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Question 1
A healthcare security supervisor is reviewing a use-of-force incident. The officer
used handcuffs on a compliant but disruptive patient in the ED. Which principle is
most relevant?
A. De-escalation first, then restraint for safety
B. Force is always justified for disruptive behavior
C. Only law enforcement can apply restraints
D. Handcuffs are never allowed in healthcare
Correct Answer: A
Explanation: IAHSS emphasizes de-escalation as the primary intervention.
Handcuffs (restraints) may be used only if patient behavior presents immediate
danger and alternatives have failed; they are not for compliant individuals.
Question 2
What is the primary purpose of a security risk assessment (SRA) in a healthcare
facility?
A. To reduce insurance premiums
B. To identify vulnerabilities and threats to patients, staff, and assets
C. To comply with local fire codes
D. To evaluate employee satisfaction
Correct Answer: B
Explanation: An SRA systematically identifies threats (e.g., violence, theft, natural
,disasters) and vulnerabilities (e.g., unsecured entrances). It forms the basis for
security planning, not just insurance or HR issues.
Question 3
Under HIPAA, when may a security officer access a patient’s medical information
without consent?
A. Never, under any circumstances
B. When investigating a theft from the patient’s room
C. Only if the patient is a minor
D. For treatment, payment, or healthcare operations, including security incident
investigations
Correct Answer: D
Explanation: HIPAA permits access for healthcare operations, which includes
investigating security incidents that affect patient care, safety, or facility
operations. Personal curiosity or non-operational reasons are prohibited.
Question 4
A supervisor notices an officer becoming overly aggressive with visitors. What is
the first step?
A. Terminate the officer immediately
B. Document the behavior and counsel the officer privately
C. Ignore it unless a complaint is filed
D. Assign the officer to a less visible post
Correct Answer: B
Explanation: Progressive discipline starts with documentation and counseling.
Termination without investigation or corrective action violates fair employment
practices.
,Question 5
Which of the following is a key element of a workplace violence prevention
program in healthcare?
A. Armed guards at every entrance
B. Zero-tolerance policy for violence against staff
C. Metal detectors for all visitors
D. Mandatory overtime for security officers
Correct Answer: B
Explanation: A zero-tolerance policy clearly communicates that violence is
unacceptable. The IAHSS guideline recommends training, reporting systems, and
environmental controls, not universal armed guards or mandatory overtime.
Question 6
During a fire alarm activation, the security supervisor’s FIRST responsibility is to:
A. Evacuate all patients
B. Ensure the fire department has been notified
C. Begin searching for the fire’s origin
D. Lock all exit doors to prevent panic
Correct Answer: B
Explanation: The RACE protocol (Rescue, Alarm, Contain, Extinguish) dictates that
alarm (notifying fire department) is immediate. Security supports evacuation but
does not lock exits.
Question 7
What is the recommended ratio of security officers to beds in an acute care
hospital?
A. Not defined by IAHSS—depends on risk assessment
B. 1:10 beds
C. 1:50 beds
D. 2:100 beds
, Correct Answer: A
Explanation: IAHSS does not mandate fixed ratios. Staffing is based on facility size,
location, ED volume, crime rates, and risk assessment results.
Question 8
A patient elopes (leaves without permission) from a psychiatric unit. What is the
supervisor’s priority?
A. Call law enforcement for a search
B. Notify the patient’s family first
C. Coordinate with clinical staff to locate the patient per facility policy
D. Discharge the patient immediately
Correct Answer: C
Explanation: Clinical staff (nursing, psychiatry) lead the response because they
assess risk to patient and others. Security assists in searching but follows facility
elopement policy, which typically prioritizes internal search and notification chain.
Question 9
Which statement best describes the “Security Supervisor’s role in infection
control”?
A. Security has no role in infection control
B. Supervisors ensure officers follow hand hygiene and PPE protocols
C. Only nurses handle infection control
D. Supervisors must enforce visitor masking regardless of policy
Correct Answer: B
Explanation: Security officers are staff and must comply with infection control
policies. Supervisors enforce compliance, including hand hygiene, masking, and
PPE when entering isolation rooms.