Maryland (MD) Psychology Jurisprudence Exam Questions with Correct Verified Answers, Exams of Nursing

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Maryland (MD) Psychology Jurisprudence

Exam Questions with Correct Verified Answers

Activities and services --- correct answer --- Psych services required for training

Board --- correct answer --- State board of psychology

Number of hours required for licensure --- correct answer --- 3250 hours, across 2 years supervised experience (75% by a psychologist, 2 hours for every 20 hours of experience plus other learning activities)

Requirement to pass the MD exam --- correct answer --- 75%

Requirement to pass the EPPI exam --- correct answer --- 70% (scaled score

500. recently or 73% before 2002

Two exemptions to being required to have a license in MD --- correct answer --- 1 - Interns, fellows, psych associates, students using the appropriate title, only in the training setting 2 - licensed in another state and graned a temporary exemption while they wait to take the exam

Why go on inactive status --- correct answer --- Leaving state and may return nto practice later

How to reactivate license --- correct answer --- apply, pay fee, prove CE requirements

When do you renew --- correct answer --- Every other year, March 31

How soon can you reapply for licensure after it being revoked --- correct answer --- 5 years

What is Board's mission --- correct answer --- ensure a minimum level of training is met

Why CE's important --- correct answer --- to ensure a minimum in maintaining competence and not harming consumers

What are goals of CE's (4 goals, 3 no's) --- correct answer --- 1 - maintain professional competency 2- increase professional skills and knowledge 3 - prepare for new roles and responsibilities in practice 4 - expands the science of psych theory, method, or practice NO'S: business meetings, professional committee meetings, presentations/publications for a lay audience

What are CE requirements --- correct answer --- 40 CE's per 2 years. (Max 20 independent study (APA approved), minimum 3 ethics / law / risk management, minimum 3 cultural competence/diversity, maximum 30 hours for scholarly activities). Goes on cycle ending March 31. Have to keep proof in case of audit.

What kind of CE documentation is necessary --- correct answer --- Reprints, transcript and course syllabi, test and certificate of completion for independent study or workshops. Keep for 4 years.

What CE hours are earned for scholarly activities --- correct answer --- Only earned by first 3 authors.

Authoring, editing, presenting or revising a publication. 20 hours for a book. 15 for Editor of a book, author of a book chapter, author of a journal article. 15 for service as Editor or Associate Editor of a journal. 15 for service on an editorial board for a journal. 3 hours for each hour of presentation (max 15 hours) for an authorized sponsor. 3 hours for each poster presentation (max 15 hours) for an authorized sponsor. 15 hours for a teaching a new graduate level psychology course

What are rules for earning CE at a presentation --- correct answer --- Authorized sponsor, defined purpose and content area, qualified presenter, 1 hour or more in lenght, record of attendance, documentation of completion, evaluation form

Who is automatically authorized to provide CE in MD --- correct answer --- NIH, APA, NASP, NASW, AMA, MD Dept of Health and Mental Hygiene, MD Psych Assoc (approved by APA)

Failure to complete CE requirements --- correct answer --- - do not complete, or do not comply with audit within 30 days

If denied license, can request a hearing --- correct answer --- within 30 days, in writing

To reactivate license from inactive --- correct answer --- Provide proof of 20 CE (10 or fewer independent study) in last year. If more than a year left in the cycle, complete another 20 in that time period.

To reactivate license from expired --- correct answer --- Provide proof of 20 CE (10 or fewer independent study) in last year and complete the rest on time, OR if more than 1 year since it expired, show 40 CE for the current period.

Can you always reactivate an expired license? --- correct answer --- No, not if more than 5 years expired. Then reapply.

How does the Board notify about a hearing --- correct answer --- At least 30 days before, in person, registered or certified mail, restricted delivery, return receipt

Can you have legal counsel for a hearing? --- correct answer --- Yes, you can be alone or with counsel

why a prehearing conference --- correct answer --- to attempt to settle the case, to prepare for the the hearing by delineating issues, stipulating facts, arranging schedule, arranging witness list, subject matter of testimony

What is discovery on request --- correct answer --- by written request, either party can request within 15 days: witness list, copies of documents

what is mandatory discovery --- correct answer --- each party will provide the other (at least 15 days before prehearing conference or 45 days before hearing) name and cv of expert witnesses, expert report

How is expert report evaluated --- correct answer --- can exclude it if not sufficiently specific or doesn't comply. At the prehearing conference, or just before the hearing

Can you add witnessses or documents later? --- correct answer --- Not after the prehearing conference, or if none, no later than 15 days before the hearing (except for impeachment or rebuttal purposes)

Can you appeal? --- correct answer --- Yes, you can seek judicial review

Do the ethics only apply to licensed psychologist? --- correct answer --- No, also applies to you during the training period, and to others who practice psychology in the state.

what is a multiple relationship --- correct answer --- relatinship in which you are concurrently participating in two or more roles

what are four sexual intimacies --- correct answer --- 1 - genital contact, 2 - nongenital contaxt with hips, loin, thigh, buttocks or breasts, 3- exposure or observation of genital or nude portions of bodies involving breasts, buttocks or genitals; 4 - other behaviors engaged in for the purpose of sexual arousal or gratification

After a hearing, how does the board convey decision? --- correct answer --- in writing, with statement of facts and findings. protects patient confidentiality. mailed to licensee and legal counsel. If no violation, immediately dismissed and records expunged

Can you ask for rehearing? --- correct answer --- Yes, within 10 days, explaining grounds. Board will respond within 30 days. Does not affect order/decision. As a result of new evidence, can reverse earlier decision and exonerate licensee.

If your license elsewhere is restricted --- correct answer --- notify MD Board within 60 days

Can you offer advice to neighbors --- correct answer --- Only in context of clear professional relationships

what kinds of diversity need to be respected? --- correct answer --- age, race, gender, ethnicity, culture, national origin, disability, SES, or other basis proscribed by law

responsibility for medical records --- correct answer --- do not destroy, alter, damage, medical records being used in a proceeding

compliance with board --- correct answer --- do not intimidate or influence others that are appearing before the Board

taking credit --- correct answer --- only for work performed or supervised

responsibility as employer --- correct answer --- must ensure employees are trained and comply with ethical principles

3 things to include in syllabus --- correct answer --- 1 - subject matter, 2- nature of course experiences, 3- basis for evaluating performance

7 things important in research --- correct answer --- 1 - dignity and welfare of subjects, compliance with rules, 2 - responsibility for ethical treatment of subjects by collaborators, employees, 3 - follow rules for animal protection, 4 - comfort, humane treatmen to animals, 5 - make clear nature of participation, costs, obligations, 6 - obtain approvals, 7 - report results accurately

7 standards of professional competence --- correct answer --- 1 - limit practice to competence from education training or experience, 2 - acquire special ed and training to address cultural differences, 3 - avoid unfair discrimination, 4 - use intervention and assessment only when appropriate (supported by reliability, validity, outcomes), 5 - maintain competence through CE, 6 - engage in ongoing consultation and seek more training when developing competence in a new area, 7 - document and maintain appropriate records for professional and scientific work

2 indicators of impaired competence --- correct answer --- 1 - shall represent qualifications accurately and seek assistance if become aware that competence is impaired; 2 - shall not undertake or continue relationship if there ais possibility that compentence/objectivity could be impaired by: mental emotional physiological pharmacological or personal problems OR present relatinship with client or if there is a conflict of interest or appearance thereof

3 advertising Do's --- correct answer --- 1 - represent accurately qualifications, 2 - correct others that misrepresent, 3 - identify paid advertising as such

4 advertising don'ts --- correct answer --- 1 - misrepresent affilitation, 2 - claim membership that asserts qualifications, 3 - make public statements that are false, deceptive fraudulent, misleading, partially disclose facts, or

create unjustified expectations of favorable results, 4 - solicit endorsements from clients

3 aspects of informed consent (general) --- correct answer --- 1 - appropriate language, 2 - vary procedure to ensure capacity to consent, provided all the info, knows it is voluntary, can ask questions

5 - aspects of research consent, make clear --- correct answer --- 1 - purpose and nature as well as costs, 2 - risks and consequences, 3 - purpose and nature of eval, treatment, education or training procedure, 4 - right to withdraw, 5 - notification about any observation, taping, filming

6 aspects of therapy, make clear --- correct answer --- 1 - reasonable expectation, 2 - nature and purpose of testing, reports, consult, 3 - limits of confidentiality, 4 - fees, billing, collection, 5 - schedules, 6 - termination procedures

5 aspects of fees and payments, make clear --- correct answer --- 1 - make advance financial arrangemtns, 2 - inform about collection procedures, 3 - comply with rules on referrals, 4 - make clear any renumeration in providing referrals, 5 - don't sign insurnace statements unless provided the services yourself

testing - 9 important things --- correct answer --- 1 - only most current versions, 2 - only standardized tests, 3 - not encourage use by untrained, 4 - explain results fully and include factors that affect performance, 5 - avoid misuse of automated reports, 6 - base recommendations on appropriate tests, 7 - don't reproduce materials so as to compromise validity, 8 - supply manual for all tests developed that includes psychometrics, 9 - use appropriate tests for special populations

who can you release test results to? --- correct answer --- - raw data must be qualified to interpret, unless required by law

what are two key aspects of client welfare --- correct answer --- 1 - make sure to disclose conflicts of interest, taking confidentiality into account; 2- arrange for emergency coverage when not available

what exploitation must be avoided --- correct answer --- 1 - exploit or harm; 2 - take actions that violate or diminish rights; 3- exploit trust and dependency; 4 - allow personal, social, religious, organizational, financial, political pressures to lead to misuse of their influence; 5 - enter into non- psych non-professional relationship that is considered exploitative based on (nature, duration, intensity of services; length of relationship; length of time since termination; mental stability of psych and client; circumstances of termination; likelihood of adverse impact)

what sexual misconduct must be avoided --- correct answer --- 1 - sexual intimacies with current client; 2 - sexual intimacies with former client within 2 years of termination or longer if it might be exploitative (same defininition as earlier); 3 - sexual intimacies with relatives of the client within 2 years of termination; 4- termination so as to engage in sexual intimacies; 5 - sexual behavior in the context of eval, treatment, service; 6 - sexual behavior under the pretext of therapeutic benefit

what harrassment must be avoided --- correct answer --- 1 - engage in sexual solicitation, advances,verbal or nonverbal sexual conduct in connection with professional role; 2 sexual harrassment of present or former cleints, supervisees, research participants; 3 - create hostile work or educational environment of unwelcome or offensive behaviors

2 ethics in regard to children --- correct answer --- 1 - treat minor children or adults with legal guardians only with appropriate authorization; 2 - take special care to protect children.

2 do's for termination --- correct answer --- 1 - make referral if in best interest of client; 2 - terminate by notifying in writing, assist in obaining help from another

4 reasons one MUST terminate --- correct answer --- if it is clear that the client is not benefitting, multiple relationship develops or is discovered, impaired competency develops, or psychologist is threatened by client or relative

2 reasons to release client records --- correct answer --- as permitted or required by law: 1 - patient request; 2 - child abuse reporting

8 ways to protect confidentiality --- correct answer --- 1 - maintain confidentiality; 2 - explain limits at beginning of treatment; 3 - safeguard information; 4 - release only as permitted or required by law; 5 - obtain written permission for recording interviews; 6 - avoid invasion of privacy by writing only about data relevant; 7 - treat assessment data as confidential;; 8 - obtain consent before presenting info & disguise information when possible

record keeping --- correct answer --- include informed consent, presenting problems, diagnosis, fee arrangements, dates and type of service, test data and evaluations, results of consultations

what is a psych associate --- correct answer --- master's degree or equiv, has applied to the Board, will work under direct supervision of a licensed Psych

what type of supervision is required for a psych associate --- correct answer --- one-on-one, in person

1 + hours per week for someone with doctorate

2 + hours per week if ABD

3 + hours per week if else

1 hour per testing of 5 hours or more

-can be reduced by half if someone has 3+ years of experience as psych associate

-can be reduced proportionally if less than full time (26 hours patient contact per week)

-must be doubled if they don't have the requisite experience to do what they are doing

how many psych associates can one psychologist supervise --- correct answer --- up to 7

4 requirements of Psych Assoc --- correct answer --- - must use that title, must disclose supervisory relationship, psych must take full responsibility, all supervision must be documented

6 factors board will consider in imposing a financial penalty --- correct answer --- 1 - if licensee derived financial benefit; 2 - willfullness; 3 - extent of public harm; 4 - history of previous violations, 5 - mitigating factors presented by licensee; 6 - cost of investigating and prosecuting the case

what is penalty for addiction / habitual intoxication --- correct answer --- up to $

what is penalty for willfully failing to file a report or impeding a report --- correct answer --- up to $

what is penalty for submitting a false statement to collect a fee --- correct answer --- up to $

what is penalty for promoting misleading advertising --- correct answer --- up to $

what is penalty for fraudulently obtaining or attempting to obtain a license for another --- correct answer --- up to $

what is penalty for fraudulently or deceptively using a license --- correct answer --- up to $

what is penalty for aids or abets someone unauthorized to practice psychology --- correct answer --- up to $

what is penalty for being professionally incompetent --- correct answer --- up to $

what is penalty for willfully disregarding something making you incompetent --- correct answer --- up to $

what is penalty for promoting sale of devices or goods so as to exploit the patient --- correct answer --- up to $

what is penalty for refusing or denying services based on HIV --- correct answer --- up to $

what is penalty for failure to cooperate with the Board --- correct answer --- up to $

what is penalty for being convicted or pleading guilty of a felony or crime of moral terpitude --- correct answer --- up to $10,

what is penalty for practicing psychology fraudulently --- correct answer --- up to $10,

what is penalty for violating code of ethics --- correct answer --- up to $10,

what is penalty for willfully files a false report or record --- correct answer - -- up to $10,

what is penalty for being disciplined in another jurisdiction, military, VA, court for an act in violation of Board's statutes --- correct answer --- up to $10,

what is penalty for violates Title 18 of the Health Occupations Article --- correct answer --- up to $10,

what is penalty for behaves immorally in practice of psychology --- correct answer --- up to $10,

what is penalty for commits act of unprofessional conduct in practice of psychologu --- correct answer --- up to $10,

what is penalty for act inconsistent iwth professional standards in practice of psychology --- correct answer --- up to $10,

definition of practice of psychology --- correct answer --- to provide to any person:

(i) Any service for compensation involving the application of psychological principles, psychological methods, or psychological procedures for understanding, predicting, or influencing behavior, including the principles that relate to learning, perception, motivation, emotions, organizational relationships, and interpersonal relationships;

(ii) Any service for compensation involving the application of psychological methods or psychological procedures for interviewing, counseling, psychotherapy, behavior modification, or hypnosis; or

(iii) Any service for compensation involving the application of psychological methods or psychological procedures for constructing, administering, or interpreting tests of mental abilities, neuropsychological functioning, aptitudes, interests, attitudes, personality characteristics, emotions, or motivations.

includes:

(i) diagnosis, prevention, treatment, and amelioration of psychological problems, emotional conditions, or mental conditions of individuals or groups;

(ii) assist an individual in acquiring greater human effectiveness or to modify feelings, conditions, attitudes, or behavior that is emotionally, intellectually, or socially ineffectual or maladjusted; and

(iii) The use of biofeedback instruments

what are psychological methods --- correct answer --- "psychological methods", "psychological principles", and "psychological procedures" include the body of information that can be derived from a graduate program in psychology, and other education or training recognized by the Board as prerequisites for a license under this title, and that does not amount to the practice of medicine

definition of psychologist --- correct answer --- "Psychologist" means an individual who practices psychology

what does definition of psychologist and psych practice not cover ( things)? --- correct answer --- 1) The right of an individual to practice a health occupation that the individual is licensed, certified, or otherwise authorized to practice under this article;

(2) The right of an individual to provide vocational rehabilitation services as authorized under Title 9, Subtitle 6 of the Labor and Employment Article; or

(3) The nonprofit activities and services of a bona fide religious organization that is exempt from taxation under § 501 (c) (3) of the Internal Revenue Code.

what are 5 exceptions to needing a license? --- correct answer --- 1) The activities and services of and the use of an official title by an individual employed by any agency of the federal government, this State, or any political subdivision of this State, or a chartered educational institution while performing the duties of that employment; (except for Department, a county health department, the Baltimore City Health Department, the Department of State Police, or the Department of Public Safety and Correctional Services after July 1, 1985)

(2) The education-related services described in regulations adopted by the State Department of Education that are performed by a certified school psychologist:

(i) While performing the duties of employment of the certified school psychologist; or

(ii) While conducting staff development and training workshops for compensation;

(3) The activities and services of a student, intern, resident or fellow while pursuing a supervised course of study in psychology that the Board approves as qualifying training and experience under this title;

(4) The activities and services of an individual while performing psychological services under the direct supervision of a licensed psychologist who takes full responsibility for the activities and services performed, if the supervised individual has graduated from an accredited college or university with at least a master's degree based on a program of studies whose content was primarily psychological or a program judged by

the Board to be substantially equivalent in subject matter and extent of training to a master's or doctoral degree in psychology, provided that:

(i) The supervised individual may not use any title other than "psychology associate";

(ii) The supervised individual has applied to the Board for an exemption under this section; and

(iii) The supervised individual has received an exemption under t

what is the exception for non-residents? --- correct answer --- (1) The Board finds that the circumstances warrant; and

(2) The individual:

(i) Is not a resident of this State; and

(ii) Meets the qualifications, other than residence and examination, for a license.

what qualifications are needed for licensure? --- correct answer --- (b) Moral character. -- The applicant shall be of good moral character.

(c) Age. -- The applicant shall be at least 18 years old.

(d) Education. -- The applicant shall have a doctoral degree in psychology as defined in § 18-101(c) of this title.

(e) Examination. -- Except as otherwise provided in this subtitle, the applicant shall pass an examination given by the Board under this subtitle.

(f) Experience. -- The applicant shall have at least 2 years of professional supervised experience in psychology that is approved by the Board in accordance with regulations adopted by the Board.

(g) Residence; place of practice. --

(1) Except as provided in this subsection, an applicant shall reside or practice, or intend to reside or practice, in this State.

(2) The Board may issue a license to an applicant who is neither a resident of this State nor practicing in this State if the applicant shows that issuing the license would be in the interest of the citizens or government of this State.

(h) Submission of criminal history records check. -- The applicant shall submit to a criminal history records check in accordance with § 18-302.1 of this subtitle.

what factors are taken into consideration on criminal history check? --- correct answer --- (i) The age at which the crime was committed;

(ii) The circumstances surrounding the crime;

(iii) The length of time that has passed since the crime;

(iv) Subsequent work history;

(v) Employment and character references; and

(vi) Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.

can other professionals use the term psychologists --- correct answer --- no, but they can practice elements of pscyh practice that fall within their own practice licensure

who serves on the Board --- correct answer --- 9 members - 7 psychologists, 2 consumers

2 psychologists engaged in service, 2 in research/teaching/training

how long is a term on the Board, and how long can the members serve --- correct answer --- 4 year terms, max 2 consecutive terms

who is qualified to be on the board (psychologist) --- correct answer --- - at least 5 years experience, US citizen, lives in MD

How long does the Board have to notify a psych of a complaint --- correct answer --- 120 days, unless they dismiss it within that window or if it would prejudice investigation; then updates every 90 days

can you surrendor your license to avoid sanction? - -- correct answer --- No, unless the Board asks you to surrendor it.

what are 7 general violations that enable the Board to take action? --- correct answer --- The general violations that apply to most every situation are:

(6) Practices psychology fraudulently or deceitfully; (7) Violates the code of ethics adopted by the Board; (12) Violates any provision of this title or any regulation adopted by the Board (it doesn't get any more general than this);

(14) Is professionally, physically, or mentally incompetent; (16) Behaves immorally in the practice of psychology; (17) Commits an act of unprofessional conduct in the practice of psychology; and

(20) Does an act that is inconsistent with generally accepted professional standards in the practice of psychology.

what are 14 specific possible violations that enable the Board to take action? --- correct answer --- (1) Fraudulently or deceptively obtains or attempts to obtain a license for the applicant or licensee or for another;

(2) Fraudulently or deceptively uses a license; (3) Is convicted of or pleads guilty or nolo contendere to a felony or a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside;

(4) Is or has been addicted to any narcotic or habitually intoxicated; (5) Aids or abets an unauthorized person in practicing psychology or representing oneself to be a psychologist;

(8) Willfully fails to file or record any report as required under law, willfully impedes or obstructs the filing or recording of the report, or induces another to fail to file or record the report;

(9) Submits a false statement to collect a fee; (10) Willfully makes or files a false report or record in the practice of psychology;

(11) Is disciplined by a licensing or disciplinary authority of any state or country or convicted or disciplined by a court of any state or country or disciplined by any branch of the United States uniformed services or the United States Veterans Administration for an act that would be grounds for disciplinary action under the Board's disciplinary statutes;

(13) Uses or promotes or causes the use of any misleading, deceiving, or untruthful advertising matter, promotional literature, or testimonial;

(15) Promotes the sale of devices, appliances, or goods to a patient so as to exploit the patient for financial gain;

(18) Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;

(19) Fails to cooperate with a lawful investigation conducted by the Board; (21) Fail

can the Board require an exam of a psychologist --- correct answer --- Yes, in writing, licensee has to comply, waive privilege. Board pays cost. Failure to comply means incompetent

can the Board order rehabilitation? --- correct answer --- Yes, instead of punitive action. Can require education, supervision, substance abuse treatment, personal therapy. Committee oversees it. Psychologists can also rself-refer

what is title 18? --- correct answer --- Maryland Psychologists Act, expires 2013

what penalty does violation of Title 18 result in --- correct answer --- fine up to $500 or imprisonment up to 6 months or both

what are tarasoff obligations? --- correct answer --- - seek civil commitment,

• formulate and undertake treatment plan, - OR inform local law enforcement and any identifiable victims about nature of threat, identity of patient, identify of victims

when are you immune from Tarasoff obligations? --- correct answer --- - if you didn't know of propensity to violence or intent

what are 8 types of treatment that minors can consent to? --- correct answer --- drug abuse, alocholism, vd, pregnancy, contraception other than sterilization, injuries from rape or sexual offense, exam to obtain evidence

of rape or sexual offense, initial treatment and screening upon admission to a detention center. CANNOT refuse drug abuse or alcohol treatment that parent has consented to

can minors 16 or older consent? --- correct answer --- Same as an adult for psychological treatment by psychologist, physician, or clinic (but not for counselor, social worker)

can we share information about treatment of a minor who consented on his/her own with a parent --- correct answer --- Can do so, over objection of minor, but not required to

where do we report suspected child abuse or neglect? --- correct answer --- Dept of Social Services in county where child lives, within 48 hours, with copy to local State's Attorney if it is abuse (not neglect) AND if working for an agency, give the info to the head of the institution

what is sexual abuse? --- correct answer --- sexual molestation or expoitation of a child by parent or other person who has temporary or permanent care or custody of child or responsibility of supervision, or by household or family member. Includes incest, rape, sexual offense, sodomy, unnatural or perverted practices

what is neglect? --- correct answer --- leaving child unattended or failure to give proper care and attention by parent or person who has temporary or permanent care or custody of child, including child health or welfare is harmed or at substantial risk, or mental injury or substantial risk of mental injury

what goes into child abuse report? --- correct answer --- name, age, address of child, name, home address of parent, whereabouts of child, nature and extent of abuse or neglect, info on previous abuse or neglect, any info on cause or identity of perpetrator

who is a mandated report of child abuse / neglect? --- correct answer --- educators, human service workers, health practitioners (employees of state agencies have broader role, reporting all abuse regardless of victim's age or perpetrator status (alive or dead)

what is a vulnerable adult? --- correct answer --- lacks the physical or mental capacity to provide for the adult's daily needs

what is neglect of a vulnerable adult? --- correct answer --- willfull deprivation of adequate food, clothing essential medical care or habiitative therapy, shelter, or supervision

what is self-neglect? --- correct answer --- inability to provide self with services that are necessary for physical and mental health, without which impairs or threatens well-being

what is abuse of a vulnerable adult? --- correct answer --- physical injury as a result of curel or inhumane treatment or as a result of a malicious act

what is exploitation of a vulnerable adult? --- correct answer --- misuse of funds, property, or person

what are exceptions to vulnerable adult title? --- correct answer --- abuse in a mental health facility, abuse of intelectually disabled, abuse in a nursing home, abuse in a hospital

who is notified in a report of a vulnerable adult? --- correct answer --- local department, if in institution, dept. head, by telephone or direct communication or writing, as soon as possible

who is mandated to report on vulnerable adults? --- correct answer --- health practitioner, human service worker, police

what goes in report on vulnerable adult --- correct answer --- same as child abuse

disclosure of medical record it only allowed if --- correct answer --- provided by title or law

who can authorize disclosure? --- correct answer --- authorization by person of interest (adult patient, adult consenting for another, representative of deceased person, minor if minor consented on own, parent/guardian of minor patient at the discretion of physician, parent/guardian providing consent for minor, attorney for a patient

what kind of disclosure is exempted from disclosure rules? --- correct answer --- risk management, quality assurance, medical/dental/pharmacy review committee, governed by substance abuse record rules, governed by intellectual disability rules, directory information; child abuse/neglect; elder abuse/neglect

what are the parts of a valid authorization? --- correct answer --- in writing, dated, signed; name of health care provider; identity of patient; period of time authorization is valid, less than 1 year (except for criminal justice, valid until 30 days after final disposition, or nursing home, valid until revoked); apply only to the medical record of the provider (unless in writing to include record from another provider and that provider has not prohibited redisclosure)

workman's comp and disclosure --- correct answer --- can disclose information related to workman's comp claim that includes authorization

how do you revoke authorization --- correct answer --- in writing; efffective on day of receipt; disclosure made prior is not affected

how do you document disclosures --- correct answer --- medical record should include authorization, any action taken in response; any revocation of authorization

how do you handle requests for copies of records --- correct answer --- persons of interest have right to a copy, or to see and copy the medical record; can refuse to give it if believe it will be injurious, but then if there is a written request, can make a summary, keep a copy of the summary in the medical record; permit examination and copying by another health professional authorized to treat the individual for the same condition; inform the patient of right to pick a new provider

can patients ask to change their medical record --- correct answer --- yes, need procedures for this: - does not include deletion. After request, can make the change or refuse to change it (in writing to the patient).

if you refuse to change medical record, what do you need to do? --- correct answer --- 1. tell patient, in writing, reason for refusal, and procedures established for review of refusal 2. shall permit to insert a statement into medical record from patient about the request, and a statement from you explaining refusal 3. shall write to anyone that was given the record in the past 6 months to explain request for change or actual change in the record

payments for costs of copying medical record --- correct answer --- (includes medical bill, excludes x-rays) no more than 50 cents per page plus prep fee of $15, actual cost of postage. can require payment in advance, except in emergencies. cannot charge a government agency.

what is a personal note and are they allowed --- correct answer --- yes, can keep personal notes that are not part of the medical record if only disclosed to supervisor, consulting health provider, or your own attorney, unless you

are being sued for negligence, malpractice, or intentional tort, then they can be discoverable

can you disclose medical record without authorization? when? --- correct answer --- yes, for purposes of billing, for treatment (another provider), for patient welfare, accredidation and such, coordination of benefits, emergencies, to family members unless the patient has said no, organ donation agencies, etc.

how long must you maintain records? --- correct answer --- 5 years after record is made. For minors, 3 years after reaches 18, or 5 years, whichever is later.

what happens if you destroy or alter the record earlier than allowed? --- correct answer --- violation of Maryland Psych Act and act of unprofessional conduct. Fine up to $5000, prison up to 1 year, or both

if more than one patient, can you disclose medical record? --- correct answer --- must have permission of all before you can disclose

if you die, what happens to your records? --- correct answer --- designee must write to the Board and arrange to forward notice of the destruction / plan to transfer medical records, advertise in local newspaper of plans and designtes a time that people can retrieve them, if wanted.

what penalty if you destroy records? --- correct answer --- liabel for actual damages, fine less than $10,000 for all violations in a single day for a facility -- for an individual: 1st fine $1000, seond fine $2500, third fine $5000