(Test Bank) Todays Medical Assistant

Bonewit-West, 4

Nursing

Test Bank

4th Edition

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Author(s): Bonewit-West

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Todays Medical Assistant 4th Edition Bonewit -west Test Bank Chapter 01: The Health Care System Bonewit -West: Today’s Medical Assistant, 4th Edition MULTIPLE CHOICE 1. Why is Hippocrates often called the father of Western Medicine? a. He believed that disease was caused by physical and environmental factors that could be studied. b. He developed “medications” from plant and animal sources to treat certain diseases. c. He created a medical school using a model that resembles modern medical schools. d. His students swore an oath called the Hippocratic Oath , which is still recited by graduating physicians. ANS: A REF: p. 2, CAAHEP Competency (2015); ABHES Competency: 2. What is the name for treatment that reduces symptoms of a disease, but does not cure the disease? a. Definitive b. Palliative c. Holistic d. Empirical ANS: B REF: p. 2, CAAHEP Competency (2015): V.C.10; ABHES Competency: 3.c. 3. When a patient comes to the office for care and then leaves and goes home, what type of care has the patient received? a. Clinic b. Extended c. Managed d. Ambulatory ANS: D REF: p. 6, CAAHEP Competency (2015); ABHES Competency: 1.b. 4. What type of insurance plan pays a physician separately for each procedure that was performed? a. Government insurance b. Capitation insurance c. Fee-for-service insurance d. Managed care insurance ANS: C REF: p. 3, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c. 5. Which of the following facilities now functions primarily to provide acute care and diagnostic services? a. Clinic b. Hospital c. Physician’s office d. Skilled nursing facility/nursing home ANS: B REF: p. 2, CAAHEP Competency (2015); ABHES Competency: 1.a. 6. What is a system by which a person (or the person’s employer) pays an insurance company a yearly amount of money in exchange for the insurance company’s paying some or most of the person’s medical expenses for that year? a. Life insurance b. Health insurance c. Capitation d. Formulary ANS: B REF: p. 3, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c. 7. What trend in modern medicine encourages patients to become more responsible for their own care? a. Taking active steps to avoid duplication of services and medical errors b. Identifying all patients with name and date of birth before providing service c. Coaching patients to make dietary changes, stop smoking, and exercise d. Treating conditions as outpatients to avoid hospitalization ANS: C REF: p. 2, CAAHEP Competency (2015): V.C.6.a.; ABHES Competency: 9.h. 8. The insurance plan called is designed to provide health insurance for low -income people. a. Medicaid b. Medicare c. Social Security d. TRICARE ANS: A REF: p. 5, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c. 9. What is the federal insurance plan that provides health insurance for the elderly, the disabled, and those with end -stage kidney disease? a. Medicaid b. Medicare c. TRICARE d. Managed Care ANS: B REF: p. 5, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c. 10. What is the current name for the health insurance plan for dependent spouses and children of active -duty military personnel? a. Medicaid b. Medicare c. TRICARE d. CHAMPVA ANS: C REF: p. 5, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c. 11. What type of health care encourages regular checkups, immunizations, and well -child visits? a. Acute care b. Conservative care c. Diagnostic care d. Routine care ANS: D REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c. 12. What is utilization review? a. A process to determine whether health care is medically necessary b. A means to determine how much patients should pay for insurance c. Collection of statistics about the number of cases of specific diseases d. The systematic study of surgical t echniques ANS: A REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c. 13. Which of the following was included in the original model for health maintenance organizations (HMOs)? a. A network of physicians in the community b. Payment only for visits resulting from illness or disease c. Full-service clinics in which the physicians were employees d. Allowing patient to obtain services at all hospitals in a given geographic area ANS: C REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c. 14. What is it called when a physician receives one monthly fee from the insurance company for each subscriber in his or her practice? a. Fee-for-service b. Indemnity c. Incentive reimbursement d. Capitation ANS: D REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Compet ency: 8.c. 15. What is the name for an insurance plan’s list of approved medications? a. Formulary b. Prescription c. Premium d. Generic ANS: A REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c. 16. Which of the following occurs first when a patient is seen in the medical office? a. Laboratory testing b. Examination by the physician c. Referral d. Instructions for follow -up care ANS: B REF: p. 7, CAAHEP Competency (2015); ABHES Competency: 1.a. 17. When does a physician part icipate in a residency program? a. After completing medical school b. Immediately after completing 4 years of college (bachelor’s degree) c. Only after becoming board -certified d. At any time when it is convenient during his or her training ANS: A REF: p. 8, CAAHEP Competency (2015); ABHES Competency: 18. Which of the following health professionals can manage routine patient care? a. Physician b. Nurse practitioner c. Physician assistant d. All are correct ANS: D REF: p. 9, CAAHEP Competency (2015); ABHES Competency: 1.b. 19. What examination must a physician pass in orde r to obtain a state license to practice medicine? a. National Medical Licensing Examination (NMLE) b. National Board Certification Examination (NBCE) c. Physician Licensing Examination (PLE) d. United States Medical Licensing Examination (USMLE) ANS: D REF: p. 8, CAAH EP Competency (2015): X.C.5.; ABHES Competency: 1.b. 20. Which of the following is an important part of effective teamwork for the medical assistant? a. Discussing a patient’s symptoms with the physician before he or she makes a diagnosis b. Pointing out the mistakes of others whenever he or she notices them c. Communicating well with all staff in the medical office d. Deciding what diagnostic tests each patient needs ANS: C REF: p. 10, CAAHEP Competency (2015); ABHES Competency: 1.d. 21. Why should doorways in the medical office be at least 3 -feet wide? a. This is requir ed for employee safety by OSHA (Occupational Safety and Health Administration). b. This is required by the Americans with Disabilities Act so that patients in wheelchairs have access. c. This is required by the Clinical Laboratory Improvement Act (CLIA ’88). d. This is the minimum size requirement of most local boards of health. ANS: B REF: p. 10, CAAHEP Competency (2015): X.C.10.c.; ABHES Competency: 4.b. 22. Which of the following are not usually found in the waiting room of a physician’s office? a. Toys for children to play with b. Current magazines and/or brochures c. Patient gowns and drapes d. Chairs for patients and family members ANS: C REF: p. 10, CAAHEP Competency (2015); ABHES Competency: 8.e. 23. Which activities occur at the patient check -in window or counter? a. Patients hand in new patient information forms and health insurance cards. b. Patients describe their chief complaint and medical history. c. A patient’s height, weight, and blood pressure are m easured. d. All are correct. ANS: A REF: p. 11, CAAHEP Competency (2015): VIII.P.2.; ABHES Competency: 8.b. 24. Which law or government agency is primarily responsible for the regulation of laboratories and laboratory tests? a. Americans with Disabilities Act b. Clinical Laboratory Improvement Act (CLIA ’88) c. State Medical Practice Act d. Centers for Medicare and Medicaid Services (CMS) ANS: B REF: p. 11, CAAHEP Competency (2015): I.C.10; ABHES Competency: 4.b. 25. If the office uses paper medical records, where are medical records of patients who have been seen within the past year usual ly stored? a. In a medical records area near the reception area b. In the basement of the medical office building c. In an off -site medical record storage area that is within 2 miles of the office d. In a special medical records area of the nearest local hospital ANS: A REF: p. 12, CAAHEP Competency (2015): VI.C.6.c.; ABHES Competency: 8.a. 26. Where is patient billing usually performed? a. Almost all medical offices perform billing in a billing area within the office. b. Almost all medical offices have their billing performed at the nearest local hospital. c. Billing may be done in an individual office, in a centralized location for several offices, or by a private billing service. d. Billing is almost always performed by an out side agency located in another state or country. ANS: C REF: p. 12, CAAHEP Competency (2015): VII.C.5; ABHES Competency: 8.b. 27. Which of the following areas is found in almost every medical office? a. Surgical procedure room b. Trauma room c. Diagno stic testing room d. Examination room ANS: D REF: p. 10, CAAHEP Competency (2015); ABHES Competency: 8.e. 28. Which of the following best describes family medicine? a. Provides general medical care of children, adolescents, and adults. b. Treats patients for emergency conditions. c. Provides medical treatment to adults for conditions of various body systems. d. Specializes in the care of children and adolescents. ANS: A REF: p. 13, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. 29. What type of medical care is provided in a patient -centered medical home (PCMH)? a. Coordinated primary care b. Acute inpatient care c. Long -term residential care d. Emergency and urgent care ANS: A REF: p. 14, CAAHEP Competency (2015): VIII.C.4; ABHES Competency: 1.a. 30. Which type of primary care seeks to balance the structure and function of the body through manipulation of muscles and joints? a. Podiatry b. Osteopathy c. Pediatrics d. Gynecology ANS: B REF: p. 14, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.b. 31. Which of the following types of medical practice might include a pediatrician, an internist, a dermatologist, an allergist, a neurologist, and a general surgeon? a. Solo practice b. Family practice c. Closed -panel health maintenance organization (HMO) d. Dermatology g roup practice ANS: C REF: p. 15, CAAHEP Competency (2015); ABHES Competency: 32. Traditionally, what distinguished a clinic from other types of medical offices? a. Care was free or very low cost. b. A clinic was run by the federal government. c. Physicians shared equipment and personnel. d. Each physician saw only his or her own patients. ANS: A REF: p. 15, CAAHEP Competency (2015); ABHES Competency: 1.a. 33. Which of the following might be studied scientifically by the National Center for Complementary and Integrative Health? a. Acupuncture b. Biofeedback c. Massage therapy d. All are correct ANS: D REF: p. 16, CAAHEP Competency (2015); ABHES Competency: MATCHING Directions: Match each medical specialty with its definition. Not all of the definitions are used. a. Branch of medical practice that seeks to balance the structure and function of the body through manipulation of muscles and joints; given all privileges of t hose with MD degrees b. Specializes in conditions of the skin c. Provides anesthesia during surgery and other procedures d. Utilizes manipulative treatment of the spine and joints e. Provides general medical care of children and adolescents f. Treats those with allergies and problems of the immune system g. Treat disorders of the feet and ankles h. Specializes in the care of the ear, nose, and throat i. Treats adults and children for routine care and complaints j. Treatment of the internal organs of adults by other than surgical means k. Performs surgical treatment of the large intestine and rectum l. Specializes in surgical care of bone and joint injuries and disorders 1. Internal medicine 2. Family medicine 3. Osteopathy 4. Dermatology 5. Podiatry 6. Anesthesiology 7. Pediatrics 8. Chiropractic 9. Gastroenterology 10. Allergist 1. ANS: J REF: p. 13, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. 2. ANS: I REF: p. 13, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. 3. ANS: A REF: p. 14, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. 4. ANS: B REF: p. 13, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. 5. ANS: G REF: p. 15, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. 6. ANS: C REF: p. 13, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. 7. ANS: E REF: p. 13, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. 8. ANS: D REF: p. 15, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. 9. ANS: K REF: p. 13, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. 10. ANS: F REF: p. 13, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a. MATCHING: NURSING AND ALLIED HEALTH PROFESSIONALS Directions: Match each occupation and credential with its definition. a. Performs laboratory tests in the clinical laboratory and may supervise laboratory operations or provide consulting services b. Plans exercises for large muscle groups for rehabilitation and implements treatment plans c. Manages routine care under the supervision of a physician. Usually works in ambulatory care. d. Works with patient medical records; may provide assistance in planning, managing information, and gathering data for medical research e. Entry -level nurse who performs direct patient care and clinical procedures; may work in hospitals, nursing homes, and ambulatory care settings f. Performs administrative and clinical tasks in ambula tory care g. Advanced practice nurse who specializes in a specific area such as internal medicine or women’s health, and who often manages routine patient care in ambulatory settings h. Most common nurse providing care in inpatient settings; provides supervision for caregivers in both inpatient and outpatient settings i. Assigns codes to patient charges and diagnoses for insurance billing 11. Certified Professional Coder (CPC) 12. Medical Technologist (MT, MLT) 13. Nurse Practitioner (NP) 14. Practical Nurse (LPN, LVN) 15. Physician Assistant (PA) 16. Registered Nurse (RN) 17. Medical Assistant (MA) 18. Physical Therapist (PT) 19. Health Information Specialist (RHIA, RHIT) 11. ANS: I REF: p. 9, CAAHEP Competency (2015): X.C.5; ABHES Competency: 1.b. 12. ANS: A REF: p. 9, CAAHE P Competency (2015): X.C.5; ABHES Competency: 1.b. 13. ANS: G REF: p. 9, CAAHEP Competency (2015): X.C.5; ABHES Competency: 1.b. 14. ANS: E REF: p. 9, CAAHEP Competency (2015): X.C.5; ABHES Competency: 1.b. 15. ANS: C REF: p. 9, CAAHEP Competency (2015): X.C.5; ABHES Competency: 1.b. 16. ANS: H REF: p. 9, CAAHEP Competency (2015): X.C.5; ABHES Competency: 1.b. 17. ANS: F REF: p. 9, CAAHEP Competency (2015): X.C.5; ABHES Competency: 1.b. 18. ANS: B REF: p. 9, CAAHEP Competency (2015): X.C.5; ABHES Competency: 1.b. 19. ANS: D REF: p. 9, CAAHEP Competency (2015): X.C.5; ABHES Competency: 1.b. TRUE/FALSE 1. Most physician assistant programs award a master’s degree. ANS: T REF: p. 8, CAAHEP Competency (2015): X.C.5; ABHES Competency: 1.b. 2. A medical assistant’s scope of practice is strictly defined by federal law. ANS: F REF: p. 10, CAAHEP Competency (2015): X.C.1; ABHES Competency: 4.f.1. 3. A medical assistant should avoid giving medical advice to patients unless following specific guidelines established by the physician. ANS: T REF: p. 10, CAAHEP Competency (2015): X.C.2; ABHES Competency: 1.d. 4. Complementary medicine refers to medical treatments that patients use in addition to standard medical treatments. ANS: T REF: p. 16, CAAHEP Competency (2015); ABHES Competency: 1 Chapter 02: The Professional Medical Assistant Bonewit -West: Today’s Medical Assistant, 4th Edition MULTIPLE CHOICE 1. Which of the following changes in medical care encouraged the development of medical assisting as a profession? a. Physicians made more house calls. b. Medical offices had to submit insurance forms for patients covered by government insurance plans. c. Patients were given s pecific appointment times instead of just coming at any time. d. Patients were sent to the hospital for diagnostic testing. ANS: B REF: p. 19, CAAHEP Competency (2015); ABHES Competency: 1.a. 2. What is meant by the term “defensive medicine”? a. Patients are more likely to sue a physician today than 50 years ago. b. Malpractice insurance costs have risen sharply over the past 50 years. c. Physicians order more diagnostic tests than before as a defense against a possible lawsuit. d. Performing diagnostic tests in the medical office increases the overhead or cost of doing business. ANS: C REF: p. 19, CAAHEP Competency (2015); ABHES Competency: 4.e. 3. When was the American Association of Medical Assistants organized? a. 1956 b. 1966 c. 1978 d. 1988 ANS: A REF: p. 19, CAAHEP Competency (2015); ABHES Competency: 1.b. 4. What is a means for medical assisting programs to demonstrate high qua lity? a. Advertising in professional journals b. Gaining and maintaining accreditation c. Establishing programs that last at least 2 years d. Including a practical experience in the program ANS: B REF: p. 19, CAAHEP Competency (2015); ABHES Competency: 1.b. 5. What is the name given to the practical experience in a physician office that is included in a medical assisting program? a. Internship b. Practicum c. Supervised placement d. Curriculum ANS: B REF: p. 20, CAAHEP Competency (2015); ABHES Competency: 1.a. 6. What is an advantage to a student of completing an accredited medical assisting program? a. After graduation, the student can easily obtain advanced placement toward a bachelor’s degree. b. After graduation, the student is eligible to take a medical assisting certification examination. c. After graduation, the student is more likely to be hired by the externship site. d. After graduation, the student automatically becomes certified. ANS: B REF: p. 20, CAAHEP Competency (2015); ABHES Competency: 11.a. 7. If a medical assistant performs only those procedures that he or she is trained for and allowed to perform by law, what is be ing demonstrated? a. Doing the job b. Being appropriate c. Working within the scope of practice d. Refusing to be a team player ANS: C REF: p. 22, CAAHEP Competency (2015): X.C.1; ABHES Competency: 4.f.1. 8. Which of the following is/are important character traits for a medical assistant? a. Being tolerant of different beliefs and attitudes b. Limiting himself or herself to only the specific tasks that h ave been assigned c. Taking responsibility to tell patients when they should change their medications d. Expressing an interest in fashion and stylish appearance on the job e. All are correct ANS: A REF: p. 22, CAAHEP Competency (2015): V.A.3; ABHES Competency: 5.e. 9. Which medical assistant is likely to be most successful? a. One who rushes through tasks to finish everything quickly. b. One who uses every spare moment calling his or her child’s daycare center. c. One who can remain calm when things do not go as planned. d. One who places the most emphasis on accurate paperwork. ANS: C REF: p. 22, CAAHEP Competency (2015); ABHES Competency: 11.b. 2 10. Why are neatness and good grooming important for medical assistants? a. They help the medical assistant project a professional image. b. Clean hair and hands help prevent the spread of infection. c. If medical office staff looks professional, it helps patients believe that they will receive competent care. d. Excessive jewelry can become tangled in equipment or tear gloves. e. All are correct. ANS: E REF: p. 23, CAAHEP Competency (2015); ABHES Competency: 11.b. 11. How can the medical assistant maintain a professional appearance? a. Wear a business suit when attending to patients in an examination room. b. Keep long artificial nails well maintained and neatly polished. c. Limit jewelry to post earrings and a plain wedding band (if married). d. Wear long hair down as long as it is clean. e. All are correct. ANS: C REF: p. 23, CAAHEP Competency (2015); ABHES Competency : 11.b. 12. Which of the following actions should the medical assistant take without being asked? a. Restock examination rooms if there is no patient waiting. b. Order new magazine subscriptions for the office waiting room. c. Rearrange the furniture in the waiting room. d. Remove and shred files of patients who have not been seen within the past 3 years. ANS: A REF: p. 24, CAAHEP Competency (2015); ABHES Competency: 1.d. 13. Which of the following behaviors demonstrates that a medica l assistant fails to work well with others? a. Accepting criticism and trying to improve performance b. Working within the established chain of command c. Helping another staff member when work is busy d. Complaining about staff members who do not pull their weight ANS: D REF: p. 24, CAAHEP Competency (2015); ABHES Competency: 11.b. 14. What is a key concept of the Hippocratic oath? a. Keep good records. b. Collect a fee from every patient. c. Do no harm. d. Refer patient s to another physician as needed. ANS: C REF: p. 25, CAAHEP Competency (2015); ABHES Competency: 15. Which of the following is an important element of professionalism for medical assistants and physicians? a. Prioritizing care for patients who have important jobs b. Always protecting other health professionals from criticism or censure, no matter how they behave c. Acce pting only a few patients with Medicaid insurance d. Obtaining continuing education to stay current in the profession ANS: D REF: p. 25, CAAHEP Competency (2015); ABHES Competency: 11.b. 16. Which of the following agencies accredits medical assisting education programs? a. OSHA b. CAAHEP c. AMA d. ASCP ANS: B REF: pp. 19-20, CAAHEP Competency (2015); ABHES Competency: 1.c. 17. What credential is obtained if a medical assistant passes the certification examination in medical assisting given by the Ame rican Medical Technologists (AMT)? a. CMA (AAMA) b. RMA c. EMT d. CPR ANS: B REF: p. 20, CAAHEP Competency (2015); ABHES Competency: 1.c. 18. Which areas of specialization offer certification in addition to a general certification in medical assisting? a. Podiatric medical assistant b. Medical administrative specialist c. Certified coding specialist —physician -based d. Ophthalmic medical assistant e. All are co rrect ANS: E REF: p. 21, CAAHEP Competency (2015); ABHES Competency: 1.b. 3 19. How often must a CMA (AAMA) (certified medical assistant) recertify to continue to use the credential? a. Every year b. Every 3 years c. Every 5 years d. Every 7 years ANS: C REF: p. 26, CAAHEP Competency (2015); ABHES Competency: 1.c. 20. How many contact hours must an RMA (registered medical assistant) obtain in order to recertify? a. 30 contact hours b. 20 contact hours c. 10 contact hours d. 5 contact hours ANS: A REF: p. 26, CAAHEP Competency (2015); ABHES Competency: 1.c. 21. How can a medical assistant find approved educational programs to meet his or her continuing education needs? a. Any college course qualifies as continuing education. b. Professional organizations offer approved continuing education programs at their meetings. c. Through medical journals published for physicians. d. None are correct. ANS: B REF: p. 26, CAAHEP Competency (2015); ABHES Competency: 11.b. 22. Which of the following is a service typically provided for members by professional organizations? a. Passing legislation that improves conditions for the profession b. Providing employment c. Providing continuing education opportunities d. Providing malpractice and liability insurance ANS: C REF: p. 26, CAAHEP Competency (2015); ABHES Competency: 1.b. 23. What type of records may medical assistants maintain and/or file? a. Paper medical records b. Insurance records c. Dictated progress notes d. Paper labor atory results e. All are correct ANS: E REF: p. 27, CAAHEP Competency (2015): VI.C.6; ABHES Competency: 1.d. 24. Which activity is performed by the medical assistant so that the medical office can be paid for services to patients? a. Filing medical records b. Assisting the physician with procedures c. Coding procedures and diagnostic tests d. Setting fees for each service performed in the medical office ANS: C REF: p. 27, CAAHEP Competency (2015): IX.C.1; ABHES Competency: 1.d. 25. Which of the following activities might the medical assistant perform in the medical office? a. Paying bills such as rent, insurance, ele ctricity, etc. b. Writing prescriptions for medications patients should take c. Deciding when a patient needs X -rays d. Hiring and supervising all staff in the medical office ANS: A REF: p. 27, CAAHEP Competency (2015): VII.C.2; ABHES Competency: 1.d. 26. Which of the following would be included in risk management? a. Documenting all patient payments b. Ordering both administrative and clinical supplies c. Maintaining proper infection control measures d. Keeping accurate personnel records ANS: C REF: p. 28, CAAHEP Competency (2015): X.C.7.i.; ABHES Competency: 4.e. 27. Which of the following is most likely to be a responsibility of the medical assistant in a medical office? a. Instructing patients about the meaning of systolic and diastolic blood pressure b. Coaching patient s to maintain health through proper diet and exercise c. Creating a brochure to instruct a patient about the cause and treatment of his or her disease d. Telling a patient exactly how hazardous waste is discarded and removed from the medical office ANS: B REF: p. 28, CAAHEP Competency (2015): V.C.6.a.; ABHES Competency: 1.d. 28. What type of responsibility is it when the medical assistant helps the physician during a physical examination? a. Clinical b. Administrative c. Management d. Educational ANS: A REF: p. 27, CAAHEP Competency (2015); ABHES Competency: 1.d. 4 29. According to the chapter, which of the following is an example of an administrative responsibility of the medical assistant? a. Preparing patients for examination b. Providing information to a patient about obtaining services from visiting nurses c. Processing laboratory specimens d. Scheduling office appointments and consultations ANS: D REF: p. 27, CAAHEP Competency (2015): VI.C.3; ABHES Competency: 1.d. 30. In what type of settings are the majority of medical assistants employed? a. Medical laboratories b. Nursing care facilities c. Physician offices d. Government agencies ANS: C REF: p. 29, CAAHEP Competency (2015); ABHES Competency: 1.d. 31. What is the primary role of a patient navigator? a. Assisting a patient to walk from one part of a facility to another b. Telling a patient where the medical office is located and where to park c. Coaching patients to make changes in lifestyle to meet their health needs d. Removing obstacles patients face in accessing and rec eiving treatment ANS: D REF: p. 29, CAAHEP Competency (2015): V.C.13; ABHES Competency: 5.c. 32. What is the most direct route for career advancement for a medical assistant? a. Medical assisting instructor b. Office or practice manager c. Registered nurse d. Respiratory therapy ANS: B REF: p. 29, CAAHEP Competency (2015); ABHES Competency: 1.b. 33. Which of the following is a typical medical assisting clinical responsibility and within the scope of practice of a medical assistant? a. Applying hot or cold packs or compresses b. Suturing a wound c. Starting and maintaining an IV d. Prescribing common medications ANS: A REF: p. 28, CAAHEP Competency (2015): X.C.1; ABHES Competency: 4.f.1. TRUE/FALSE 1. Initiative is the ability to begin or carry through on a plan of action independently. ANS: T REF: p. 23, CAAHEP Competency (2015); ABHES Competency: 11.b. 2. Attending an accredited medical assisting program guarantees employment. ANS: F REF: p. 20, CAAHEP Competency (2015); ABHES Competency: 11.a. 3. Neatness and grooming are important not only for professionalism, but also for reasons of health and safety. ANS: T REF: p. 23, CAAHEP Competency (2015); ABHES Competency: 11.b. 4. Maintaining confidentiality is part of a medical assistant’s legal and ethical responsibilities. ANS: T REF: p. 25, CAAHEP Competency (2015): XI.C.1.a.; ABHES Competency: 4.g. 5. Wearing multiple rings while working with patients is usually fine as long as proper hand washing procedures are followed. ANS: F REF: p. 23, CAAHEP Competency (2015): III.C.4; ABHES Competency: 9.a. 6. Once a national certification is obtained, no further education is ever required. ANS: F REF: p. 26, CAAHEP Competency (2015); ABHES Competency: 1.c. 7. Risk management refers to sterilization procedures in the medical setting. ANS: F REF: p. 28, CAAHEP Competenc y (2015): X.C.7.i.; ABHES Competency: 4.e. 8. The two most prominent professional medical assisting organizations are the AAMA and the AMA. ANS: F REF: p. 25, CAAHEP Competency (2015); ABHES Competency: 1.b. 9. Medical assistants may gain additional training and certify in medical specialties such as ophthalmology or podiatry. ANS: T REF: p. 21, CAAHEP Competency (2015); ABHES Competency: 1.c. 10. With the increasing use of electronic medical systems, one of the medical as sistant’s administrative responsibilities may be scanning laboratory reports and other paper records into the computer. ANS: T REF: p. 27, CAAHEP Competency (2015): V.C.8; ABHES Competency: 1.d. 5 11. It is often the medical assistant’s responsibility to educate patients about office procedures and policies. ANS: T REF: p. 28, CAAHEP Competency (2015); ABHES Competency: 1.d. 12. A medical assistant should always determine the legal scope of practice for a medical assistant in the state in which he or she intends to work, because state laws can vary widely. ANS: T REF: p. 22, CAAHEP Competency (2015): X.C.1; ABHES Competency: 4.f.1. 1 Chapter 03: Ethics and Law for the Medical Office Bonewit -West: Today’s Medical Assistant, 4th Edition MULTIPLE CHOICE 1. What is one important reason for a medical assistant to study ethics? a. To learn how to justify his or her actions —good or bad b. To be able to criticize others effectively c. To feel good about himself or herself d. To develop the intellectual skills to analyze complex problems ANS: D REF: p. 34, CAAHEP Competency (2015): XI.C.1.a.; ABHES Competency: 4.g. 2. What is the name an individual’s own beliefs about right and wrong in our society? a. Ethics b. Morals c. Etiquette d. Laws ANS: B REF: p. 34, CAAHEP Competency (2015): XI.C.1.b.; ABHES Competency: 4.g. 3. Current thinking about biomedical ethics identifies several rights. What is a right? a. A wish b. A need c. A requirement d. A strong claim ANS: D REF: p. 34, CAAHEP Competency (2015); ABHES Competency: 4.g. 4. Early leaders of the American government believed in natural rights and the duty of any government to preserve them. Which of the following is NOT one of the rights? a. Right to life b. Right to privacy c. Right to autonomy d. Right to a share of soc iety’s resources ANS: D REF: p. 34, CAAHEP Competency (2015); ABHES Competency: 4.g. 5. What is another name for the duty to meet reasonable expectations of patients? a. Fidelity b. Beneficence c. Non malfeasance d. To do no harm ANS: A REF: p. 36, CAAHEP Competency (2015); ABHES Competency: 4.g. 6. What is the name for a patient’s right to make decisions about health care according to individual values and concerns? a. Privacy b. Autonomy c. Requirements d. Confidentiality ANS: B REF: p. 35, CAAHEP Competency (2015); ABHES Competency: 4.g. 7. What right is the basis for informed consent? a. Right to life b. Right to privacy c. Right to autonomy d. Right to the means to sustain life ANS: C REF: p. 35, CAAHEP Competency (2015): X.C.13.a.; ABHES Competency: 4.g. 8. What is the name for the concept that a health professional should do the best possible? a. Misfeasance b. Nonfeasance c. Malfeasance d. Beneficence ANS: D REF: p. 36, CAAHEP Competency (2015); ABHES Competency: 4.g. 9. In today’s health care environment, it is seen as a proactive duty that physicians and other health care professionals must provide truthful information without having to be asked. This expectation of truthfulness by all health care workers is called: a. beneficence. b. fidelity. c. veracity. d. non malfeasance. ANS: C REF: p. 36, CAAHEP Competency (2015); ABHES Competency: 4.g. 2 10. Informed consent is consent based on: a. guarantees regarding outcomes. b. understanding of a medical procedure and its possible outcomes. c. promises that all possible procedures will be performed. d. protection from all liability. ANS: B REF: p. 35, CAAHEP Competency (2015): X.C.13.a.; ABHES Competency: 4.e. 11. What type of consent occurs if a patient offers an arm when the medical assistant says it is time to obtain a blood sample? a. Expressed consent b. Informed consent c. Implied consent d. Indirect consent ANS: C REF: p. 44, CAAHEP Competency (2015): X.C.13.b.; ABHES Competency: 4.e. 12. The experimental treatments that attempt to treat or cure disease by giving patients new genes or parts of genes that have been synthesized in the laboratory, taken from human tissue, or engineered from genetic material of animals or other species is called: a. cloning. b. gene therapy. c. genetic engineering. d. stem cell research. ANS: C REF: p. 37, CAAHEP Competency (2015); ABHES Competency: 4.g. 13. What is the minimum required for expressed consent? a. Consenting body language b. Verbal agreement c. A written document that is signed d. A signed document that has also been witnessed ANS: B REF: p. 44, CAAHEP Competency (2015): X.C.13.c.; ABHES Competency: 4.e. 14. Which 1990 law recognizes the rights of adults to refuse treatment for disease? a. Patient’s Right to Refuse Treatment Act b. Patient’s Bill of Rights c. Patient Self-Determination Act d. Patient’s Right to Euthanasia Act ANS: C REF: p. 37, CAAHEP Competency (2015): X.C.7.h.; ABHES Competency: 4.f. 15. In how many states is physician -assisted suicide legal? a. One b. Two c. Three or more d. This practice is illegal in all states ANS: C REF: p. 37, CAAHEP Competency (2015); ABHES Competency: 4.f. 16. What is the purpose of an advance directive? a. States an individual’s wishes regarding health care if the individual is not able to speak for him or herself. b. Names an individual to make decisions for an individual if he or she becomes incapable of doing this. c. Expresses an individual’s wish to donate organs when he or she dies. d. States an individual’s wish not to be resuscitated if his or her heart stops beating. e. All are correct. ANS: E REF: p. 38, CAAHEP Competency (2015): X.C.7.f.; ABHES Competency: 4.b. 17. What principle applies if a patient confides information about their health to a medical assistant and then asks the medical assistant not to tell the physician? a. The medical assistant cannot ethically withhold medical information from the physician. b. The medical assistant’s first loyalty is to the patient. c. Patient confidentiality prevents the medical assistant from telling the physician. d. When personal and professional ethics clash, personal ethics take precedence. ANS: A REF: p. 39, CAAHEP Competency (2015): XI.C.2; ABHES Competency: 4.g. 18. What is the branch of law that deals with offenses against the public welfare that affect all people? a. Common law b. Criminal law c. Civil law d. Statutory law ANS: B REF: p. 40, CAAHEP Competency (2015): X.C.6; ABHES Competency: 4.b. 3 19. What type of law refers to law arising from the actions of federal government agencies such as the Social Security Administra tion and the Internal Revenue Service? a. Administrative law b. International law c. Common law d. Criminal law ANS: A REF: p. 40, CAAHEP Competency (2015); ABHES Competency: 20. Cities and towns enact laws that have to do with the general welfare of its citizens. What are these laws called? a. Common laws b. Bills c. Acts d. Ordinances ANS: D REF: p. 40, CAAHEP Competency (2015); ABHES Competency: 21. What is the name for a serious crime punishable by death or imprisonment? a. Tort b. Breach of contract c. Felony d. Misdemeanor ANS: C REF: p. 40, CAAHEP Competency (2015): X.C.6; ABHES Competency: 4.b. 22. What is the name for the crime of billing an insurance company for tests and procedures that were never performed? a. Grand larceny b. Embezzlement c. Abuse d. Fraud ANS: D REF: p. 40, CAAHEP Competency (2015): VIII.C.5; ABHES Competency:4.f. 23. What is the legal nature of the doctor -patient relationship? a. A contract b. A partnership c. A professional association d. None are correct ANS: A REF: p. 44, CAAHEP Competency (2015); ABHES Competency: 24. Which of the following patients would be able to give informed consent for treatment? a. A 17-year-old boy b. A 73-year-old woman with a serious mental condition c. A 23-year-old man with Down syndrome d. A 35 -year-old woman with a hip fracture e. All are correct ANS: D REF: p. 41, CAAHEP Competency (2015): X.C.13.a.; ABHES Competency: 4.f. 25. How should a physician terminate a relationship with a patient in order to avoid a possible lawsuit for abandonment? a. Obtain the patient’s written consent. b. Call the patient on the phon e and inform him or her. c. Notify the patient in writing. d. The physician cannot terminate the physician -patient relationship. ANS: C REF: p. 42, CAAHEP Competency (2015):X.C.6; ABHES Competency: 4.c. 26. What is the legal meaning of the word “liability”? a. Malfeasance b. Responsibility c. Negligence d. Prudence ANS: B REF: p. 40, CAAHEP Competency (2015); ABHES Competency: 4.d. 27. A physician has discontinued care of a patient without properly notifying the patient. This is called : a. malpractice. b. abandonment. c. illegal termination. d. negligence. ANS: B REF: p. 42, CAAHEP Competency (2015): X.C.7.a.; ABHES Competency: 4.c. 28. In determining whether or not a cardiologist provided his patient with reasonable care, with whom would a physician be compared? a. General practitioners b. Other cardiologists in his community or similar communities c. Cardiologists throughout the world d. No one; the doctor’s actions would have to stand on their own merit ANS: B REF: p. 42, CAAHEP Competency (2015): X.C.2; ABHES Competency: 4.e. 4 29. Which of the following is NOT included in the Patient Bill of Rights? a. Right to refuse treatment b. Right to continuity of care c. Right to compensation in cases of malpractice d. Right to select a physician ANS: C REF: p. 43, CAAHEP Competency (2015): X.C.4; ABHES Competency: 4.f. 30. The term that refers to “the level of appropriate care legally required of any other practitioner with the same education and training providing the same care in the same geographic region” is: a. standard of care. b. scope of practice. c. professional care. d. contingent care. ANS: A REF: p. 44, CAAHEP Competency (2015): X.C.1; ABHES Competency: 4.f. 31. Which of the following is the best description o f informed consent? a. The patient signs a “Permission to Operate” form. b. The patient is told in great technical detail about the treatment or operation. c. The patient is told by the physician about any risks, hazards, or possible complications associated with t he treatment in terms that the patient fully understands before submitting to treatment. d. The patient dictates his or her consent to the medical assistant, who copies the agreement onto the medical chart, and then the patient signs it. ANS: C REF: p. 44, CAAHEP Competency (2015): X.C.13.a.; ABHES Competency: 4.e. 32. Which of the following is/are recommended as a means for a patient to prepare for possible injury or illness resulting in the inability to make health care decisions? a. Health care proxy b. Living will c. Medical durable power of attorney d. All are correct ANS: D REF: p. 38, CAAHEP Competency (2015): X.C.7.f.g.; ABHES Competency: 4.f. 33. What reports are encouraged as a result of the Patient Safety and Quality Improvement Act? a. Adverse events b. Near misses c. Unsaf e conditions d. Events that threaten patient safety e. All are correct ANS: E REF: p. 49, CAAHEP Competency (2015): X.C.11.a.b.; ABHES Competency: 4.f. 34. What is malpractice insurance also called? a. Litigation insurance b. Professional negligence insurance c. Professional liability insurance d. Arbitration insurance ANS: C REF: p. 45, CAAHEP Competency (2015): X.C.8.b.; ABHES Competency: 4.d. 35. What does the doctrine of respondeat superior mean? a. The physician is liable for the negl igent actions of his or her employees. b. “The thing speaks for itself” and negligence must have occurred. c. If a patient is injured during surgery, it will be assumed that the physician is negligent. d. The patient can only sue the health professional who is negligent, not the medical office. ANS: A REF: p. 45, CAAHEP Competency (2015): X.C.13.h.; ABHES Competency: 4.f. 36. What type of laws protects health professionals who provide emergency care at the scene of an accident? a. Nondiscrimination laws b. Good Samaritan laws c. Genetic information laws d. Confidentiality laws ANS: B REF: p. 45, CAAHEP Competency (2015): X.C.13.n.; ABHES Competency: 4.f. 5 37. If both sides are willing, some disagreements can be settled out of court with the help of a facilitator. What is this process called? a. Facilitation b. Mediation c. Arbitration d. Out-of-court settlement ANS: B REF: p. 46, CAAHEP Competency (2015): X.C.13.m.; ABHES Competency: 4.f. 38. A 30 -year-old patient felt discomfort in the right lower quadrant of the abdomen for 6 months after having surgery. On a subsequent X -ray examination, i t was discovered that the surgeon had left a sponge in the patient during a previous surgery. When does the statute of limitations begin? a. On the day of the surgery b. On the day the patient first felt discomfort c. On the day that the patient was given the X -ray results d. On the day the patient became 18 years old ANS: C REF: p. 46, CAAHEP Competency (2015): X.C.7.c.; ABHES Competency: 4.f. 39. A 16 -year-old patient has large visible scars on her neck from an ear operation performed when she was 12 years old. The patient’s parents did nothing to recover damages for the child. What can be done to compensate this child for the unusual scars? a. The pa rents must have begun a lawsuit within 3 years of the surgery. b. It is too late to do anything for compensation. c. The parents must sue before the child is 18 years old. d. The patient can institute a lawsuit when she is 18 years old. ANS: D REF: p. 46, CAAHEP Competency (2015): X.C.7.c.; ABHES Competency: 4.f. 40. A drug that has a potential for addiction and/or abuse is called: a. a Schedule V drug. b. a prescription. c. a controlled substance. d. a medication. ANS: C REF: p. 46, CAAHEP Competency (2015): X.C.6; ABHES Competency: 4.f. 41. How many employees must a business have for them to be protected by Equal Opportunity Employment laws? a. 5 people b. 10 people c. 15 people d. 25 people ANS: C REF: p. 47, CAAHEP Competency (2015); ABHES Competency: 4.b. 42. To what agency should emplo yees complain if they feel that they have been discriminated against in their hiring, firing, or employment? a. Equal Opportunity Employment Agency b. Civil Rights Act of 1964 c. Federal Discrimination Act d. Equal Employment Opportunity Commission ANS: A REF: p. 47, CAAHEP Competency (2015); ABHES Competency: 4.b. 43. What is a court summons ordering a recipient to appear before a court and produce documents (such as a paper medical record o r a certified copy of an electronic medical record? a. Locum tenens b. Res ipsa loq uitur c. Incident report d. Subpoena duces tecum ANS: D REF: p. 45, CAAHEP Competency (2015): X.C.13.g.; ABHES Competency: 4.f. 44. What is the name for a minor who is allowed to choose or reject health care treatment without parental consent? a. Mature minor b. Consenting minor c. Unregulated minor d. Minor with early majority ANS: A REF: p. 41, CAAHEP Competency (2015): X.C.13.f.; ABHES Competency: 4.f. 45. Which federal law regulates minimum wages? a. Department of Labor b. Fair Labor Standards Act c. Minimum Wage Law d. There is no federal law for this because states regulate minimum wage ANS: B REF: p. 48, CAAHEP Competency (2015); ABHES Competency: