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Self-Assessment Answers for Section 1: Recognizing and Reporting Child Abuse in Pennsylvania
1 . General Protective Services (GPS) are supports and services provided in non-abuse cases that do not involve _____________ .
A.
B.
C.
D.
2 . In 2016, ________ was the leading category of substantiated reports.
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 . Reports 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: Best Practices for Opioid Prescribing in Chronic Pain
11 . Extended-Release (ER) and Long-acting (LA) formulations of opioids should typically not be used for which of the following?
A.
B.
C.
D.
12 . If an organic pathology cannot be found to explain a patient’s pain, what should a clinician infer?
A.
B.
C.
D.
13 . Which of the following is the appropriate use of “universal precautions” as it applies to patients with chronic pain?
A.
B.
C.
D.
14 . The DIRE and the ORT are examples of which kind of assessment?
A.
B.
C.
D.
15 . All of the following need to be documented in writing as part of an overall therapeutic approach to managing chronic pain patients EXCEPT:
A.
B.
C.
D.
16 . All of the following are possible advantages of patient/provider agreements EXCEPT:
A.
B.
C.
D.
17 . All of the following are examples of functional goals EXCEPT:
A.
B.
C.
D.
18 . A fundamental part of ethical treatment for patients with chronic pain is:
A.
B.
C.
D.
19 . When opioid treatment is initiated, both the patient and clinician should view the commitment as:
A.
B.
C.
D.
20 . It can be particularly unsafe to combine opioids with which of the following other medicines?
A.
B.
C.
D.
21 . Which class of antidepressant medications has been shown to be effective in treating some neuropathic pain conditions?
A.
B.
C.
D.
22 . Combination products are those that include an opioid with which of the following elements?
A.
B.
C.
D.
23 . In general, the amount of opioids prescribed for acute pain should be limited to a ____ day supply:
A.
B.
C.
D.
24 . Uncomfortable or unpleasant side effects (aside from constipation) may potentially be reduced by which approach?
A.
B.
C.
D.
25 . All of the following are valid reasons to pursue opioid rotation EXCEPT:
A.
B.
C.
D.
26 . One reason that methadone must be prescribed with particular caution is that:
A.
B.
C.
D.
27 . Which of the following is not a potential benefit of urine drug testing?
A.
B.
C.
D.
28 . All of the following are of particular concern when prescribing an ER/LA opioid pain medication EXCEPT:
A.
B.
C.
D.
29 . In 2006, the FDA added a caution to the “black box” warning that methadone may cause which of the following serious adverse effects?
A.
B.
C.
D.
30 . Which of the following is the APS-AAPM guideline regarding the prescription of opioids to pregnant women?
A.
B.
C.
D.
Self-Assessment Answers for Section 3: Improving Patient Safety and Medical Liability
31 . Up to what percent of patients experience at least one medication discrepancy in the transition from hospital to home?
A.
B.
C.
D.
32 . Health system-level factors that constitute barriers to medical safety during transition from hospital to home care include
A.
B.
C.
D.
33 . Compared with patients with no hospital-to-home medication discrepancies, those with these discrepancies are readmitted to the hospital within 30 days how much more often?
A.
B.
C.
D.
34 . Best practice when harm occurs from a medical error during transition from hospital to home consists of
A.
B.
C.
D.
35 . Research has found the following with respect to patient complaints about physicians and malpractice claims:
A.
B.
C.
D.
36 . Which does not constitute a benefit of full disclosure of adverse clinical events to patients and their families?
A.
B.
C.
D.
37 . Programs for communication-and-resolution should emphasize early and proactive disclosure of unanticipated events along with
A.
B.
C.
D.
38 . The effects of disclosing errors to patients include
A.
B.
C.
D.
39 . How can solicitation of patient reports regarding adverse clinical events provide benefits to institutions?
A.
B.
C.
D.
40 . Approximately what percentage of physicians report having disclosed clinical adverse events to patients?
A.
B.
C.
D.
41 . What do patients and families want to be told after a medical error?
A.
B.
C.
D.
42 . An exploratory study of disclosure of clinically adverse events occurring during labor and delivery conducted in the Mother-Baby unit of a large southeastern health system found that patients and their families had a high level of agreement regarding
A.
B.
C.
D.
43 . In the study mentioned in the previous question, which describes the extent of agreement between patients and their families and clinicians?
A.
B.
C.
D.
44 . Near-miss events present lower-risk opportunities to do which of the following
A.
B.
C.
D.
45 . The communications offered to patients regarding adverse events in the Disclosure, Apology, and Offer (DA&O) program, an investigational program in Massachusetts, include full disclosure and honest explanation of
A.
B.
C.
D.
46 . The standardized training module used in the pilot study of implementing a near-miss reporting system in primary care included the following emphasis
A.
B.
C.
D.
47 . At what stage(s) does medical error disclose training improve self-efficacy for disclosing errors?
A.
B.
C.
D.
48 . Differences in professional behavior between physicians who have undergone medical error disclosure training and those who have not include
A.
B.
C.
D.
49 . Error disclosure training has been shown to improve which of the following healthcare workplace practices and/or aspects?
A.
B.
C.
D.
50 . Which of the following is not a benefit of training physicians on disclosure of medical errors?
A.
B.
C.
D.
51 . Which statement describes the goals for surveillance in the Patient Advocacy Reporting System® (PARS®), developed by the Vanderbilt Center for Patient and Professional Advocacy?
A.
B.
C.
D.
52 . What are the lowest and highest levels of physician intervention in PARS® ?
A.
B.
C.
D.
53 . What constitutes a physician-based barrier to implementation of a DA&O program?
A.
B.
C.
D.
54 . Which factors surrounding a clinical adverse event influence whether a claim is pursued, whether it is deemed meritorious, and the type and amount of remuneration is awarded?
A.
B.
C.
D.
55 . An effective organizational approach to managing liability will include what communication goals that support patient safety?
A.
B.
C.
D.
56 . Communication-and-resolution programs that value speaking up and improving care should be facilitated by/throughout
A.
B.
C.
D.
57 . Design and implementation of organizational approaches to patient safety should include clinician attitudes and norms surrounding
A.
B.
C.
D.
58 . Safety culture is positively influenced by
A.
B.
C.
D.
59 . Which describes physicians’ views on the culture of disclosing minor versus medical errors can be described as
A.
B.
C.
D.
60 . The Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOP) assesses
A.
B.
C.
D.
61 . Which of the following was not part of the 3-year AHRQ demonstration project “Communication to Prevent and Respond to Medical Injury: A Washington State Collaborative” were
A.
B.
C.
D.
62 . The key findings of the “Communication to Prevent and Respond to Medical Injury: A Washington State Collaborative” was that organizations
A.
B.
C.
D.
63 . Which of the following is recommended when developing processes for understanding how patient safety culture influences organizational approaches to safety and liability management?
A.
B.
C.
D.
64 . For effective change, organizations must go through several phases as described by John Kotter. These phases can be grouped into three main themes. Which is the first?
A.
B.
C.
D.
65 . Which factor will not facilitate near-miss event reporting in primary care setting
A.
B.
C.
D.
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