Objective Assessment
(Full Version Exam)
Healthcare Values and Ethics
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,An 86-year-old patient is suffering from a tumor and only has Medicare for
insurance. The tumor will eventually grow to occlude the airway, so surgery
is required even though the patient's medical history makes this a high-risk
procedure. The patient must decide whether to proceed with the surgery.
Which cost must this patient consider?
a. Hospice care
b. Probate court
c. Hospitalization
d. Affordable healthcare plan
Correct Answer: c. Hospitalization
Rationale: Even with Medicare, the patient should consider expected
hospital-related costs (e.g., deductibles, copays, inpatient/outpatient cost
sharing) tied directly to the surgical episode of care.
A hospital patient is placed on a ventilator after having a heart attack. The
hospital staff believes the patient will never regain consciousness and will
die in two to six months. The family is divided on whether or not to remove
the patient from life support.
What is the role of the healthcare ethics committee in advising on this
case?
a. To promote the doctor's clinical recommendations
b. To promote shared decision making among stakeholders
c. To determine priorities based on cost and resource allocation
d. To determine whether state law or religious belief takes preference
Correct Answer: b. To promote shared decision making among
stakeholders
Rationale: Ethics committees facilitate structured discussion, clarify values
and options, and support communication among clinicians and family—
rather than “deciding” for them.
,An 85-year-old patient is rushed to the hospital and diagnosed with a
stroke. The physician advises the family that artificial nutrition and
hydration will be required to keep the patient alive. The patient's family
requests a consult with the hospital's ethics committee before proceeding
with a decision.
Which external issue would affect the ethics committee's advice to
the family?
a. The degree to which the patient is informed of risks
b. The advance directive in place for the patient
c. The various healthcare regulations that would apply
d. The medical staff's comfort with taking timely action
Correct Answer: c. The various healthcare regulations that would apply
Rationale: Ethics guidance must align with applicable laws and regulations
(e.g., consent, surrogate decision-making rules). Those external
requirements shape what options are ethically and legally supportable.
A vendor offers the logistics department manager at a community hospital
an all-expenses-paid trip for four to a ski lodge. The manager went on the
trip.
Why did a potential conflict of interest occur?
a. The manager had the opportunity to network during the trip.
b. The manager used the relationship for personal financial gain.
c. The manager was absent so department productivity would decline.
d. The manager was rewarded for work completed by other staff.
Correct Answer: b. The manager used the relationship for personal
financial gain.
Rationale: Gifts/perks from vendors can bias purchasing decisions or
, create the appearance of favoritism, undermining trust and ethical
procurement.
The National Association for Healthcare Quality (NAHQ) covers many
principles that pertain to the ethical operation of an organization.
Which standard addresses this concept?
a. Supporting access to medical information by health providers
b. Providing updated, relevant training to organizational leadership
c. Establishing quality as the guiding principle for controlling costs
d. Emphasizing programs that provide better patient reimbursement
Correct Answer: b. Providing updated, relevant training to organizational
leadership
Rationale: Ethical organizational operation includes ensuring leaders are
trained and current on compliance, quality, and ethical decision-making
expectations.
Security staff were called to restrain a psychiatric patient in a hospital's
behavioral medicine unit. The security staff were not accustomed to
responding to the unit, leading to trauma that nearly made the patient die.
Which Joint Commission policy will assist the hospital in this
situation?
a. Confidentiality policy
b. Sentinel event policy
c. Treatment interventions policy
d. First responders training policy
Correct Answer: b. Sentinel event policy
Rationale: A serious, preventable adverse event triggers sentinel event