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Clinical Knowledge & Compliance Assessment

1st Hand Health Care Services

701 Yarnall St. Suite G, Chester, Pennsylvania 19013

11 North Broad Street, Middletown, Delaware 19709

Office Number: +1 (302) 765-8495

Office Fax: +1 (888) 817-8426

Email: info@1sthandhealthcare.com

The following Knowledge Validation & Regulatory Compliance Assessment is required for all applicants to complete. You must score 80% or higher to pass this assessment. Typing your name below serves as an electronic signature.

If the applicant scores below 80%, a second exam (exam B) will be given. If the applicant scores below 80% on exam B, they will not be eligible for hire.

📝 Health Insurance Portability & Accountability Act (HIPAA) Assessment

📝 Core Competency Knowledge Validation

📝 Age-Specific Competence Assessment

📝 Workplace Violence Test

📝 OSHA Test

📝 Fraud Assessment

📝 Medical Waste Disposal & Compliance Assessment

📝 Immune Disorders Intravenous Competency Assessment

HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY ACT (HIPAA) ASSESSMENT

Name

Date

1. If state law is more restrictive than federal HIPAA law, which of the following is true:

State Law must be followed because it is more restrictive

Federal Law must be followed because federal laws are more important than state laws

2. Which of the following things must a covered entity NOT do under HIPAA regulations:

State Law must be followed because it is more restrictive

Notify patients of their privacy right and how information can be used

Secure patient records containing health information so that they are not available to those who do not need access to them

Refuse to treat a patient if they cannot sign the Notice of Privacy Practice upon admission

3. Knowingly obtaining or disclosing identifiable health information relating to an individual in violation of the Rule nay result in prison sentence and/or fines.

True

False

4. Which of the following is not considered as a patient right under HIPAA?

Request a limitation on their PHI that can be disclosed to someone involved in their care or payment for their care

A ten percent or copy their PHI

To inspect or copy their PHI

To receive communication from the health care facility by receiving information at an alternative address

5. If a patient cannot be given a privacy notice in an emergency situation, we are not obligated to give them a copy at a later date.

True

False

6. A normal, audible discussion about a patient’s condition in a public area, such as a cafeteria or elevator, is a violation of the Privacy Rule.

True

False

7. Clinicians can discuss any healthcare information with anyone who calls inquiring about a patient.

True

False

8. When the requester is not known, an employee should call to verify the recipient of the information prior to faxing.

True

False

9. Appropriate security measures such as computer password protected systems or locking paper records when unused should be followed to protect PHI.

True

False

10. Protected Health Information is allowed to be sent electronically outside the institution through e-mail, web browsers, or FTP without seeking guidance from the Information Services Department.

True

False

11. Only individuals directly involved in patient care need worry about the HIPAA Privacy Rule.

True

False

CORE COMPETENCY KNOWLEDGE VALIDATION

Name

Date

1. The acronym "RACE" stands for

2. The acronym "PASS" stands for

3. Faulty equipment should be:

Taken out of service

Tagged

Reported

All of the above

4. All electrical equipment should be checked for current inspection stickers prior to use.

True

False

5. If you are exposed to a bloodborne pathogen, you should:

Report it to your supervisor. At the end of your shift, go to the ER or to your family doctor

Check the patient’s chart for the medical history. If there is no report of hepatitis or HIV, wash the area and don’t be concerned

Wash the area thoroughly. Call the supervisor immediately. Go to the ER or the occupational health department ASAP

6. What is the best protection against the spread of infection?

7. Define "CONTACT PRECAUTIONS"

8. Define "DROPLET PRECAUTIONS"

9. Define "AIRBORNE PRECAUTIONS"

10. Blood must be infused within 4 hours of the time it was picked up.

True

False

11. What are the 4 types of transfusion reactions that can occur?

12. What are the 6 pieces of information that need to be verified before hanging blood?

13. Before picking blood up from the Blood Bank:

Make sure patient has adequate access for transfusion

Check for physicians order

Verify that consent was obtained

All of the above

AGE-SPECIFIC COMPETENCE ASSESSMENT

Name

Date

1. Which of the following are considerations in age-specific care?

Communication techniques and safety of the environment

Communication techniques and size of equipment and supplies

Safety of the environment and size of equipment and supplies

Communication techniques, safety of the environment, and size of equipment and supplies

2. Adults of all ages (young, middle, and elderly) respond to pain in the same manner.

True

False

3. Nutritional needs are greatest during:

4. Which of the following considerations are important in meeting nutritional needs of the geriatric patient?

Make sure dentures are clean, well fitting, and being used

Assessment of patient’s ability to chew and swallow

Food preferences

Patients glasses are clean and in place

All of the above

5. Discharge planning and education for children should:

Only include the primary caregiver

Focus only on needs related to the reason for hospital visit

Use age-appropriate techniques to involve both the child and parent

Be done only by the physician

6. Discharge planning for the geriatric patient should include all of the following EXCEPT:

Frequent repetitions of short, simple, clear information

Assessment of resources available to the patient (financial, assistance with physical needs, ambulatory aids, etc.)

Be done in a large group setting

Ensure that patient has his/her glasses and/or hearing aid on if needed

7. It is important to remember that when caring for adolescents:

To respect their privacy

Ask personal information when parents are not present

Authoritarian behavior usually alienates them

All of the above

8. Illness in the elderly is often characterized by:

A single specific complaint

Fever

Multiple non-specific complaints

9. Safety measures for the patient with impaired vision may include:

Provide adequate non-glaring lighting

Using night lights in rooms

Providing mechanism for patients to get assistance in a timely manner

All of the above

Indicate the appropriate pain assessment tool to be used for each of the following groups:

10. Infants

11. Children

12. Adolescents

13. Intact geriatric patients

14. Cognitively impaired geriatric patients

WORKPLACE VIOLENCE TEST

Name

Date

1. Which location would be excluded from the definition of workplace violence?

Home health visits to clients

Parking lots at work

First aid stations at public events

Healthcare workers' homes

2. Verbal threats on the job are not workplace violence because no physical harm has been done.

True

False

3. Researchers divide workplace violence into four categories: violence by strangers, violence by clients, violence by co-workers and?

Violence by someone in personal relationship

Violence by criminals

Violence by company owners

Violence by intruders

4. Type 1 violence by a stranger is usually associated with:

Rage at finding doors locked

A crime

Parking lot incidents

Alcohol

5. Type II violence by a client may be categorized as:

Serious or blowing off steam

Physical or implied

Inherent or situational

Drug-induced or nondrug-induced

6. Managers and supervisors may be at greater risk of Type II violence by a coworker.

True

False

7. Type IV violence by someone in a personal relationship is?

Unrelated to abuse

Impersonal and sometimes random

Related to high productivity

Often directed toward a female

8. Healthcare workers are at risk for violence from all but which one of the following?

Increased prevalence of handguns

Increased numbers of mentally ill clients who receive no follow-up care

Decreased wait times for clients

Decreased staffing levels

9. Which one of the following is a security hazard in the workplace?

Break room isolated from work area

Alarm system at back door

Multilevel parking garages

Using cell phones or pagers

10. OSHA's General Duty clause requires employers to:

Pay minimum wage

Report all workplace thefts

Provide a safe working environment

Counsel violent employees

11. An effective workplace violence prevention plan includes management commitment, worksite analysis, training, evaluation of the program, and?

Counseling services for angry clients

Employee involvement in hazard assessment

Caps on the numbers of nightshift workers

Discipline for employees who report potentially violent situations

OSHA TEST

Name

Date

1. The prepared nurse should always check their assigned area for which of the following?

2. Which of the following is the most common type of fire extinguisher in the healthcare setting?

Type A

Type BC

ABC multipurpose

3. To operate a fire extinguisher, read the directions and then:

Pull aim squeeze and sit down

Pin aim shout and squeeze

Point alarm shout and sweep

Pull aim squeeze and sweep

Match the following terms with their correct definitions:

4. Flammable Chemicals

5. Reactive Chemicals

6. Toxic Chemicals

7. Corrosive Chemicals

8. Infection control does which of the following?

Breaks the chain of transmission

Helps to isolate sources of infection

Prevents unnecessary communicable diseases

All of the above

9. Tuberculosis is an infectious disease spread person to person through the air and into the lungs. All of the following may be symptoms of TB except?

Weakness and night sweats

Vomiting

Weight loss and cough

Bloody sputum

10. TB is prevented by infection control and treated with medication.

True

False

11. Which of the following statements is true about Hepatitis-B?

HBV is not a bloodborne infection

HBV can be transmitted through casual contact

HBV is a major occupational risk for healthcare workers

HBV is not preventable with an immunization

12. Which of the following statements is true about Human Immunodeficiency Virus?

HIV is not transmitted through causal contact

HIV can result in the life-threatening illness aids

There is no immunization that can prevent HIV

All of the above

13. Which of the following is not listed as Personal Protective Equipment?

Gown

Gloves

Protective headgear

Resuscitation equipment

14. Which of the following is true about hand washing?

Must be immediate and thorough

Must occur before and after each patient contact

Must occur after exposure to contamination

All of the above

15. To avoid needle stick injuries:

Remove needle from syringe and discard

Recap needles after injections and carry in pocket to approved receptacle

Dispose of needles in waste disposal bags

Do not recap bend or break needles

16. If body fluid droplets are in the air:

Wear protective eyewear

Wear a mask

Wear a mask and eyewear

Leave the room

17. Gloves should be worn:

For phlebotomy but only if they don't interfere with the blood draw

When you are likely to touch body fluids

Whenever getting near a patient

At your discretion

18. Universal Precautions should be observed:

With all patients

Only with patients with known infections

Only when ordered by a physician

Only with patients with HBV and HIV

FRAUD ASSESSMENT

Name

Date

1. Which of the following is considered healthcare fraud?

Administering medication as per a physician's order

Billing for services that were not provided

Educating patients about their health conditions

Following HIPAA compliance

2. What is the primary goal of healthcare fraud laws like the False Claims Act?

Protect healthcare workers

Prevent unauthorized access to medical records

Ensure that healthcare funds are used appropriately

Punish patients who refuse treatment

3. Which agency is responsible for investigating healthcare fraud in the U.S.?

Centers for Disease Control and Prevention (CDC)

Food and Drug Administration (FDA)

Office of Inspector General (OIG)

National Institutes of Health (NIH)

4. Healthcare fraud only affects insurance companies, not patients.

True

False

5. Documenting false information in patient records is considered a form of healthcare fraud.

True

False

6. Waiving co-pays for all patients without documenting a financial hardship policy may be a compliance violation.

True

False

7. A colleague asks you to sign off on patient care you did not provide because they "ran out of time." What would you do?

8. You notice a pattern where patients are being billed for services they did not receive. What steps would you take to address this?

9. During your shift, you realize that a physician has prescribed unnecessary tests for a patient. How would you handle this situation?

Match the following terms with their correct definitions:

10. HIPAA

11. Stark Law

12. Anti-Kickback Statute

13. What is the primary purpose of compliance training in healthcare organizations?

Improve staff knowledge about patient care

Reduce healthcare costs

Minimize the risk of fraud, waste, and abuse

Ensure staff retention

MEDICAL WASTE DISPOSAL & COMPLIANCE ASSESSMENT

Name

Date

1. What is considered an example of healthcare waste?

Single-use syringes disposed of after use

Billing for necessary tests

Proper disposal of expired medication

Over-ordering supplies that expire unused

2. What is the purpose of healthcare waste management policies?

To comply with the OSHA Bloodborne Pathogens Standard

To reduce unnecessary expenses and environmental impact

To ensure proper medical procedures are followed

To track patient outcomes

3. Which of the following is an example of wasteful practices in healthcare?

Reducing the use of single-use plastics

Prescribing antibiotics unnecessarily

Properly labeling hazardous waste containers

Optimizing inventory to reduce surplus

4. All healthcare waste can be disposed of in regular trash bins.

True

False

5. Overordering medical supplies that expire before use contributes to financial waste.

True

False

6. Proper waste segregation in healthcare settings is essential to comply with regulations and minimize environmental harm.

True

False

7. During your shift, you notice a colleague discarding sharps in a general waste bin. What would you do?

8. You observe that your department consistently overorders a medication that frequently expires unused. What steps would you take to address this?

9. A patient requires wound care, but the dressing kit you have contains multiple items that won’t be used. How can you ensure this scenario is managed to minimize waste?

Match the following terms with their correct definitions:

10. Biohazard Waste

11. Sharps Container

12. Hazardous Waste

13. Which of the following practices can help reduce healthcare waste?

Segregating waste into appropriate categories

Reusing single-use items when possible

Ignoring expiration dates on medications

Disposing all waste in biohazard bags

IMMUNE DISORDERS INTRAVENOUS COMPETENCY ASSESSMENT

Name

Date

1. If administering IVIG directly from a glass container, you must utilize a vented tubing system.

True

False

2. IVIG may be delivered by the following methods:

3. 24-gauge peripheral IV catheter is too small to administer IGIV.

True

False

4. All of the following are potential complications/side effects of IGIV, except:

Shortness of breath

Abdominal cramping

Headache

Hematuria

5. All patients that receive IGIV products in the home setting should have an Epi-pen on hand at all times even if they have not had a reaction in the past.

True

False

6. While infusing IGIV, the patient reports sudden abdominal cramps. What would you do?

Increase the rate of the infusion and offer the patient a snack

Stop the infusion, remove the IV access device, and tell the patient to rest

Decrease the rate of infusion immediately and see if the symptoms start to resolve

Nothing. Abdominal cramps are expected.

7. The following locations are considered acceptable sites to place a PIV for the administration of IGIV:

8. Some patients pre-medicate with acetaminophen and diphenhydramine prior to the administration of IVIG.

True

False

9. IVIG is commonly used for all of the following conditions, except:

Hepatitis C

Common variable immune deficiency

Idiopathic thrombocytopenia purpura

Agammaglobulinemia

10. All IVIG products should be administered based on the titration rates recommended by the manufacturer.

True

False

The assessment serves to verify that the applicant has successfully completed the initial competency requirements for the topics as indicated, as recognized by 1st Hand Health Care Services.

HIPAA ASSESSMENT - Completion of the assessment

Yes

Date Completed

CORE COMPETENCY KNOWLEDGE VALIDATION - Completion of the assessment

Yes

Date Completed

AGE-SPECIFIC COMPETENCE ASSESSMENT - Completion of the assessment

Yes

Date Completed

WORKPLACE VIOLENCE TEST - Completion of the assessment

Yes

Date Completed

OSHA TEST - Completion of the assessment

Yes

Date Completed

FRAUD ASSESSMENT - Completion of the assessment

Yes

Date Completed

MEDICAL WASTE DISPOSAL & COMPLIANCE ASSESSMENT - Completion of the assessment

Yes

Date Completed

IMMUNE DISORDER INTRAVENOUS COMPETENCY ASSESSMENT - Completion of the assessment

Yes