • A. 

      A process in which one party questions another under oath.

    • B. 

      A process in which the plaintiff, the defendant, and expert witnesses are asked questions.

    • C. 

      A process in which a person who lies under oath while giving a deposition can be charged with perjury.

    • D. 

      All of the above

    • E. 

      None of the above