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ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q57-Q62):
NEW QUESTION # 57
Per The Joint Commission and CMS patient visitation standards, a hospital may restrict an individual's ability to visit a patient if the visitor
- A. is known to be a drug seeker in the community.
- B. is not the patient's designated healthcare surrogate.
- C. is not the patient's immediate family member.
- D. administered the patient an unknown drug via IV.
Answer: D
Explanation:
According to Health Care Risk Management standards supported by ASHRM, CMS Conditions of Participation, and The Joint Commission patient visitation standards, hospitals must have written visitation policies that respect patient rights. Patients generally have the right to designate visitors of their choosing, including individuals who are not immediate family members. Visitation cannot be restricted based on non- clinical factors such as relationship status or surrogate designation.
However, facilities may impose clinically reasonable or safety-based restrictions. If a visitor administers an unknown drug intravenously to a patient, this presents a clear and immediate threat to patient safety. Such conduct justifies restricting visitation to protect the patient from harm, maintain clinical control of treatment, and prevent unsafe interference with care.
Being known as a drug seeker in the community, without evidence of disruptive or harmful behavior during the visit, does not alone justify restriction under patient rights standards. Similarly, visitation cannot be denied solely because the individual is not the designated healthcare surrogate.
Legal and regulatory objectives emphasize balancing patient rights with safety and security. Therefore, a hospital may restrict visitation when a visitor's actions pose a direct threat to patient safety.
NEW QUESTION # 58
An organization's chief of orthopedics has scheduled an implant of a new artificial hip for the next day. The chief developed the artificial hip while working as a consultant for a medical device company. The device has not yet been approved by the FDA or the Institutional Review Board. The risk manager's best immediate course of action is to
- A. call the chief of surgery to discuss canceling the procedure.
- B. contact the FDA to clarify the status of the device.
- C. call a special meeting of the Institutional Review Board.
- D. verify the informed consent for the procedure.
Answer: A
Explanation:
Under Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, the implantation of a medical device that lacks FDA approval and Institutional Review Board oversight presents significant legal and regulatory violations. Use of an unapproved device outside of an approved investigational protocol may violate federal regulations governing human subject research and medical device approval processes.
The risk manager's primary responsibility is to immediately mitigate regulatory and liability exposure.
Because the procedure is scheduled for the next day, urgent intervention is required. Contacting the FDA would not resolve the immediate risk. Verifying informed consent is insufficient, as patient consent cannot legitimize use of an unapproved device outside regulatory pathways. Calling a special IRB meeting would not retroactively authorize an unapproved device without appropriate investigational device exemption processes.
Escalating the issue to the chief of surgery to halt or cancel the procedure is the most appropriate immediate step. This ensures that organizational leadership addresses the compliance violation before patient harm occurs. Risk management objectives emphasize proactive prevention of regulatory breaches, protection of patient safety, and preservation of institutional integrity. Therefore, stopping the procedure is the correct and immediate action.
NEW QUESTION # 59
What in particular is the process chain in a laboratory subject to?
- A. Exclusively equipment failure
- B. Zero human factors influence
- C. Standardization only
- D. Variability across pre-analytical, analytical, and post-analytical phases
Answer: D
Explanation:
Laboratory testing is best understood as atotal testing process(from test ordering through specimen collection, analysis, and result reporting). Across this chain, error risk is heavily influenced byvariability- especially inpre-analytical steps(patient identification, tube labeling, specimen handling, transport conditions) andpost-analytical steps(timely reporting, critical value communication, interpretation). Risk management objectives emphasize controlling variation through standard work, barcoding, competency training, environmental controls, and quality indicators for each phase. Importantly, many lab failures arise outside the analyzer itself; focusing only on the analytical instrument misses major sources of harm. Reducing variability improves reliability, reduces redraws and diagnostic delay, and supports defensible performance in accreditation and event review. In short: the lab process chain is a high-volume, multi-step clinical production system-variation is inevitable, but unmanaged variation increases patient safety risk.
NEW QUESTION # 60
Which of the following best describes the appropriate scope of a risk manager's involvement in community disaster preparedness?
- A. Calculate the value of human resources, equipment, and supplies consumed, with reimbursement to be obtained from FEMA.
- B. Analyze liability risks arising from patient harm sustained due to strained or inadequate resources during a mass-casualty event.
- C. Incorporate emergency management into a comprehensive enterprise risk management plan designed to conserve and protect organizational assets.
- D. Quantify risk exposures associated with implementing the disaster plan.
Answer: C
Explanation:
According to Health Care Risk Management standards endorsed by ASHRM and the American Hospital Association Certification Center, a risk manager's role in community disaster preparedness extends beyond narrow liability analysis. The appropriate scope involves integration of emergency management into the organization's broader enterprise risk management framework.
Enterprise risk management ERM is a structured, organization-wide approach to identifying, assessing, and managing risks that may affect strategic objectives, operations, financial stability, and reputation. Disaster preparedness is a critical operational risk that must be aligned with governance, compliance, continuity planning, and asset protection strategies. By incorporating emergency management into ERM, the risk manager ensures coordination across clinical services, facilities, supply chain, communications, and leadership structures.
Option A focuses only on post-event liability. Option C limits involvement to quantification without strategic integration. Option D addresses reimbursement processes rather than preparedness strategy.
Health Care Operations objectives emphasize collaboration with emergency management teams, regulatory compliance with preparedness standards, and resilience planning to protect patients, staff, and assets.
Therefore, integrating emergency management into a comprehensive enterprise risk management plan best defines the risk manager's appropriate scope of involvement.
NEW QUESTION # 61
Generally, an incident is defined as:
- A. Any happening not consistent with routine care/operations (including near-misses)
- B. Only billing disputes
- C. Only patient complaints
- D. Only events that cause death
Answer: A
Explanation:
Broad incident definitions (including near-misses and unsafe conditions) support proactive risk management.
If reporting is limited only to severe harm, the organization loses learning opportunities from early warning signals. Risk management objectives favor capturing deviations from expected process-falls without injury, specimen labeling near-misses, medication dispensing discrepancies-because these events reveal system vulnerabilities that can later cause major harm. Strong incident management includes classification, timely review, escalation thresholds, root cause analysis for significant events, and feedback to frontline staff. This approach aligns with systems-based safety: identify hazards, implement controls, and monitor effectiveness.
NEW QUESTION # 62
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