Chapter·Patient SafetyHIPAA

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Sample Questions

1

A 79-year-old male presents to your office for his annual flu shot. On physical exam you note several linear bruises on his back. Upon further questioning he denies abuse from his daughter and son-in-law, who live in the same house. The patient states he does not want this information shared with anyone. What is the most appropriate next step, paired with its justification?

ABreach patient confidentiality, as this patient's care should be discussed with the daughter as she is his primary caregiver

BSee the patient back in 2 weeks and assess whether the patient's condition has improved, as his condition is not severe

CDo not break patient confidentiality, as elder abuse reporting is not mandatory

DDo not break patient confidentiality, as this would potentially worsen the situation

EBreach patient confidentiality, as this patient is a potential victim of elder abuse and reporting is mandated in most states

2

A 42-year-old woman presents to the physician with symptoms of vague abdominal pain and bloating for several months. Test results indicate that she has ovarian cancer. Her physician attempts to reach her by phone multiple times but cannot reach her. Next of kin numbers are in her chart. According to HIPAA regulations, who should be the primary person the doctor discusses this information with?

AThe patient's brother

BThe patient's husband

CThe patient's daughter

DAll of the options

EThe patient

3

An otherwise healthy 67-year-old woman comes to your clinic after being admitted to the hospital for 2 weeks after breaking her hip. She has not regularly seen a physician for the past several years because she has been working hard at her long-time job as a schoolteacher. You wonder if she has not been taking adequate preventative measures to prevent osteoporosis and order the appropriate labs. Although she is recovering from surgery well, she is visibly upset because she is worried that her hospital bill will bankrupt her. Which of the following best describes her Medicare coverage?

AMedicare Part C will cover the majority of drug costs during her inpatient treatment.

BMedicare Part A will cover the majority of her hospital fees, including inpatient drugs and lab tests.

CMedicare is unlikely to cover the cost of her admission because she has not been paying her premium.

DMedicare Part B will cover the majority of her hospital fees, including inpatient drugs and lab tests.

EMedicare Part D will cover the cost of drugs during her inpatient treatment.

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