WorksheetsLesson 8: Medical Records & Principles of Ethics
Total questions: 13
Worksheet time: 7mins
What is required for a patient to authorize a medical record release?
verbal consent
email confirmation
written authorization
physician approval
Which charging format tracks care chronologically by problem?
SOAP
POMR
SOR
CHART
When must final notes be completed by a physician after hospital discharge?
up to 10 days after
up to 15 days after
up to 30 days after
Which situation permits disclosure without consent under law?
doctor feels it is unhelpful
emergency care
social media post
patient request
Why can a physician deny a patient access to their own record?
patient is under 18
against policy
due to medical/emotional risk
record is incomplete
How long must records be stored after last entry?
5 years
7 years
10 years
until patient dies
When does the retention clock start for pediatric records?
at birth
at treatment date
at age of maturity + statue of limitations
after graduation
What does the Privacy Act of 1974 apply to?
private clinics
all hospitals
federal agencies
all physicians
What protects drug and alcohol abuse patient confidentiality?
HIPAA
Public Health Services Act
CDC guidelines
Hospital bylaws
What is a subpoena duces tecum?
consent form
order for emergency care
court order to bring records
research approval
What must institutions have to receive federal research funding?
ethics taskforce
federal license
institutional review board
informed consent board
Why are randomized trials ethically debated?
expensive
all groups benefit equally
control group may not benefit
everyone is informed
Which is a potential conflict of interest in research?
using placebo
publishing results
researcher prioritizes own interest
working with nurses
