CPHRM ACTUAL FINALS QUESTIONS AND
ANSWERS SET A+
✔✔Discuss elder abuse, types and measures to recognize and address - ✔✔It can be
intentional or unintentional, psychological (emotional or verbal), and financial abuse.
Physical abuse - nonaccidental injury to the elder (e.g., kicking, burning, striking).
Psychological abuse - metal pain, fear, distress of an older adult.
Sexual abuse - involves forcing, unwanted interaction with an older adult.
Financial abuse - illegal or unauthorized use of elder's money, assets.
Neglect - failure to meet an older person's basic needs including food, water, shelter,
medical care.
Measure to address:
➣ take all allegations seriously, commitment to investigate and report as appropriate.
➣ Train employees at least annually and how to report to management any
observations.
➣ Implement a zero tolerance policy for abuse.
✔✔Discuss some of the unique cultural factors that contribute to workplace violence in
healthcare - ✔✔Providers have a professional, moral, and ethical duty of
nonmaleficense (do not harm) to patents.
Often, patients don't intent to cause injuries, when confused or under the influence of
drugs/alcohol. This can result in the provider accepting violence as unavoidable.
Providers may be hesitant to stigmatize the patient as violent due to mental or physical
illness.
According to OSHA, population of violent patients is increasing in acute care facilities
due to decreased mental health funding and services resulting on providers treating
more and more violent patients that would have been treated in specialized facilities.
, ✔✔Define workplace violence, common risk factors in healthcare - ✔✔Workplace
violence encompasses physical assault, verbal abuse and harassment. Violence can
arise from patients, visitors, trespassers, and coworkers.
Risk factors:
➣ caring for patient with history of violence, or mental illness, or impaired from
drugs/alcohol
➣ Lifting, repositioning or transporting patients
➣ Working alone
➣ Working high crime neighborhoods
➣ An environmental layout that limits vision or escapes routes
➣ Poor lighting
➣ Lack of immediate ability to contact security
➣ Lack of training on prevention and defense
➣ Unrestricted access to public
➣ Perception that violence comes with the job
✔✔Outline some of the injuries and costs associated with workplace violence -
✔✔Workplace violence is costly. And it can lead to:
➣ provider fatigue, anxiety, depression.
➣ Difficulty concentrating at work, increased of errors and risks to patient safety.
➣ Decreased employee/patient satisfaction.
➣ Loss in workforce as provider leave medical professions.
➣ Monetary losses for the facility if self-insured, or increased premiums if insured for
worker's compensation.
✔✔Discuss the Safety Medical Devices Act (SMDA), its intent and reporting
requirements - ✔✔SMDA was enacted in 1990 as part of FDA's initiative to protect
public health by regulating food, drugs, and medical devices.
SMDA was established to improve the reporting of injuries and death resulting from
medical device incidents.
User facilities are facilities that use medical devices (e.g., hospitals, nursing homes,
outpatient diagnostics) and these facilities are required to report accordingly.
Death suspected from a device incident - must report to the FDA and manufacturer,
including an annual report to the FDA of all events that were filed in the previous
calendar year.
The risk management professional should be cognizant of reporting requirements and
keep copies of reports for a min of 2 years (or longer based on state laws)
✔✔Define HIPAA and few key terms - ✔✔HIPAA - Health Information Portability and
Accountability Act.
Enacted in 1996.
Includes security provisions regarding safeguarding electronic PHI.
ANSWERS SET A+
✔✔Discuss elder abuse, types and measures to recognize and address - ✔✔It can be
intentional or unintentional, psychological (emotional or verbal), and financial abuse.
Physical abuse - nonaccidental injury to the elder (e.g., kicking, burning, striking).
Psychological abuse - metal pain, fear, distress of an older adult.
Sexual abuse - involves forcing, unwanted interaction with an older adult.
Financial abuse - illegal or unauthorized use of elder's money, assets.
Neglect - failure to meet an older person's basic needs including food, water, shelter,
medical care.
Measure to address:
➣ take all allegations seriously, commitment to investigate and report as appropriate.
➣ Train employees at least annually and how to report to management any
observations.
➣ Implement a zero tolerance policy for abuse.
✔✔Discuss some of the unique cultural factors that contribute to workplace violence in
healthcare - ✔✔Providers have a professional, moral, and ethical duty of
nonmaleficense (do not harm) to patents.
Often, patients don't intent to cause injuries, when confused or under the influence of
drugs/alcohol. This can result in the provider accepting violence as unavoidable.
Providers may be hesitant to stigmatize the patient as violent due to mental or physical
illness.
According to OSHA, population of violent patients is increasing in acute care facilities
due to decreased mental health funding and services resulting on providers treating
more and more violent patients that would have been treated in specialized facilities.
, ✔✔Define workplace violence, common risk factors in healthcare - ✔✔Workplace
violence encompasses physical assault, verbal abuse and harassment. Violence can
arise from patients, visitors, trespassers, and coworkers.
Risk factors:
➣ caring for patient with history of violence, or mental illness, or impaired from
drugs/alcohol
➣ Lifting, repositioning or transporting patients
➣ Working alone
➣ Working high crime neighborhoods
➣ An environmental layout that limits vision or escapes routes
➣ Poor lighting
➣ Lack of immediate ability to contact security
➣ Lack of training on prevention and defense
➣ Unrestricted access to public
➣ Perception that violence comes with the job
✔✔Outline some of the injuries and costs associated with workplace violence -
✔✔Workplace violence is costly. And it can lead to:
➣ provider fatigue, anxiety, depression.
➣ Difficulty concentrating at work, increased of errors and risks to patient safety.
➣ Decreased employee/patient satisfaction.
➣ Loss in workforce as provider leave medical professions.
➣ Monetary losses for the facility if self-insured, or increased premiums if insured for
worker's compensation.
✔✔Discuss the Safety Medical Devices Act (SMDA), its intent and reporting
requirements - ✔✔SMDA was enacted in 1990 as part of FDA's initiative to protect
public health by regulating food, drugs, and medical devices.
SMDA was established to improve the reporting of injuries and death resulting from
medical device incidents.
User facilities are facilities that use medical devices (e.g., hospitals, nursing homes,
outpatient diagnostics) and these facilities are required to report accordingly.
Death suspected from a device incident - must report to the FDA and manufacturer,
including an annual report to the FDA of all events that were filed in the previous
calendar year.
The risk management professional should be cognizant of reporting requirements and
keep copies of reports for a min of 2 years (or longer based on state laws)
✔✔Define HIPAA and few key terms - ✔✔HIPAA - Health Information Portability and
Accountability Act.
Enacted in 1996.
Includes security provisions regarding safeguarding electronic PHI.
