Chapter·Patient SafetyHIPAA

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Practice

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 28-year-old woman dies shortly after receiving a blood transfusion. Autopsy reveals widespread intravascular hemolysis and acute renal failure. Investigation reveals that she received type A blood, but her medical record indicates she was type O. In a malpractice lawsuit, which of the following elements must be proven?

ADuty, breach, causation, and damages

BOnly duty and breach

COnly breach and causation

DDuty, breach, and damages

3

A 72-year-old man presents to his primary care provider at an outpatient clinic for ongoing management of his chronic hypertension. His past medical history is significant for diabetes and osteoarthritis though neither are currently being treated with medication. At this visit, his blood pressure is found to be 154/113 mmHg so he is started on lisinopril. After leaving the physician's office, he visits his local pharmacy and fills the prescription for lisinopril before going home. If this patient is insured by medicare with a prescription drug benefit provided by a private company through medicare, which of the following components of medicare are being used during this visit?

APart A alone

BParts A and B

CParts B and D

DParts A, B, C and D

EPart B alone

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