Question 1

Which of the following factors should be considered when setting or adjusting indemnity reserves?

incurred medical expenses

emotional pain and suffering

medical expert witness costs

future cost of medical care

Options :

A : 1, 2, and 3 only

B : 1, 2, and 4 only

C : 1, 3, and 4 only

D : 2, 3, and 4 only

Answer: B

Question 2

What is the voluntary relinquishment by the insurer or self-insurer of the right to recover from a third party?

Options :

A : Waiver of subrogation

B : Coinsurance

C : Underwriting

D : Experience rating

Answer: A

Question 3

A physician dies upon arrival to the emergency department from her home following a gunshot wound to the chest. The police report a history of domestic violence. The organization is required to notify the

Options :

A : state Board of Medicine.

B : Department of Health and Family Services.

C : Office of the Medical Examiner.

D : organization's public relations department.

Answer: C

Question 4

The set of values, norms, guiding beliefs, and understandings that is shared by members of a healthcare organization and is taught to new members is

Options :

A : organizational culture.

B : corporate vision.

C : managerial ethics.

D : strategic mission.

Answer: A

Question 5

A clear directive to a nurse is:

Options :

A : “Be careful.”

B : “Monitor the infusion pump’s operation at defined intervals and document checks.”

C : “Do your best.”

D : “If you have time, look at it.”

Answer: B

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