Courts have released adoption records based upon
A. the request of the adoptee.
B. the request of the biological parent(s).
C. the Freedom of Information Act.
D. a court order for good cause.
The legislation that required all federally funded facilities to inform patients of their rights under rights under state law to accept or refuse medical treatment is known as____.
A. advance directives.
B. living wills.
C. Patient Self-determination Act.
D. Durable power of attorney.
An oral consent is binding if it
A. can be proven or corroborated.
B. has the signature of the patient.
C. does not cause confusion.
D. Occurs only at the time of admission
To be admitted into court as evidence, medical records or health information are introduced as
A. torts or contracts.
B. privileged information.
C. records or exceptions to hearsay rule.
D. product liability.
A health care organization's compliance plans should not only focus on regulatory compliance, but also have a
A. strong personnel component that reduces the rapid turnover of nursing personnel.
B. coding compliance program that prevents fraudulent coding and billing.
C. component that increases the security of medical records.
D. substantial program that increases the availability of clinical data.
Written consent from the patient is required for which of the following in order to learn a patient's HIV status?
A. insurance companies
B. emergency medical personnel
C. spouse or needle partner
D. health care workers
The Uniform Business Records as Evidence Act addresses
A. medical records maintained on health care workers.
B. insurance documents.
C. medical and lab reports in health care facilities.
D. admissibility of record reproductions.
The ideal consent for medical treatment obtained by the physician is
A. expressed.
B. informed.
C. implied.
D. verbal.
Which of the following is an example of the breach of confidentiality?
A. a nurse speaking with the physician in the patient's room
B. staff members discussing patients in the elevator
C. the admission clerk verifying over the phone that the patient is in-house
D. the hospital operator paging code blue in room 3 north
Which of the following would be an inappropriate procedure for the custodian of the medical record to perform prior to taking a medical record from a health care facility to court?
A. Number each page of the record in ink.
B. Document in the file folder the total number of pages in the record.
C. Remove any information that might prove detrimental to the hospital or physician.
D. Prepare an itemized list of sheets contained in the medical record.
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