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Self-Assessment Answers for Section 1: Recognizing and Reporting Child Abuse in Pennsylvania (CE Course Number: IM000001)
1 . General Protective Services (GPS) are supports and services provided in non-abuse cases that do not involve _____________ .
A.
B.
C.
D.
2 . In 2014, _______ Pennsylvania children died from abuse.
A.
B.
C.
D.
3 . To file a report of child abuse, the mandated reporters must:
A.
B.
C.
D.
4 . Mandated reporters that suspect child abuse must:
A.
B.
C.
D.
5 . The list of types of conduct that constitute abuse was expanded to include all of the following EXCEPT:
A.
B.
C.
D.
6 . Services and activities provided by the Department and each county agency for child abuse cases are referred to as __________________ .
A.
B.
C.
D.
7 . Changes to the CPSL now define the threshold for “Bodily Injury” as which of the following:
A.
B.
C.
D.
8 . Report can be made immediately either orally to ChildLine (1-800-932-0313) or electronically at www.compass.state.pa.us/cwis. Mandated reporters making an oral report must also submit a written report within _____ hours.
A.
B.
C.
D.
9 . Unless the agency provides justification as to why the investigation cannot be completed, including attempts being made to obtain medical records or interview subjects, investigation of CPS reports must be completed within _____ days.
A.
B.
C.
D.
10 . The _______________ between a mandated reporter and a patient or client of the mandated reporter shall not apply to a situation involving child abuse or relieve the mandated reporter of the duty to make a report of suspected child abuse.
A.
B.
C.
D.
Self-Assessment Answers for Section 2: Reducing Diagnostic Error in Medicine
11 . Approximately what percentage of U.S. adults seeking outpatient care will experience a diagnostic error each year?
A.
B.
C.
D.
12 . The phrase “next frontier in patient safety” has been applied to which topic of current interest in medicine?
A.
B.
C.
D.
13 . A key part of defining “diagnostic error” from a patient-centered perspective is ____________________.
A.
B.
C.
D.
14 . Before initiating any treatment for a patient’s health problem, a clinician must _______________________.
A.
B.
C.
D.
15 . Which of the following is a potential challenge to the performance of an accurate patient medical history?
A.
B.
C.
D.
16 . Which of the following phases in the “brain-to-brain loop model” of diagnostic testing is least susceptible to error?
A.
B.
C.
D.
17 . What type of diagnostic testing is growing rapidly and, thus, posing a challenge for clinicians?
A.
B.
C.
D.
18 . Which of the following is not a potential source of error when using medical imaging technology?
A.
B.
C.
D.
19 . Which of the following is a model for more closely involving pathologists and radiologists in the diagnostic process?
A.
B.
C.
D.
20 . A potential limitation of using an empiric treatment strategy is that _____________________.
A.
B.
C.
D.
21 . The current understanding of clinical reasoning is based on which theory of decision making?
A.
B.
C.
D.
22 . Which of the following is an example of a situation involving slow system 2 cognitive processing?
A.
B.
C.
D.
23 . What is the formal name for the universal tendency to believe that we know more than we actually do?
A.
B.
C.
D.
24 . Which type of cognitive processing typically performs best in highly reliable and predictable environments?
A.
B.
C.
D.
25 . What can be the result of a diagnostic process in which the outcomes of the decision-making process are unknown?
A.
B.
C.
D.
26 . Because of fatigue, a radiologist misses identifying a suspicious spot on a lung x-ray. When the attending physician reviews the x-ray, she notices the irregularity and consults with the radiologist, who recognizes his mistake. No harm occurred to the patient. What is the proper label for this kind of situation?
A.
B.
C.
D.
27 . Over-diagnosis is considered a form of diagnostic error.
A.
B.
28 . Which of the following is not a recommended motivation for instituting a system for measuring diagnostic error?
A.
B.
C.
D.
29 . Which of the following is not a method for estimating the incidence of diagnostic errors?
A.
B.
C.
D.
30 . __________________ was reported to reduce hospitalization time and costs, improve service provision, and enhance patient satisfaction, staff motivation, and team innovation in the United Kingdom’s National Health Service.
A.
B.
C.
D.
31 . Which group is considered to be at the center of the diagnostic process?
A.
B.
C.
D.
32 . _____________ can ensure communication and care coordination among diagnostic team members, monitor a patient over time to see if the patient’s course is consistent with a working diagnosis, and identify potential diagnostic errors.
A.
B.
C.
D.
33 . Accountable Care Organizations (ACOs) were created to address delivery system fragmentation and to align incentives to improve communication and collaboration among health care professionals.
A.
B.
34 . Morbidity and mortality conferences bring health care professionals from different disciplines together to consider the diagnosis and treatment of specific patients.
A.
B.
35 . A survey of low-income patients faced with major medical decisions found that ____ wanted to be very involved in the decision-making process.
A.
B.
C.
D.
36 . An identified problem with electronic health records is that _______________.
A.
B.
C.
D.
37 . Evidence shows that disclosing medical or diagnostic errors to patients and their families _______________________________.
A.
B.
C.
D.
38 . The phrase “heuristic failure” means _______________________.
A.
B.
C.
D.
39 . Which statement best describes the current state of diagnostic decision support tools?
A.
B.
C.
D.
40 . What fundamental change is recommended to increase the utility of health IT systems as they relate to improving diagnosis?
A.
B.
C.
D.
41 . What does “mHealth” stand for?
A.
B.
C.
D.
42 . What is one barrier to the use of postmortem examinations as a way of obtaining more accurate information about diagnostic errors?
A.
B.
C.
D.
43 . Which of the following is not a characteristic of effective feedback interventions to reduce diagnostic errors?
A.
B.
C.
D.
44 . Which statement is most true about the relationship between fee-for-service (FFS) reimbursement systems and efforts to improve diagnoses?
A.
B.
C.
D.
45 . What system has been proposed as a way to provide injured patients with expedited compensation decisions for certain types of medical errors?
A.
B.
C.
D.
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