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53 Cards in this Set
- Front
- Back
The medical record may be used in a court of law and is therefore considered what type of document?
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legal document
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When properly documenting a clients' care, a health care worker would chart only what ahppens and not his or her opinions. This type of charting is called?
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objective
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What document issued to a professional presupposes an obligation to practice to a minimum standard?
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license
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What is the medical term for "persistent vegetative state'?
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neocortical death
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Who is responsible for obtaining informed consent from the patient?
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the physician
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What is the first action that should be taken by a health care provider if a patient withdraws his or her consent for a procedure?
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inform the physician
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What term appiles to the freedom fron unwanted intrusions of other people?
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privacy
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What phrase defines the health care workers obligations in specific areas of practice?
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standard of practice
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What is the name of the law which protects people from prosecution who voluntarily go to the aid of others in an emergency as long as the care provided is not reckless or intentionally harmful?
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Good Samaritan Law
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Generally, Good Samaritan Laws offer protection as long as those carrying out the care act in what type of manner?
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as a reasonable, prudent person
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What are the two types of law?
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civil and criminal
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What term defines the obligation one has to make good for the loss or damage to something for which he or she is responsible?
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Liability
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What word describes the legal responsibilty of an employer for the acts of an employee?
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Respondeat superior
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What two areas are dealt with by criminal law?
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those against the safety or welfare of the public
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If a health care provider provides care beyond their education and the life of another is endangered what type of negligence can be leveled against that person?
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Gross negligence
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What type of writing utensil should be used when writing in the patients medical record?
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a non-erasable blue or black ink pen.
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When providing care to minor children, who does the health care provider obtain consent from?
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minor's parent or legal guardian
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What term illustrates the intentional deception to prevent a person from receiving what is lawfully his or hers?
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fraud
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What legal document states a preson's wishes regarding the disposition of property following death?
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a will
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Name three classifications of criminal acts:
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minor offenses, misdemeanors, felonies
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Name the two parties involved in a lawsuit.
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plaintiff and defendant
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What is the legal term for an oral investigation done under oath and taken in writing?
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deposition
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Name the four elements of malpractice case which must be proven by the plaintiff in order for a case to exist.
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duty owed, breach of duty, damage, cause and effect
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What type of negligence exists when a patint, through, is or her own actions, contributes to his or her own injury?
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contributory negligence
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Whenever a health care provider adds an entry to the patients record at a later time what should procede the entry?
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the words "late entry"
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Name the two types of malpractice insurance?
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claims made, occurrence
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What title is given to healthcare providers who are unable to function effectively because of some type of substance abuse?
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chemically imparied
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Deliberately bringing about the death of a person who is suffering from an incurable disease or condition by administering a lethal drug is called:
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active euthanasia
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The Patient's Bill of Rights was developed by what organization?
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Amercian Hospital Association
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Rules and Regulations regarding patient care procedures can be found in the facilites__________?
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Policy Manual
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Who speaks for the patients who cannot speak for themselves and are therefore unable to report abuse?
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an advocate
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What is the federal program that exists to assure the rights of the elderly?
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Ombudsman Reconciliation Act
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Irreversible cessation of all functions of the entire brain, including the brain stem is known as?
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brain death
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A review of the appropriateness of care and the various types of patient care provided within an institution is called?
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utilization review
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Agencies such as insurance companies or governmental programs that are called upon to pay for health care services are called?
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third-party payers
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A signed agreement between two or more parties which creates obligations that must be met by all involved is called?
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contract
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Employers refer to this agency to ensure competency and avoid hiring individuals that the state has found guilty of abuse, reglect or misappropriation of property?
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state registry
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What does a person have who does not have the legal capacity to form a contract?
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a legal disability
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How are health care records detroyed after the legal time for retention?
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burned or shredded
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If any error occurs or you make a mistake, what is the proper course of action for you to follow?
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report it immediately to your supervisor
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What are the letters of legislation created to protect the right of the eldery?
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OBRA
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What is referred to as guides to moral behavior?
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Ethical standards
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What is defined as your own personal values?
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morals
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What is defined as behavior related to a pattern of conduct or ideas that are accepted as worthwhile or meaningful?
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value system
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What articulates the values that outline the scope of a profession's practice?
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Code of ethics
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Abuse which involves confining a person to a specific area away from others is called:
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involuntary seclusion
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Services given in a manner appropriate to one's level of education and experience is called:
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reasonable care
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A wrongful or illegal act of civil law not involving a contract is called a:
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tort
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What kind of laws are written by a body of legislators?
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statutory law
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A person who files a lawsuit initiating a legal action is called the:
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Plaintiff
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The party that is named in a plaintiff's complaint is called the:
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Defendant
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Laws regarding relationships between individuals are called:
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Civil Laws
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Laws concerned with offenses against the public and society in general are known as:
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Criminal Laws
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