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Tests on important mandatory compliance, safety and quality topics that were covered during the new employee orientation.
Questions and Answers
1.
Diane’s daughter is in the girl scouts and has a quota of girl scout cookies to sell. You observe that while she is registering patients she asks each patient if he/she would like to buy a box of cookies. What would be an appropriate response?
A.
I would like to buy two boxes of the chocolate mint before they are all sold.
B.
Diane, do you know selling those cookies to patients is in violation of our conflict of interest policy?
C.
Diane, you could get into trouble for doing that at the front desk, it would be better if I asked them when they are in the exam room, because no one can see.
D.
You think that there is something not right about what Diane is doing, but you decide say nothing, because you feel that what Diane does is none of your business.
Correct Answer
B. Diane, do you know selling those cookies to patients is in violation of our conflict of interest policy?
Explanation The correct answer is questioning Diane about the violation of the conflict of interest policy because it addresses the concern of selling cookies to patients, which could be seen as a breach of professional ethics. It acknowledges that there may be consequences for Diane's actions and suggests a potential solution to avoid any trouble.
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2.
There is a patient with whom you have a particularly good rapport. The patient had on several occasions expressed her gratitude for the help you have given her and her family. Today, she came into the clinic and gave you an envelope with a pair of Bears tickets. Which of the following are appropriate responses to this generous gift?
A.
Thank you, I cannot wait to go to the game.
B.
Thank you but, you misunderstood, I like the Bulls, not the Bears.
C.
Thank you, I very much appreciate your generosity. I am pleased that you are happy with the care that you have received here at HHC, but I cannot accept this gift, because It is against our policy for me to accept such a gifts.
D.
Thank you. I could get into a lot of trouble for accepting such gift while I am at work. I would love to accept it if you mail it to my home. Here is my address.
Correct Answer
C. Thank you, I very much appreciate your generosity. I am pleased that you are happy with the care that you have received here at HHC, but I cannot accept this gift, because It is against our policy for me to accept such a gifts.
Explanation The appropriate response is to express gratitude for the patient's generosity and appreciation for their satisfaction with the care received. However, it is important to decline the gift due to the policy against accepting such gifts. This response acknowledges the patient's kindness while also adhering to professional guidelines.
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3.
Today was a very busy day in the clinic and you overlooked the fact that a patient was supposed to have an immunization. The patient left without getting the immunization. You decide to document that you gave the immunization because you plan to call her and ask her to come back first thing in the morning so that you can administer it. No one will ever know and the patient will get the immunization and you won’t get into trouble. Which of the following is true about your actions:
A.
What you did would be considered falsification of the medical record
B.
This could cause problems with the patient’s funder, Medicaid, because the service wasn’t rendered and Medicaid would be billed for a service that wasn’t rendered.
C.
This really wouldn’t be falsification of the medical record, because you plan to fix the problem tomorrow.
D.
Both a & b are correct
Correct Answer
D. Both a & b are correct
Explanation By documenting that the immunization was given when it actually wasn't, the person is engaging in falsification of the medical record. This is unethical and can have serious consequences, including potential problems with the patient's funder, Medicaid. Medicaid could be billed for a service that wasn't actually rendered, which can lead to legal and financial issues. Therefore, both statements a and b are correct.
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4.
Your husband has invested a significant portion of the family savings in General Electric without consulting you. You are worried that he made a bad investment that will lose money. You are a member of a committee that will be selecting new wall units for all of HHC. General Electric is a manufacturer of wall units and is one of vendors being considered for this costly purchase. What should you do?
A.
Your personal financial investments are no one else’s business, so you do not tell anyone about your family’s investment in General Electric.
B.
Participate in the discussion about the pro’s and con’s of the various wall units and skip the meeting during which the committee will vote on a choice.
C.
Tell the committee chairman that you own stock in General Electric and because of this conflict of interest you will not participate in the discussion or voting relative to the purchase of the wall units.
D.
A & b are correct
Correct Answer
C. Tell the committee chairman that you own stock in General Electric and because of this conflict of interest you will not participate in the discussion or voting relative to the purchase of the wall units.
Explanation The correct answer is to tell the committee chairman about owning stock in General Electric and abstain from participating in the discussion or voting. This is the appropriate course of action because there is a conflict of interest due to the personal investment in the company being considered as a vendor. By disclosing this information, it ensures transparency and avoids any potential bias or unethical behavior in the decision-making process.
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5.
Which of the following would be a violation of HIPAA:
Faxing a copy of a patient’s medical record to her husband’s work place fax number.
A medical student copying portions of several patients’ medical records so she can present the information in a clinical conference.
Telling your husband that his basketball team member came to the clinic today and had an AIDS blood test.
Writing the names of patients who are in the waiting room on a chalk board so that all of the patients will know who is next to be seen.
Having copies of test results that a patient requested in the top tray of a basket on your desk, such that anyone coming to the front desk can see the results.
A.
1,3, 5
B.
2,3, 5
C.
All of the above listed activities.
D.
None of the above listed activities.
Correct Answer
C. All of the above listed activities.
Explanation All of the activities listed in options 1, 3, and 5 would be violations of HIPAA. Option 1 involves the unauthorized disclosure of a patient's medical record to a third party. Option 3 involves the unauthorized disclosure of a patient's HIV status to a third party. Option 5 involves the unauthorized disclosure of a patient's test results to anyone who comes to the front desk. These actions violate the privacy and confidentiality requirements of HIPAA. Option 2 does not involve the unauthorized disclosure of patient information, so it is not a violation of HIPAA. Option 4 is not a violation of HIPAA as it does not involve the unauthorized disclosure of patient information.
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6.
What is one of the most important way to prevent the spread of infection:
A.
Hand Hygiene or Hand Washing
B.
Spraying the air with air disinfectant after patient leaves the exam room
C.
Opening the windows to let fresh air into a room
D.
Emptying the trash twice a shift
Correct Answer
A. Hand Hygiene or Hand Washing
Explanation Hand hygiene or hand washing is one of the most important ways to prevent the spread of infection because our hands come into contact with various surfaces and objects that may harbor harmful bacteria and viruses. Regularly washing our hands with soap and water or using hand sanitizers can effectively remove these pathogens and reduce the risk of transmitting them to ourselves or others. It is a simple and effective measure that can be easily incorporated into our daily routine to maintain good hygiene and prevent the spread of infections.
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7.
When should you wash your hands:
A.
Before eating
B.
After personal use of the toilet
C.
Before and after an encounter with a patient
D.
All of the above
Correct Answer
D. All of the above
Explanation Washing hands is important to prevent the spread of germs and maintain personal hygiene. Before eating, hands should be washed to remove any potential contaminants that may cause illness. After using the toilet, it is crucial to wash hands to eliminate any bacteria or viruses that may be present. Additionally, before and after coming into contact with a patient, hand hygiene is necessary to prevent the transmission of pathogens. Therefore, the correct answer is "All of the above" as all these situations require handwashing.
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8.
Which of the following is the proper way to wash your hands:
A.
Turn on hot water, add some soap and rub for 5 seconds, turn off the faucet.
B.
Turn on lukewarm water; lather hands with soap for 10 – 15 seconds; including the palms, back of hands, between fingers under finger nails; rinse thoroughly; dry with paper towel and turn off faucet with paper towel.
C.
Turn on hot water, lather with soap for 30 seconds, shake hands to get off excess water.
D.
Rinse hands with warm water, dry with a towel, apply hand lotion and go on to the next patient.
Correct Answer
B. Turn on lukewarm water; lather hands with soap for 10 – 15 seconds; including the palms, back of hands, between fingers under finger nails; rinse thoroughly; dry with paper towel and turn off faucet with paper towel.
Explanation The proper way to wash your hands is to turn on lukewarm water, lather your hands with soap for 10-15 seconds, making sure to cover all areas including the palms, back of hands, between fingers, and under fingernails. Then, rinse thoroughly and dry your hands with a paper towel. Finally, use the same paper towel to turn off the faucet, ensuring that you do not touch any potentially contaminated surfaces with your clean hands.
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9.
An alcohol based hand sanitizer is acceptable to use if your hands are not visibly soiled.
A.
True
B.
False
Correct Answer
A. True
Explanation An alcohol-based hand sanitizer is effective in killing germs and bacteria on the hands. If the hands are not visibly soiled, using a hand sanitizer can help maintain hand hygiene and prevent the spread of infections. However, if the hands are visibly dirty or greasy, it is recommended to wash them with soap and water instead, as hand sanitizer may not be as effective in removing visible dirt and grime.
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10.
Which of the following must you do under Standard Precautions:
1) Wear gloves when collecting or handling blood and body fluids.
2) Wear face shields, masks or eye protection when there is danger of blood splashing on your face and eyes.
3) Dispose of all needles and sharp objects in puncture resistant containers
4) Hand hygiene after contact with respiratory secretions
5) Cover your mouth and nose with a tissue when you cough or sneeze
A.
1 & 2
B.
1 & 3
C.
4 & 5
D.
All of the above
Correct Answer
D. All of the above
Explanation Under Standard Precautions, healthcare workers must wear gloves when collecting or handling blood and body fluids to prevent direct contact. They should also wear face shields, masks, or eye protection when there is a risk of blood splashing on their face and eyes. Disposing of all needles and sharp objects in puncture-resistant containers is necessary to prevent accidental injuries. Hand hygiene after contact with respiratory secretions helps to reduce the spread of infections. Lastly, covering the mouth and nose with a tissue when coughing or sneezing helps to prevent the spread of respiratory droplets. Therefore, all of the above options are necessary under Standard Precautions.
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11.
You are responsible for re-stocking the rooms. You notice that you seem to be running out of a particular kind of dressing supply that you know is somewhat expensive. You notice that you seem to run out on the day when a specific provider is at the clinic. One day you notice that a whole box is missing and the only people who went into the treatment rooms were you and the Provider that you think is taking the dressing material. What should you do?
A.
Ignore the situation, it is none of your business
B.
Since there is power in numbers, confront the Provider with a couple of your co-workers present.
C.
You think you should say something, but the Provider has more authority that you, so you ignore the situation.
D.
Report your observations to your manager
Correct Answer
D. Report your observations to your manager
Explanation Based on the given scenario, it is important to report the observations to the manager. The situation involves a potential theft or misuse of expensive dressing supplies, and it is the responsibility of the person restocking the rooms to ensure the availability of these supplies. By reporting the observations to the manager, appropriate action can be taken to address the issue and prevent further incidents. Ignoring the situation or confronting the provider without proper authority may not be effective or appropriate courses of action.
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12.
While working with patients you may be exposed biohazards by handling:
A.
Needles, Blood, Sputum and hydrogen peroxide
B.
Mercury from a broken thermometer that a patient brings into the clinic
C.
Needles, Drainage from wounds, sputum and mold that is forming on the wall where there is a leaky pipe.
D.
Needles, blood, sputum, drainage from wounds and blood & body fluid specimens.
Correct Answer
D. Needles, blood, sputum, drainage from wounds and blood & body fluid specimens.
Explanation The correct answer is "Needles, blood, sputum, drainage from wounds and blood & body fluid specimens." This is because these items are all potential biohazards that healthcare workers may be exposed to while working with patients. Needles can carry infectious diseases, blood and body fluids can contain pathogens, sputum and drainage from wounds can also contain infectious agents. It is important for healthcare workers to take proper precautions and follow safety protocols to minimize the risk of exposure to these biohazards.
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13.
Personal Protective Equipment (PPE) is worn whenever you are working with or handling hazardous material.
A.
True
B.
False
Correct Answer
A. True
Explanation Personal Protective Equipment (PPE) is indeed worn whenever working with or handling hazardous material. PPE includes items such as gloves, goggles, masks, and protective clothing that are designed to protect the wearer from potential hazards and minimize the risk of injury or illness. By wearing PPE, individuals can create a barrier between themselves and the hazardous material, reducing the chances of exposure and ensuring their safety. Therefore, the statement "Personal Protective Equipment (PPE) is worn whenever you are working with or handling hazardous material" is true.
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14.
Gloves should be worn when removing a dressing from a patient’s infected foot.
A.
True
B.
False
Correct Answer
A. True
Explanation Gloves should be worn when removing a dressing from a patient's infected foot because it helps to prevent the spread of infection. Wearing gloves creates a barrier between the healthcare provider's hands and the patient's wound, reducing the risk of contamination. It also protects the healthcare provider from coming into contact with any potentially harmful substances or fluids that may be present in the dressing or on the patient's foot. By wearing gloves, healthcare providers can maintain proper hygiene and minimize the risk of cross-contamination, ensuring the safety and well-being of both the patient and the provider.
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15.
Specially marked hazardous waste refuse containers are considered to be Personal Protective Equipment (PPE)
A.
True
B.
False
Correct Answer
B. False
Explanation The statement is false because specially marked hazardous waste refuse containers are not considered to be Personal Protective Equipment (PPE). PPE refers to equipment worn by individuals to protect themselves from hazards in the workplace, while hazardous waste refuse containers are used to store and dispose of hazardous waste materials. They serve different purposes and are not interchangeable.
Explanation Disposable gloves, masks, lab coats, and eye wear/goggles/face shields are considered personal protective equipment (PPE) because they are designed to protect individuals from potential hazards or contaminants in their work environment. These items create a barrier between the wearer and any harmful substances, such as chemicals, pathogens, or bodily fluids, reducing the risk of exposure and preventing the spread of infections or diseases. PPE is essential in various industries, including healthcare, laboratories, and manufacturing, to ensure the safety and well-being of workers.
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17.
Which of the following should be disposed of in a biohazardous waste container
A.
Sterile dressing that is thrown away because it dropped on the floor before being used with a patient.
B.
Dressing that was removed from a patient’s wound
C.
Outside packaging that contained sterile dressing.
D.
All of the above
Correct Answer
B. Dressing that was removed from a patient’s wound
Explanation Dressing that was removed from a patient's wound should be disposed of in a biohazardous waste container because it may be contaminated with bodily fluids or pathogens. This ensures proper disposal and minimizes the risk of infection or transmission of diseases. Sterile dressing that dropped on the floor before being used and the outside packaging that contained sterile dressing can be disposed of in regular waste containers as they are not directly contaminated with potentially infectious materials.
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18.
When the Sharps containers were all full, it is acceptable to place used needles in the biohazardous waste container
A.
True
B.
False
Correct Answer
B. False
Explanation When the Sharps containers are all full, it is not acceptable to place used needles in the biohazardous waste container. This is because biohazardous waste containers are not specifically designed to safely store sharp objects like needles. Placing needles in the biohazardous waste container can pose a risk of injury to individuals handling the waste and increase the likelihood of accidental needlestick injuries. It is important to follow proper protocols and guidelines for the disposal of sharps to ensure the safety of everyone involved.
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19.
The provider told you that repeat vital signs must be done now. You plug in the Welch Allyn wall unit and notice that there are some frayed wires on the plug and the plug looks blackened, as though it might have burned. What should you do?
A.
Put on gloves, plug in the wall unit and take the vital signs as ordered by the provider.
B.
Do not plug in the wall unit, remove it from the treatment room, put a sign on it, that it is broken and report the broken equipment to your manager
C.
Take some electrical tape and wrap it around the cord, take the vital signs, then remove the wall unit from the treatment room and report to your manager that the equipment may be broken.
D.
Tell the provider that you suspect the equipment is broken, that you cannot do the vital signs and leave the equipment in the treatment room.
Correct Answer
B. Do not plug in the wall unit, remove it from the treatment room, put a sign on it, that it is broken and report the broken equipment to your manager
Explanation The correct answer is to not plug in the wall unit, remove it from the treatment room, put a sign on it indicating that it is broken, and report the broken equipment to your manager. This is the appropriate action to take when encountering damaged or potentially hazardous equipment. Plugging in the wall unit with frayed wires and a blackened plug could pose a safety risk and should be avoided. Removing the equipment from the treatment room and reporting it to the manager ensures that it will be properly addressed and repaired.
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20.
Which of the following are important ways to prevent workplace fires?
A.
Keeping your work environment free of waste paper and other combustibles.
B.
Extension cords and flexible cords or multi-plug adapters may not be used.
C.
Do not use open flames in the workplace
D.
All of the above
Correct Answer
D. All of the above
Explanation Keeping the work environment free of waste paper and other combustibles is important to prevent workplace fires because these materials are highly flammable and can easily ignite. Extension cords and flexible cords or multi-plug adapters should not be used because they can overload electrical circuits and potentially cause a fire. Open flames should not be used in the workplace because they can easily ignite nearby combustible materials. Therefore, all of the mentioned measures are important in preventing workplace fires.
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21.
R.A.C.E. to fire safety stands for:
A.
Run, Alarm, Contain, Exit
B.
Rescue, abandon, check, eradicate
C.
Rescue, alarm, contain, Extinguish
D.
None of the above
Correct Answer
C. Rescue, alarm, contain, Extinguish
Explanation The correct answer is "Rescue, alarm, contain, Extinguish." This acronym, R.A.C.E., is commonly used in fire safety procedures. It outlines the steps to be taken in the event of a fire. First, individuals should focus on rescuing anyone in immediate danger. Then, they should activate the fire alarm to alert others and initiate the evacuation process. Next, efforts should be made to contain the fire by closing doors and windows. Finally, if safe to do so, individuals can attempt to extinguish the fire using appropriate fire extinguishing equipment.
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22.
The proper way to use a fire extinguisher is:
A.
Aim at the fire, pull the pin, squeeze the handles and sweep from side to side
B.
Aim at the fire, squeeze the handles together and sweep from side to side
C.
Pull the pin, breaking the plastic seal; aim at the base of the fire; squeeze the handles together and sweep from side to side.
D.
None of the above
Correct Answer
C. Pull the pin, breaking the plastic seal; aim at the base of the fire; squeeze the handles together and sweep from side to side.
Explanation The correct answer is the third option because it provides a step-by-step guide on how to properly use a fire extinguisher. It mentions pulling the pin to break the plastic seal, aiming at the base of the fire, squeezing the handles together, and sweeping from side to side. This method is effective in extinguishing fires as it targets the source of the fire and uses the sweeping motion to cover a larger area. The other options either miss important steps or provide incorrect instructions.
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23.
You smell smoke in the lunch room and when you open the door you notice that the fire is between you and the fire extinguisher. You decide to run fast to the extinguisher so you can put out the fire. This was an appropriate and brave course of action.
A.
True
B.
False
Correct Answer
B. False
Explanation Running towards the fire extinguisher when the fire is between you and it is not an appropriate and brave course of action. It is dangerous to run towards a fire as it can spread quickly and cause harm. The correct course of action would be to evacuate the area and alert the appropriate authorities.
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24.
Heartland Health Centers’ approach to customer service includes AIDET, which stands for the following:
A.
Acknowledge, Inquire, Discuss, Exit and Thank you
B.
Admit, Identify, Determine, Educate and Treat
C.
Acknowledge, Introduce, Duration, Explain and Thank you
D.
Assure, Inform, Direct, Engage and Train
Correct Answer
C. Acknowledge, Introduce, Duration, Explain and Thank you
Explanation Heartland Health Centers' approach to customer service includes AIDET, which stands for Acknowledge, Introduce, Duration, Explain, and Thank you. This acronym represents the steps that the organization follows to provide excellent customer service. First, they acknowledge the customer's presence or concern. Then, they introduce themselves and the purpose of their interaction. Next, they ensure that the customer understands the duration of the process or procedure. They then explain the details and answer any questions the customer may have. Finally, they express gratitude by thanking the customer for their time and trust.
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25.
Sexual harassment always involves unwelcomed sexual advances by the opposite sex.
A.
True
B.
False
Correct Answer
B. False
Explanation This statement is false because sexual harassment can involve unwelcome sexual advances from anyone, regardless of their gender. Sexual harassment is not limited to interactions between individuals of opposite sexes. It can occur between individuals of the same sex or individuals who do not identify with a specific gender. Therefore, it is incorrect to say that sexual harassment always involves unwelcome sexual advances by the opposite sex.
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26.
Sexually oriented kidding, teasing and practical jokes are not serious enough to ever be classified as sexual harassment
A.
True
B.
False
Correct Answer
B. False
Explanation Sexually oriented kidding, teasing, and practical jokes can indeed be classified as sexual harassment, especially if they create a hostile or offensive work environment. Sexual harassment is not limited to only serious or physical acts, but also includes verbal or non-verbal conduct of a sexual nature that interferes with an individual's work performance or creates an intimidating, hostile, or offensive work environment. Therefore, the statement is false.
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27.
When are you free to repeat a patient’s private health information that you hear on the job?
A.
After you no longer work at the organization
B.
After a patient dies
C.
If you know the patient would not mind
D.
When your job requires it
Correct Answer
D. When your job requires it
Explanation When your job requires it, you may be free to repeat a patient's private health information that you hear on the job. This suggests that there may be certain circumstances or roles within the organization where sharing patient information is necessary for job-related purposes. However, it is important to exercise caution and adhere to privacy laws and regulations when disclosing any private health information.
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28.
Which of the following is protected health information under HIPAA?
A.
The patient’s address
B.
The patient’s allergies
C.
The patient’s medical record number
D.
All of the above
Correct Answer
D. All of the above
Explanation All of the options listed (the patient's address, allergies, and medical record number) are considered protected health information (PHI) under HIPAA. PHI includes any individually identifiable health information that is created, received, or maintained by a covered entity. This information is protected and must be kept confidential to ensure the privacy and security of patients' health information.
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29.
What question should you ask yourself before looking at health information?
A.
Would the patient mind if I looked at this?
B.
Do I need to know this to do my job?
C.
Can anyone see what I’m doing?
D.
Am I curious?
Correct Answer
B. Do I need to know this to do my job?
Explanation Before looking at health information, it is important to ask oneself if the information is necessary to perform their job effectively. This question helps to determine if accessing the information is relevant and essential for the task at hand. It ensures that the individual is not unnecessarily invading someone's privacy or wasting their time by looking at information that is not required for their professional responsibilities.
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30.
When is the patient’s authorization to release information required?
A.
In most cases in which information is going to be shared with anyone for reasons other than treatment, payment, or health care operations
B.
Upon registration
C.
When information is to be shared among two or more clinicians
D.
When information is used for billing a private insurer
Correct Answer
A. In most cases in which information is going to be shared with anyone for reasons other than treatment, payment, or health care operations
Explanation The patient's authorization to release information is required when information is going to be shared with anyone for reasons other than treatment, payment, or health care operations. This means that if the information is going to be shared for purposes such as research, marketing, or legal proceedings, the patient's authorization is needed. However, if the information is being shared for treatment, payment, or health care operations purposes, the patient's authorization may not be required.
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31.
Standard Precautions are used to reduce the risk of transmission of microorganisms from both recognized and non-recognized sources of infection, and applies to:
A.
Blood, all body fluids, secretions and excretions whether or not they contain visible blood
B.
Sweat
C.
Non-intact skin and mucous membranes
D.
A & c
Correct Answer
D. A & c
Explanation Standard Precautions are a set of guidelines that healthcare workers follow to prevent the transmission of microorganisms. These precautions apply to various sources of infection, including blood, body fluids, secretions, excretions, non-intact skin, and mucous membranes. By adhering to these precautions, healthcare workers can minimize the risk of spreading infections to themselves and others. Therefore, the correct answer is a & c, which means that Standard Precautions apply to blood, all body fluids, secretions, excretions, non-intact skin, and mucous membranes.
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