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WorksheetsUnit 3 Law & Ethics
Total questions: 100
Worksheet time: 2hrs 40mins
The Human Genome Project, funded by the U.S. government, was started in 1990. What was the purpose of this project?
To determine which genes are inherited from which parent
To locate and map the location of each gene on all 46 chromosomes
To develop genetic engineering
To further the development of creating human clones
To pinpoint certain inherited diseases, such as sickle cell anemia
In 1967, what entity devised the original living will?
American Hospital Association
Oregon legislature
California Supreme Court
U.S. Supreme Court
Euthanasia Society
The science of determining how genes cause the expression of certain traits in individuals is called:
genometrics
personalized medicine
rational drug design
pharmacogenomics
epigenetics
Which of the following do chromosomes normally carry that are responsible for all human characteristics from eye, skin, and hair color to height, body type, and intelligence?
nucleus
eggs
genes
stem cells
sperm
If current trends with the percentage of the GDP represented by health care spending continue, by 2038, the Congressional Budget Office projects health care spending could easily exceed what percentage of the GDP?
22
30
40
35
17
Transplanting animal tissues and organs into humans is called xenotransplantation. Which of the following is one difference that makes this process problematic?
Animals cells produce sugar that human cells do not produce.
Human cells can be infected with bacteria found in animal cells.
Human cells and animal cells cannot be fused.
Animal cells produce amino acids that humans do not produce.
Animals cells produce proteins foreign to human cells.
Which of the following is not required on a death certificate?
decedent's complete medical history
place of death
time of death
cause of death
date of death
Employers hope to contract with health care providers who can deliver quality services at a reasonable cost because they provide which of the following to their employees?
Medicare
bonuses
wages
workers' compensation
health care benefits
Traditionally, in educational programs for health care practitioners, courses of study have placed more emphasis on what type of care?
palliative
hospice
curative
experimental
comfort
The public official who investigates and holds inquests concerning those who die from unknown or violent causes is the:
morgue attendant
attending physician
medical examiner
coroner
forensic pathologist
Examples of public data collected by law from physicians include:
incidents of allergic reaction to drugs
births, deaths, rapes, and assaults
murders and child abuse incidents
auto accidents where the physician was attending
felonies
A patient dies under suspicious conditions. Which of the following might occur to determine cause of this patient's death?
lawsuit
criminal investigation
autopsy
postmortem hearing
civil investigation
From which ancient custom do wakes held today originate?
watching the spirit of the deceased return to its resting place
keeping watch over the deceased hoping life would return
keeping watch so the deceased does not harm the living
keeping watch so the spirit of the deceased feels loved
follows church requirements
Which of the following is not an area of questioning appropriate for the employer to ask a job applicant?
birth date
Social Security number
work experience
licenses/certifications
hours available to work
Passed in 1984, what does the National Organ Transplant Act address?
transportation of organs
growth of organs
distribution of organs
safety of organs
maintenance of organs
In which of the following cases would it be legal for a physician to sign a death certificate?
if the cause of death was violent
if the cause of death was undetermined by the physician
if the death was possibly due to criminal causes
if the physician attended to the deceased before the death
if the cause of death was suspicious
In a survey done by the IMS Institute for Healthcare Informatics in 2014, what percentage of Americans increasingly used the Internet as their first source for general and specific information about health care?
10 - 20 percent
40 - 55 percent
70 - 75 percent
25 - 35 percent
60 - 65 percent
The question of who may patent genes was decided by the U.S. Supreme Court in June 2013. What was the decision?
The individual may patent both their own and manipulating genes.
A gene is a naturally occurring substance and may not be patented.
Only the federal government may patent genes.
Only corporations may patent genes.
Physicians may patent genes.
An obstetrician who delivers babies knows that all live births need to be recorded. To which of the following agencies should these births be reported?
census bureau
state registrar
local county registrar
medical examiner
federal registrar
Which of the following statements best describes the term "grief"?
Grief is the human reaction to loss.
Grief is an emotion felt only when a loved one dies.
Grief is when one is sad.
Grief is the process that occurs after resolution takes place.
Grief is general sadness that occurs when things go wrong.
In the revision to the Hazard Communication Standard done in 2012, OSHA created a second name for Material Safety Data Sheets. What is the new acronym?
SDS
OSHA did not create a new acronym.
CDC
BPS
CHP
The Agency for Healthcare Research and Quality (AHRQ) regularly reports on important quality measures. Which of the following statements reflects an improvement in quality care as reported in the 2012 report?
women receiving a pap smear in the last 3 years
admission for asthma for those 65 and older
admissions with diabetes with short-term complications
the number of suicide deaths per 100,000 population
long-stay nursing home residents who were assessed and given pneumococcal vaccination
Which of the following sell health care policies to individuals, agreeing to pay certain health care costs?
private insurers
Medicaid
governments
managed care organizations
professional associations
Palliative care programs are available in hospitals. In the U.S., what is the approximate percentage of hospitals that have palliative care programs?
60%
55%
20%
30%
40%
Which of the following is not a purpose of public health statutes?
inspecting restaurants and other facilities that serve food
exterminating pest and vermin that can spread disease
requiring physicians to take public health courses
guarding against unsanitary conditions in public facilities
checking water quality
Many states have right-to-know laws. These laws offer employees:
protection from sexual harassment
protection from required union membership
protection from work stoppages
protection from discrimination
protection from unsafe work environments
A gene that predisposes a woman to breast cancer has been discovered by scientists. Women who are tested to see if this gene is present are using what type of genetic testing?
tracing lineage
forensic
diagnostic
carrier
predictive
Sarah is starting a new job as a medical assistant at a local clinic. Under OSHA regulations, what must her employer offer her as part of her employment?
no-cost hepatitis B vaccinations
free lunches at least once a week
no-cost flu vaccinations
annual physical
uniforms
A Persistent vegetative state(PVS) exists as a result of severe mental impairment, characterized by irreversible cessation of the higher functions of the brain, most often caused by damage to which of the following organs?
medulla oblongata
brain stem
heart
cerebellum
cerebral cortex
In 1996, a federal law was passed that prevents health insurers from denying coverage based on genetic information for individuals moving between group health insurance plans. This federal law is known as:
Civil Liberties Act
GINA
Privacy Act
HIPAA
Americans with Disabilities Act
OSHA has five priorities. Which of the following lists those priorities in order?
programmed inspections, investigating fatalities, imminent danger situations, employee complaints, and follow-up inspections
imminent danger situations, employee complaints, investigating fatalities, programmed inspections, and follow-up inspections
investigating fatalities, imminent danger situations, employee complaints, programmed inspections, and follow-up inspections
imminent danger situations, investigating fatalities, employee complaints, programmed inspections, and follow-up inspections
employee complaints, investigating fatalities, imminent danger situations, programmed inspections, and follow-up inspections
Which of the following occurs in Stage 5 of Elisabeth Kübler-Ross's grieving process?
rejection
anger
acceptance
guilt
denial
A new mother leaves her infant daughter in a safe place at a nurse's station in a hospital. This mother is protected from legal prosecution or with reduced legal prosecution by what legislation?
abandoned infant law
best interest of the child act
federal Child Abuse Amendments
parens atriae
safe haven law
Which of the following federal laws makes it illegal to discriminate in hiring or firing because of union membership or organizational activities?
Rehabilitation Act of 1973
Civil Rights Act of 1991
Wagner Act of 1935
Lilly Ledbetter Fair Pay Act of 2009
Civil Rights Act of 1964
Which of the following is an example of federalism?
The federal government has more powers than the state government.
If state and federal government statutes conflict, the state statute takes precedence.
Local legislation takes precedence over state or federal legislation.
If state and federal government statutes conflict, the federal statute takes precedence.
A state retains police powers not expressively granted to the federal government.
For which of the following reasons did pagan tribes begin the custom of covering the face of the deceased with a sheet?
They believed that the spirit of the deceased would call other family members.
They were afraid the deceased would cast a spell on other family members.
They believed that the spirit of the deceased could see other family members.
They believed that the spirit of the deceased escaped through the mouth.
They were afraid of spreading disease.
The states and the federal government collect vital statistics in the U.S. that include births, deaths, marriages, divorces and changes in civil status. What is the main purpose for collection of this information?
to distribute goods and services fairly
to control population growth or decline
to determine who should receive public assistance
to provide information to marketing services
to assess population trends and needs
An obstetrician is caring for a young woman who wants to undergo genetic testing prior to becoming pregnant. What would be the best response to this patient?
Tell her about the emotional aspects of caring for a baby with a genetic disease.
Tell her that genetic testing is not recommended when determining pregnancy.
Tell her that genetic testing will not determine genetic disorders passed on to a fetus.
Refer the woman to a qualified genetic counselor.
Refer her to a geneticist.
A physician suggests hospice care for a patient with aggressive brain cancer that is not responding to curative care. Which of the following is true about hospice care?
It focuses on care in the hospital.
It is not designed to target the underlying disease process.
The care occurs in a hospice facility that is separate from other medical facilities.
It is not designed to meet the emotional needs of the patient or family.
It focuses on relieving pain using alternative comfort measures instead of medications.
Which of the following wage and hour laws provides for overtime pay and a minimum wage?
Civil Rights Act of 1964
Lilly Ledbetter Fair Pay Act of 2009
Wagner Act of 1935
Fair Labor Standard Act of 1938
Rehabilitation Act of 1973
The 1989 Uniform Rights of the Terminally Ill Act serves as a guideline for state legislatures in constructing laws addressing which of the following?
elective suicide
euthanasia
palliative care
advanced directives
right to die
Which of the following may be used as evidence of just cause for termination should a wrongful discharge lawsuit be filed against an employer?
The employee is sexually harassing another employee.
The employee speaks out against discrimination in the workplace.
The employee is a whistleblower.
The employee is disabled.
When the discharge applies to safety in the workplace.
All of the following are true about patients who see a primary care provider regularly except:
A primary care provider may be a physician assistant.
Providers learn more about their patients and can coordinate care.
A primary care provider may be a nurse practitioner.
The patient has better health care outcomes.
The patient pays more for health care.
Material Safety Data Sheets (MSDS) are
only used in medical labs.
required in any business that has any hazardous material.
sometimes used in medical offices.
only used in hospitals.
only required after an OSHA violation.
An employee who is laid off from his job files for unemployment insurance. Which of the following accurately describes the management of unemployment funds available to this worker?
Employees contribute to a fund that is paid out to eligible unemployed workers.
The funds are managed solely by the state government.
In all but a few states, the total cost is covered by the employer.
The funds are managed solely by the county government.
The funds are managed solely by the federal government.
A practice manager is interviewing a medical assistant for a new position in the office. Which of the following information can an employer legally ask of a prospective employee?
marital status
number of children
religion
political affiliation
education
Generally, birth and death certificates are not required for fetal deaths occurring prior to what week of gestation?
16th
18th
17th
20th
15th
One type of genetic engineering that is extremely controversial is cloning. Which of the following statements accurately describes an aspect of this process?
Fraternal twins are clones.
The egg and sperm cells in our bodies are clones.
A clone is genetically identical to the parent.
A clone is an organism produced asexually from a cell from each of the parents.
Identical twins are not clones.
The power of the states to initiate public health statutes is inferred from which amendment to the U.S. Constitution?
First Amendment
Ninth Amendment
Tenth Amendment
Sixth Amendment
Second Amendment
Which of the following health care stakeholders mandates licensing and/or certification of certain health care practitioners?
training institutions
professional associations
insurance companies
federal government
state government
The state of Virginia checks all restaurants to make sure the conditions are sanitary. This is an example of which of the following?
civilian protection acts
public health statutes
civil statutes
federal health law
criminal law
The study of the proteins that genes create or express is called:
genometrics
proteomics
epigenetics
rational drug design
pharmacogenomics
What did PricewaterhouseCoopers estimate to be the value of the personalized medicine industry in 2009?
$100 billion
$150 billion
$500 billion
$225 billion
$1 billion
How many chromosomes are normally found inside the nucleus of every human cell except egg and sperm cells?
46
60
43
52
23
Which of the following specifically states that any equipment that may pose a health risk is included as a hazard?
Bloodborne Pathogens Standard
Chemical Hygiene Plan
CDC guidelines
Medical Waste Tracking Act
General Duty Clause
Which of the following is the legal term for an advance directive that specifies an individual's end-of-life wishes for medical treatment without necessarily appointing a designee to make legal decisions for him or her?
living will
durable power of attorney
patient self-determination
health care proxy
instructive directive at end of life
Which of the following is not a requirement of the Clinical Laboratory Improvement Act (CLIA)?
Follow minimum regulations regarding quality control.
Follow regulations regarding test controls.
Pay applicable fees.
Obtain certification.
Follow maximum quality standards for lab testing.
A division of medicine that incorporates law and medicine and involves medical issues or medical proof at trials having to do with malpractice, crimes, or accidents is called:
statistical medicine
criminal medicine
forensic medicine
investigative medicine
examiner medicine
According to the Kaiser Foundation, which of the following statements is true about the need for data and connectivity in health information technology?
All health care–related functions should be online.
Paper medical records should be the exception rather than the rule.
Imaging results should always be hard copy.
Patients should always talk to a person when scheduling an appointment.
Social media does not help in connecting people with similar diseases.
A patient has been diagnosed with incurable lung cancer and it is determined that death is imminent. What type of care would best serve this patient?
experimental
curative
palliative
homeopathic
hospitalization
Which of the following statements regarding stem cell use is true?
Amniotic stem cells are a replacement for embryonic stem cells.
Embryonic stem cells are multipotent.
Adult human body tissues do not produce stem cells.
Adult human body tissues do not produce stem cells.
Embryonic stem cells have a greater potential to treat a wider variety of diseases.
What was the purpose of the creation of the Uniform Anatomical Gift Act?
to allow medical schools to purchase organs
to allow individuals to donate their bodies to science after death
to allow individuals to bid on donated organs
to allow individuals to donate body parts for money
to allow physicians to use organs as they see fit
According to a 2013 study done by the Association of American Medical Colleges (AAMC), how many of the 125 U.S. medical schools offer courses on death and dying?
10
5
6
7
9
According to the Health Care Cost Institute, what percentage of our health care costs are spent on new technology?
30 to 35%
20 to 30%
35 to 55%
38 to 64%
45 to 70%
Title VII of the Civil Rights Act of 1964 covers which of the following?
applies only to the hiring and firing of employees
makes discrimination in the workplace illegal
applies to safety in the workplace
applies to businesses with 25 employees or more
does not cover discrimination with respect to gender
Which of the following accurately describes the difference between a traditional and gestational surrogate mother?
A traditional surrogate is paid to carry the child, but the gestational surrogate is not.
A gestational surrogate is related to the fetus, while the traditional surrogate is not.
A gestational surrogate is paid to carry the child but the traditional surrogate is not.
A gestational surrogate is related to the fetus and is paid to carry the child.
A traditional surrogate is related to the fetus, while the gestational surrogate is not.
A state agency removes a 10-year-old male child from the home of parents who abused him. What is the name of the legal doctrine that allows the state to act in the best interest of the child?
parens patriae
no hassle provision
res ipsa loquitur
best interest of the child concept
safe haven law
Infertility is considered to be the failure to conceive in how many months or longer?
8
12
20
18
6
OSHA standards for medical settings and healthcare workers are often influenced by, or associated with, guidelines issued by:
CMS
JCAHO
CLIA
CDC
HCS
States have their own criteria for determining when death actually occurs, but most have adopted the definition of brain death proposed by which of the following?
American Medical Association's Act
American Bar Association
National Conference of Commissioners on Uniform State Laws
Uniform Determination of Death Act
President's Commission for the Study of Ethical Problems
For patients to be eligible for hospice care, physicians usually must certify that they are not expected to live beyond how many months?
12
15
3
6
9
A person dies as a result of a carjacking. Who is responsible for signing the death certificate for this individual?
the next of kin
the coroner
the mortician
the physician
the chief of police
A 17-year-old female lives with her parents and meets the requirements to give informed consent to have a small basal cell carcinoma removed. Which of the following would this teenager be considered?
able minor
knowledgeable minor
protected minor
emancipated minor
mature minor
An employee of a hospital is injured on the job and files for workers' compensation. Which of the following type of state compensation benefits would be available to this injured worker?
weekly cash payments for living expenses
permanent disability indemnity in the form of weekly cash payments
salary replacement
a lump sum for a temporary disability
rehabilitation benefits paid in a lump sum
In 2012, OSHA published the first major revision to the Hazard Communication Standard. What was the main purpose of the revision?
Transform the right of employees to know about workplace hazards to the "right to understand" workplace hazards.
Require employees to maintain a sharps injury log.
Require employees to double glove when handling toxic materials.
Require better labels on all items in a health care facility.
Transform the right of employees to understand workplace hazards to a "right to know" workplace hazards.
The process by which traits are passed on to offspring is known as:
genetics
stem cells
genetic engineering
genetic discrimination
heredity
Which of the following information should not be included on an employee's W-2 form?
employer tax ID number
amounts deducted for life insurance
total earnings paid by the employer
employee's Social Security number
amounts deducted for income tax and Social Security
Amniocentesis is what type of genetic testing?
carrier
forensic
prenatal testing
predictive
tracing lineage
The products and services that leverage the new developments in the study of human genes and capitalize on the trends toward wellness is called:
epigenetics
personalized medicine
rational drug design
genometrics
pharmacogenomics
According to the Uniform Determination of Death Act, which of the following is a criteria for death?
irreversible coma occurs
most of the brain has ceased to function
circulation has increased
entire brain ceases to function
breathing is labored
Which of the following is an example of a state law that requires behavioral changes on the part of the public?
promoting the use of child safety seats
vaccinations to enter school
inspecting restaurants for sanitary conditions
fluoridation of the public water supply
spraying communities for mosquito control
A bonded employee in a medical office embezzles money from the employers. In most situations, from whom will the money ultimately be recovered?
the employee's family
the medical malpractice insurance
the insurance carrier
the employee
the government
Certain sexually transmitted infections (STIs) must be reported whenever diagnosed. Which of the following is not a reportable STI?
scabies
syphilis
trichomoniasis
pubic lice
cervical cancer
According to the Centers for Medicare and Medicaid Services, in 2013 state and local governments spent how much of their budgets on health care costs?
45.2 percent
20.5 percent
10 percent
31.5 percent
40.5 percent
In a survey done by the IMS Institute for Healthcare Informatics in 2014, what Internet source was most important for physicians?
online videos
The total cost of health care in the United States is often expressed as a percentage of the country's gross domestic product (GDP). The GDP represents what percentage of the country's income for all goods and services?
25%
75%
15%
85%
100%
A teenager who is pregnant receives an abortion without parental notice due to "judicial bypass." What does this term signify?
The teenager has obtained approval from a judge for the abortion without parental notification.
The judge has decided that the teenager is an emancipated minor and may receive the abortion without parental notification.
The state in which the teenager lives allows practitioners to perform abortions without parental consent.
The teenager has traveled to another state to obtain the abortion without parental notification.
The teenager has received approval from a judge to travel to another state to have the abortion.
A practice manager is interviewing medical assistants for several new positions in an expanding medical practice. Which of the following is not a recommended guideline for conducting the interviews?
Stick to a list of questions for all candidates that relate to the job description.
Do not promise to inform the candidate when a decision has been made.
Always ask about child care arrangements.
Do not rush the interview; allow it to last as long as the candidate prefers.
Do not ask why the person is leaving his or her current position.
Who is responsible for gathering and filing many of the vital statistics collected by the states and the federal government?
county commissioners
health care practitioners
financial executives
religious leaders
school administrators
If a patient dies of natural causes while under his or her physician's care, who is responsible for completion of the medical portion of the death certificate?
medical examiner
coroner
morgue attendant
any health care practitioner in attendance at the time of death
attending physician
Which of the following accurately describes the role of the coroner or medical examiner in the event of a violent death?
a police chief orders an autopsy and the coroner performs the autopsy.
a coroner or medical examiner conducts a trial to determine the cause of death.
a medical examiner, who is frequently a pathologist, may order and perform an autopsy.
a coroner investigates the crime scene and presents medical proof at a trial.
a coroner, who is always a physician, holds an inquest to determine cause of death.
Which of the following examples of public health statutes is enforced by citations for noncompliance?
spraying communities for mosquito control
vaccinations to enter school
fluoride in the public water supply
food supply inspections
smoking bans
A death has occurred under normal circumstances and the body released to the funeral home. Who is responsible for filing the death certificate with the state?
the physician
the police chief
the mortician
the coroner
the hospital
An early custom for mourners was to go barefoot and to wear sackcloth and ashes. What was the purpose of this practice?
to follow religious rules
to show respect for the dead
to show their sorrow
to make amends to the dead
to avoid making the dead envious
An infertile couple who is adopting a child locates a birth mother and then asks an agency to take over the adoption process. This is an example of what type of adoption?
private adoption
identified adoption
independent adoption
agency adoption
international adoption
What development has provided for an increase in personalized medicine?
cell phones
portable x-rays
computers
DNA analyses
more mid-level providers
What has been the largest barrier to using stem cells to treat disease?
rejection of stem cells by the body
ethical and religious objections
adverse effects of treatment
availability of stem cells
cost of treatment
The science that defines how individuals are genetically programmed to respond to drugs is called:
rational drug design
personalized medicine
genetic mapping
pharmacogenomics
genometrics
The combination of proteins called nucleotides that are arranged to make up each human is known as which of the following?
gene
stem cells
chromosomes
DNA
heredity
What is the term for those individuals who have a vested interest in the health care industry?
stakeholders
consumers
politicians
providers
agents
