ASHRM Focus on What’s Important of CPHRM Latest Test Cost
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ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q34-Q39):
NEW QUESTION # 34
What are risk treatment strategies?
- A. Public relations, branding, advertising
- B. Risk avoidance, risk retention, risk transfer (and risk reduction/mitigation)
- C. Staff vacation scheduling
- D. Litigation, denial, delay
Answer: B
Explanation:
Core risk treatment strategies includeavoidance(stop the activity),reduction/mitigation(controls that reduce likelihood/severity),retention(accept risk within appetite and fund losses via reserves/self-insurance), and transfer(contracts/insurance shifting financial consequences). In healthcare, the highest priority is often mitigation for patient safety risks (standardization, technology, training), with financing mechanisms ensuring the organization can absorb residual loss without destabilizing operations. ERM aligns these strategies to enterprise objectives so leadership invests in the best mix of prevention and financing.
NEW QUESTION # 35
What in particular is the process chain in a laboratory subject to?
- A. Zero human factors influence
- B. Exclusively equipment failure
- 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 # 36
An appropriate way to complete the verification read-back of a complete order, as required by The Joint Commission National Patient Safety Goals, is to have the person receiving the order
- A. write the information down before reading it back.
- B. document the date and time the order was received.
- C. immediately repeat the information.
- D. have a witness verify that the information is repeated back correctly.
Answer: A
Explanation:
According to Health Care Risk Management standards supported by ASHRM and The Joint Commission National Patient Safety Goals, the read-back process is designed to ensure accurate communication of verbal or telephone orders. The correct process requires the person receiving the order to first write down the complete order and then read it back to the prescribing practitioner for verification.
Writing the order down before reading it back reduces reliance on memory and decreases the risk of omission or transcription errors. The practitioner who gave the order must then confirm that the read-back is accurate.
This closed-loop communication process enhances patient safety and reduces medication and treatment errors associated with miscommunication.
Immediately repeating the information without documenting it does not meet the full verification requirement, as the written record must be confirmed. A witness is not required under the standard. Documenting the date and time is necessary for proper charting but does not constitute completion of the read-back verification itself.
Clinical and patient safety objectives emphasize clear, structured communication processes. Therefore, writing the information down before reading it back is the appropriate method to complete the verification process.
NEW QUESTION # 37
Information from the Data Bank (NPDB; includes former HIPDB content) can be requested by:
- A. Any member of the public
- B. Patients requesting a clinician's full file
- C. Professional societies with formal peer review (as permitted)
- D. Social media investigators
Answer: C
Explanation:
Access to NPDB information is restricted to authorized entities for credentialing, privileging, and oversight- not public browsing. HRSA's NPDB rules identify who can query and report;professional societies with formal peer revieware listed among entities that may query under certain circumstances. This limited-access model supports patient safety objectives by enabling credentialing bodies to identify adverse licensure actions, certain negative clinical privilege actions, and other reportable events, while protecting due process and confidentiality. From a risk management perspective, proper querying supports defensible credentialing and reduces negligent credentialing exposure. Equally important: organizations must maintain secure handling of NPDB responses and follow permitted-use rules to avoid compliance violations.
NEW QUESTION # 38
An interrogatory requests insurance policy information. A risk manager should
- A. attach a certificate of insurance.
- B. provide the specifically requested information.
- C. provide excess limits as well as primary limits.
- D. object to the interrogatory.
Answer: B
Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, insurance policy information is generally discoverable in litigation. Most jurisdictions require disclosure of applicable liability coverage, including policy limits, pursuant to civil procedure rules governing discovery. Therefore, when an interrogatory properly requests insurance policy information, the organization should provide the specifically requested information in coordination with defense counsel.
Providing more information than requested, such as automatically including excess limits if not asked, may exceed the scope of the interrogatory and should be guided by legal counsel. A certificate of insurance is not a substitute for responding to formal discovery requests, as it may not contain all required details regarding coverage, limits, and applicable policy periods.
Objecting to the interrogatory without valid legal grounds is generally inappropriate, as insurance coverage information is typically relevant to potential satisfaction of judgment.
Claims and litigation objectives emphasize cooperation with counsel, compliance with discovery rules, and accurate disclosure of coverage information. Therefore, the appropriate response is to provide the specifically requested insurance policy information in accordance with legal guidance.
NEW QUESTION # 39
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