HSM 320 Final Exam


HSM 320 Final Exam 
(TCO 3) A type of managed care that combines the concepts of an HMO and PPO is a(n)…


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HSM 320 Final Exam

HSM 320 Final Exam


(TCO 1) The three-step approach to solving ethical dilemmas is based on (Points : 5)

Asking ourselves how our decision would make us feel if we had to explain our actions to a loved one.

Asking ourselves if the intended action is legal.

Asking ourselves if the intended action results in a balanced decision.

A and B only

A, B, and C

(TCO 3) A type of managed care that combines the concepts of an HMO and PPO is a(n) (Points : 5)

Modified health maintenance organization

Managed care association

Health maintenance-provider organization

Preferred provider association

Exclusive provider organization

(TCO 4) In order to obtain a judgment for negligence, the patient must show (Points : 5)

Direct or proximate cause



Dereliction, or neglect, of duty

All of the above

(TCO 5) Medical record entries should be made (Points : 5)

Within 60 days of the patient’s discharge

At the physician’s discretion

After the patient gives consent

As soon as possible

10 days after the procedure

(TCO 5) Characteristics of a professional medical corporation include it being (Points : 5)

Designated as an HMO or IPA

Managed by a board of directors

Owned by shareholders

B and C only

A, B, and C

(TCO 6) What specialist uses inaudible sound waves to outline shapes of tissues and organs? (Points : 5)

Electrocardiograph technologist

X-ray technologist


Ultrasound technologist

Social worker

(TCO 7) A miscarriage is the same thing as (Points : 5)

An induced abortion

A spontaneous abortion

A drug-induced abortion

A conscience clause


(TCO 8) An electroencephalogram is used to (Points : 5)

Reverse a coma patient’s condition

Measure cardiopulmonary function

Measure brain function

Reverse the condition of hypothermia

Reverse the condition of rigor mortis

(TCO 8) The Uniform Determination of Death Act (Points : 5)

Provides a definition of active euthanasia

Provides a definition of brain death

Is also called the doctrine of double effect

Mandates that everyone entering a nursing home must provide a written document stating the care he or she wishes to receive

Discusses the treatments that might be used for a comatose patient

(TCO 8) Terms referring to respiratory function include (Points : 5)






(TCO 9) The practice of allowing a terminally ill patient to die by foregoing treatment is called (Points : 5)

Active euthanasia

Passive euthanasia

Mercy killing

A and B

B and C

(TCO 9) When caring for a comatose patient, one should include (Points : 5)

CPR and mechanical breathing


Turning and hiqualitytutorialstion

A and B only

A and C only

(TCO 10) Medicaid provides coverage to (Points : 5)

Low-income individuals

Aged and younger individuals

Institutionalized individuals

All of the above

(TCO 2) Laws that affect the medical profession (Points : 5)

Often overlap with ethics

Have a binding force

Are always fair to all persons

Are determined by a governmental authority

A, B, and D

HSM 320 Final Exam

(TCO 9) The impact of managed care on the affordability and quality of health care has been dramatic over the last couple of decades in America. There is data to both support and deny the value of managed care as means to quality health care and affordability.
What does this information suggest? (Points : 30)


Managed care is a method for restructuring the healthcare system, including delivery of a broad …

(TCO 1) Explain what is meant by the statement, “It is easier to prevent negligence than it is to defend it.” (Points : 10)


The statement “It is easier to prevent negligence than it is to defend it” means that instead of having to defend themselves in court, medical professionals should just do what…

(TCO 4) You have a patient collapse on the floor in your department (office) and you must administer CPR. If the patient is injured when you administer CPR, are you protected from a malpractice suit under the Good Samaritan laws? (Points : 10)


From this scenario, a physician is not protected from a malpractice suit under the Good Samaritan Laws. Good Samaritan Laws do…

(TCO 5) Discuss the role of electronic health records and electronic transmission of date on patient confidentiality. (Points : 10)


The role of electronic health records and electronic transmission of date on patient confidentiality are:

– Improve efficiency and effectiveness of the healthcare system via…

(TCO 6) What should health care professionals do if their ethical values differ from those of their employer? Discuss several options. (Points : 10)


The healthcare professional may have a personal, religious, or ethical reason for not wishing to be involved in a particular procedure. Ideally, this preference should be…

(TCO 9) List and describe six hereditary disorders discussed in this chapter. (Points : 10)


Six hereditary disorders:

  1. Cooley’s anemia – Rare form of anemia or reduction of red blood cells. More common in people of Mediterranean origin.
  2. Cystic fibrosis – Disorder of…

(TCO 9) Describe the three advance directives that a patient can use. When are they appropriate? (Points : 10)


  1. Living will – Document that a person drafts before becoming incompetent or unable to make healthcare decisions. A patient may request that…

(TCO 2) Differentiate between common law and statutory law. (Points : 10)


Common law, or case law based on decisions made by judges, was originally established by English courts in the twelfth century and brought to America by the…

(TC0 1) Case Study: Adam Green is an orderly in the Midwest Nursing Home. His supervisor, Nora Malone, has asked him to supervise the dining room while 20 residents eat their evening meal. Bill Heckler is an 80-year-old resident who is very alert. He tells Adam that he doesn’t like the meal that’s being served, and he wants to leave the dining room and go back to his own room. Adam is quite busy, since he has to watch the behavior of several patients who are confused. He’s concerned that patients might choke on their food or otherwise harm themselves. Adam becomes impatient with Bill and tells him that he cannot leave the room until everyone is finished eating. Adam then locks the dining room door. Bill complains to the nursing home administrator that he was unlawfully detained. He then hires an attorney, who brings forth a charge of false imprisonment.
Conclude what will be the result of these actions by Adam (Points : 30)


Adam should have used his communication skills to have Bill wait until he was able to…

(TCO 4) Case Study: Nancy Moore, a registered nurse, is assisting Dr. Brown while he performs a minor surgical procedure. Dr. Brown is known to have a quick temper, and he becomes very angry if a surgical procedure is delayed for any reason. As Nancy is handing a needle with suture thread to Dr. Brown, she feels a slight prick in her sterile gloves. She tells Dr. Brown about this and explains that she will have to be excused from the procedure for a few minutes while she changes gloves. He becomes angry and tells her to “forget about it and help me finish.”
Conclude the results that may occur because of this situation. (Points : 30)


It will be harmful to anyone if Nancy wears the gloves during the rest of the procedure, as it was just a slight prick and the patient’s wound does appear to be…

(TCO 8) Case Study: A physician was recently convicted of using his own sperm for artificially inseminating his patients. He told the court that he didn’t see anything wrong with this practice because these women came to him wanting to have a child. However, his patients were unaware that he was using his own sperm for the procedure. Some of his office staff became suspicious of the physician’s methods, but failed to report their suspicions immediately. Many children were conceived as a result of this physician’s sperm having been implanted into the mothers.
Given this situation (problem), what is your assessment? (Points : 30)


Many moral and ethical problems surround the issue of Artificial Insemination Donor (AID). AID records, which contain the identity of the sperm donor, are considered….

HSM 320 Final Exam