Test Bank for Legal and Ethical Aspects of Health Information Management, 3rd Edition: Dana

Test Bank for Legal and Ethical Aspects of Health

Information Management, 3rd Edition: Dana C.
McWay

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McWay_Chapter07

MULTIPLE CHOICE

1. The study of ethical issues resulting from technologic and scientific advances is called _____.
a. Bioethics c. Medical technology
b. Eugenics d. Scientific method
ANS: A PTS: 1

2. The effort to improve the human species through control of hereditary factors is called _____.
a. Eugenics c. Genetics
b. Euthanasia d. Surrogacy
ANS: A PTS: 1

3. Family planning refers to _____.

a. Abortion c. Contraception
b. Artificial insemination d. Controlling family size
ANS: D PTS: 1

4. With regards to minor consent _____.

a. All states require parental consent to dispense birth control
b. Consent for contraception does not include treatment for pregnancy or STDs
c. Minors are incapable of providing informed consent for treatment
d. Some states grant minors access to birth control without parental consent
ANS: D PTS: 1

5. Therapeutic abortion is defined as _____.

a. Accidental miscarriage any time during a pregnancy
b. Continuing a pregnancy until an abortion is safe to perform
c. Termination of a pregnancy prior to 20 weeks gestation
d. Voluntary termination of a pregnancy for medically necessary reasons
ANS: D PTS: 1

6. Roe vs. Wade decided that:

a. Abortion may only be performed when the patient was subject to rape or incest
b. Miscarriages that result in abortion are not be permitted in the third trimester
c. Restricting abortion impaired a woman’s personal liberty and right to privacy
d. The embryo is entitled to legal protection regardless of the mother’s condition
ANS: C PTS: 1

7. An ethical concern related to HIV-infected persons involves _____.

a. Best-interest standard c. Right to privacy
b. Double effect principle d. Veracity
ANS: B PTS: 1

8. Barriers that exist to providing appropriate treatment to HIV-infected patients include all of the
following with the exception of _____.
a. Confidentiality of the patient’s HIV status
 b. Inability to separate suffering from behaviors
c. Risk of contracting the disease from others
d. Universal precautions implemented in facilities
ANS: D PTS: 1

9. Allografts and homografts are transplants using _____ tissue.

a. Animal c. Donor
b. Combined human/animal d. Patient’s own
ANS: C PTS: 1

10. Which organization is charged with coordinating the procurement and allocation of human organs and
tissues from donors to recipients
a. UHDDS c. UNITED WAY
b. UNICEF d. UNOS
ANS: D PTS: 1

11. Nonhuman and animal tissues used for transplant _____.

a. Are not compatible with human transplantation of any form
b. Have an effective long-term use, regardless of type
c. Provide additional time until a suitable allograft is available
d. Usually result in automatic rejection of transplanted tissue
ANS: C PTS: 1

12. The Human Genome Project’s purpose is to:

a. Generate funding from private sources
b. Map genes found in human DNA
c. Reduce occurrence of genetic anomalies
d. Track/identify people through DNA fingerprinting
ANS: B PTS: 1

13. Which is true of DNA mapping?

a. Cannot provide information to develop new treatments
b. Definitely leads to practices incompatible with free will
c. Is cost-prohibitive, regardless of methods used
d. Will have an impact on disease prevention
ANS: D PTS: 1

14. GINA stands for:

a. Genetics in Native Americans
b. Genetic Information Nondiscrimination Act
c. Government in Nursing Association
d. Government Information Nondisclosure Agreement
ANS: B PTS: 1

15. Under GINA, it is permissible for the health information manager to _____.
a. Allow genetic information to be used as a qualification for medical insurance
b. Prohibit the release of genetic information to other health care providers
c. Refuse the release of genetic information for insurance or employment qualifications
d. Release genetic information as a part of an employment physical examination
 ANS: C PTS: 1

16. Stem cells are special kinds of cells that are not committed to conducting a specific function, and they
have the capability to renew themselves and _____.
a. Differentiate into specialized cells
b. Harvesting is obtained just from embryos
c. Replace tissues of similar types alone
d. Specifically conducting only certain functions
ANS: A PTS: 1

17. An advanced directive is best described as a document that _____.

a. Advises heirs as to a patient’s desires regarding making endowments to hospitals
b. Describes treatment a patient wishes to have or not have in case of incapacitation
c. Orders the disbursement of an estate after death, similar to a power of attorney
d. Results in a requirement that the patient’s last will and testament be probated
ANS: B PTS: 1

18. The difference between a living will and a durable power of attorney for healthcare is that a _____.
a. Durable power of attorney designates specific treatments that should be held or withheld
in the event she becomes incapacitated
b. Durable power of attorney and living will are both executed by the family after the patient
becomes incapacitated, determining the surrogate decision maker
c. Living will designates treatment, while a durable power of attorney designates a surrogate
decision maker
d. Living will is executed while the patient is competent and designates a person who makes
decisions in the event he is incapacitated
ANS: C PTS: 1

19. The question of whether to withdraw life support may become more complex when dealing with
_____.
a. Anyone who has a living will
b. Guardians of children
c. Individuals with DNR orders
d. Patients who are incompetent
ANS: D PTS: 1

20. A child with a ruptured spleen from a bicycle accident is quickly deteriorating. His mother, a
Jehovah’s witness, refuses to allow a blood transfusion needed to save his life. What is the
appropriate way to proceed?
a. Proceed without the mother’s consent in c. Request the hospital administration obtain
the best interest of the child an emergency court injunction
b. Refer to the hospital ethics committee d. Honor the mother’s wishes
ANS: C PTS: 1

21. An elderly woman designated a durable power of attorney while still competent. She is now in a
coma and on a ventilator following surgery. The designee feels she is suffering and wishes to withdraw
life support. Other family members disagree and wish to have life support continued. The other family
members also indicate that the designee is beneficiary to half of the patient’s estate and is having
financial problems. What action should be taken?
a. Follow the instructions of the designee because the durable power of attorney for
 healthcare is a legal document
b. Instruct the family members that they have to sort it out themselves because the hospital
cannot be involved in any action
c. Permit all parties involved to request that the attending physician order a consultation with
a medical specialist
d. Seek consultation with the local district attorney regarding this conflict of interest so as to
resolve it appropriately
ANS: A PTS: 1

22. Ethical questions involved in or occurring during the period closely surrounding birth are
known as _____ ethics.
a. Eugenics c. Prenatal
b. Genetics d. Perinatal
ANS: D PTS: 1

23. Prenatal testing can cause _____.

a. Defective genes c. Risk to the fetus
b. Genetic abnormalities d. The control of hereditary factors
ANS: C PTS: 1

24. Two forms of eugenics include breeding and _____.

a. Genetic testing c. Prenatal surgery
b. Prenatal testing d. Sterilization
ANS: D PTS: 1

25. Which patient right is associated with the issue of HIV/AIDS?

a. Confidentiality c. Genetic testing
b. Duty to treat d. Prenatal surgery
ANS: A PTS: 1

26. The use of the patient’s own body part for tissue transplant is called _____.
a. Allograft c. Heterograft
b. Autograft d. Xenograft
ANS: B PTS: 1

27. The use of an organ or body part from another human (donor) is called an _____.
a. Allograft c. Heterograft
b. Autograft d. Xenograft
ANS: A PTS: 1

28. The use of animal tissue for organ transplants is called a(n) _____.
a. Allograft c. Heterograft
b. Autograft d. Xylograft
ANS: C PTS: 1

29. The Human Genome Project _____.

a. Addresses the concern over confidentiality of genetic information
Test Bank for Legal and Ethical Aspects of Health Information Management, 3rd Edition: Dana

b. Genetically alters organisms treat or prevent disease and conditions

c. Maps the genes in human DNA, which consists of 46 human chromosomes
d. Notifies employers of the genetic predisposition of a potential employee
ANS: C PTS: 1

30. In 2008, the U.S. Congress passed _____ legislation that protects the confidentiality of genetic
information?
a. ARRA c. GINA
b. EMTALA d. PSDA
ANS: C PTS: 1

31. Which controversy is associated with the use of stem cells?

a. Embryonic harvesting c. Genetic engineering
b. Euthanasia d. Mutation into specialized cells
ANS: A PTS: 1

32. Euthanasia is the act or practice of causing death painlessly, with the aim to end suffering. Which act
is associated with passive euthanasia?
a. DNR order c. Withdrawing treatment
b. Initiating the dying process d. Withholding treatment
ANS: A PTS: 1

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