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Certified Professional in Health Care Risk Management (CPHRM) Question and Answers

Certified Professional in Health Care Risk Management (CPHRM)

Last Update Apr 1, 2026
Total Questions : 119

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Questions 1

What is responsible for many HIPAA privacy violations in practice?

Options:

A.  

Impermissible access/disclosure (including “snooping” without a job-related need)

B.  

Correctly authorized disclosures

C.  

Proper encryption practices

D.  

De-identification

Discussion 0
Questions 2

A hospital's Ethics Committee is seeking advice on a case involving the elective sterilization of an adolescent patient who is developmentally disabled. One of the parents is refusing consent. The risk manager should evaluate which of the following?

    who has consent authority

    competency level of the patient

    diagnosis of the patient

    state statutes and laws

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

Discussion 0
Questions 3

An organization's CEO has requested that the risk manager develop policies and procedures for the risk management department. The risk manager should consider developing policies for all of the following EXCEPT

Options:

A.  

coordination of responses to subpoenas.

B.  

departmental accountability for occurrence reporting.

C.  

risk management reporting process to the governing body.

D.  

responses to freedom of information requests.

Discussion 0
Questions 4

An employer is not required to offer a reasonable accommodation to a job applicant with a qualified disability unless

Options:

A.  

the applicant proves the disability.

B.  

withholding the reasonable accommodation creates an unsafe condition.

C.  

the applicant requests the accommodation.

D.  

the employer recognizes that the accommodation is necessary.

Discussion 0
Questions 5

Who are most likelynotto report errors in typical incident reporting systems?

Options:

A.  

Physicians (compared with nurses/other staff)

B.  

Pharmacists

C.  

Quality officers

D.  

Risk managers

Discussion 0
Questions 6

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.

Discussion 0
Questions 7

A patient has been declared brain dead as a result of injuries sustained during a criminal act. His driver's license states that he is an organ donor. The attending physician is planning to remove the life-support equipment. A risk manager should recommend

Options:

A.  

following the patient's wishes and notify the organ retrieval team.

B.  

notifying authorities to determine if an autopsy is required.

C.  

coordinating the organ retrieval.

D.  

determining the family's wishes regarding organ donation.

Discussion 0
Questions 8

What are the four elements of the SBAR situational briefing model?

Options:

A.  

Situation, Behavior, Action, Result

B.  

Situation, Background, Assessment, Recommendation

C.  

Summary, Background, Action, Review

D.  

Scene, Background, Assessment, Response

Discussion 0
Questions 9

Which of the following is the most reliable measure of the effectiveness of an educational program?

Options:

A.  

analysis of written evaluations

B.  

observable changes in human behavior

C.  

reduced frequency of claims or suits

D.  

reduced severity of claims or suits

Discussion 0
Questions 10

Which of the following can be considered evidence in a malpractice claim?

    photographs of injuries

    thank you note from the patient to the physician

    patient journal of the hospital stay

    gift from the patient to a volunteer

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

Discussion 0
Questions 11

What factors are included in a calculation of Risk Priority Number (RPN) in FMEA?

Options:

A.  

Severity, occurrence (probability), detection

B.  

Cost, staff satisfaction, marketing risk

C.  

Legal privilege, media attention, reputation

D.  

Insurance premiums, deductibles, coinsurance

Discussion 0
Questions 12

When conducting an investigation of a liability claim, which of the following steps should be included?

    providing the RCA to the insurance company

    determining the applicable standard of care

    assessing the applicable legal principles

    obtaining an incident report from the claimant

Options:

A.  

1 and 2 only

B.  

1 and 4 only

C.  

2 and 3 only

D.  

3 and 4 only

Discussion 0
Questions 13

A subpoena duces tecum requires the recipient to

    produce specified documents.

    appear at a deposition or trial.

    provide a list of all parties involved.

    disclose the names of expert witnesses.

Options:

A.  

1 and 2 only

B.  

1 and 3 only

C.  

2 and 4 only

D.  

3 and 4 only

Discussion 0
Questions 14

Which of the following items should be part of a claim file?

    peer review reports or data

    correspondence with attorneys and investigators

    literature search

    verification of settlement authority

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

Discussion 0
Questions 15

Which of the following is an essential component of a risk management policy and procedure manual?

Options:

A.  

department organizational chart

B.  

medical staff bylaws

C.  

actuarial report

D.  

loss run report

Discussion 0
Questions 16

The risk manager is called by an administrator and told that a member of the pharmacy staff was arrested last night for illegal distribution of controlled substances. Which of the following recommendations should the risk manager make to administration?

    Verify the pre-employment background check.

    Inventory controlled drug stock.

    Interview other pharmacy staff.

    Notify the National Practitioner Data Bank.

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

Discussion 0
Questions 17

In enterprise risk management, which of the following are external factors that may affect risk?

Options:

A.  

Option A

B.  

Option B

C.  

Option C

D.  

Option D

Discussion 0
Questions 18

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.”

Discussion 0
Questions 19

What are risk treatment strategies?

Options:

A.  

Risk avoidance, risk retention, risk transfer (and risk reduction/mitigation)

B.  

Public relations, branding, advertising

C.  

Litigation, denial, delay

D.  

Staff vacation scheduling

Discussion 0
Questions 20

A 78-year-old patient in the ICU is unable to speak or swallow. The physician states that she is terminally ill and believes she lacks decision-making capacity. As such, he has deferred to her properly executed advance directive that clearly outlines her wishes for no life-prolonging treatment. The patient's three sons know of the directive, but insist that a PEG tube be placed to assist with feeding. The physician is opposed to placing the tube. The nurse calls the risk manager for advice. Which of the following should the risk manager advise?

Options:

A.  

The patient has the right to autonomy, and the advance directive is proper; support the physician.

B.  

The family will outlive the patient, and they have the right to sue; support the family.

C.  

More facts are needed; decision making capacity must be determined before moving forward.

D.  

More facts are needed; request an ethics consultation.

Discussion 0
Questions 21

A hold-harmless agreement is an important component of which of the following aspects of a risk financing program?

Options:

A.  

risk transfer

B.  

risk retention

C.  

first-party liability insurance

D.  

third-party liability insurance

Discussion 0
Questions 22

Ultimately, the accountability for the risk management program belongs to:

Options:

A.  

The board

B.  

The gift shop manager

C.  

A single bedside nurse

D.  

The parking contractor

Discussion 0
Questions 23

A doctor fails to administer an indicated test, and the patient deteriorates and must be admitted. This is an example of:

Options:

A.  

Diagnostic error (delay/omission in diagnostic process)

B.  

Risk financing error

C.  

Contracting breach

D.  

Facility security event

Discussion 0
Questions 24

Which of the following is a program of the Food and Drug Administration FDA post market surveillance system for medical devices that requires healthcare facilities to report patient deaths or injuries related to a medical device?

Options:

A.  

Safe Medical Devices Act SMDA

B.  

Emergency Medical Treatment and Active Labor Act EMTALA

C.  

Occupational Safety and Health Act of 1970 OSHA

D.  

Patient Safety Organization PSO

Discussion 0
Questions 25

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

Options:

A.  

write the information down before reading it back.

B.  

immediately repeat the information.

C.  

have a witness verify that the information is repeated back correctly.

D.  

document the date and time the order was received.

Discussion 0
Questions 26

The source of many medication errors is:

Options:

A.  

Verbal/telephone orders (when avoidable and not properly verified)

B.  

Patient wristbands

C.  

Elevator delays

D.  

Radiology scheduling

Discussion 0
Questions 27

The first layer of insurance that will respond to a specific type of loss or exposure is called

Options:

A.  

baseline.

B.  

foundation.

C.  

primary.

D.  

frontline.

Discussion 0
Questions 28

When CPOE is implemented, there is almost always a decline in:

Options:

A.  

Medication errors related to prescribing/transcription

B.  

Nurse staffing requirements

C.  

Patient acuity

D.  

The need for clinical decision-making

Discussion 0
Questions 29

A risk manager is reviewing the hospital’s incident reporting system and notices that very few medication errors are being reported despite known high volumes of medication administration. Which of the following is the MOST appropriate action?

Options:

A.  

Discipline staff members for failure to report errors.

B.  

Conduct a root cause analysis on the reporting system.

C.  

Assess the organizational culture and barriers to reporting.

D.  

Notify the liability insurer immediately.

Discussion 0
Questions 30

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.

Discussion 0
Questions 31

Which of the following concerns meets the CMS Hospital Conditions of Participation 42 CFR §482.12 classification as a grievance?

Options:

A.  

a verbal complaint that cannot be solved by current staff, and the resolution of which is postponed for later

B.  

a patient calling regarding a billing issue requesting for adjustment to the charges

C.  

information obtained with a patient satisfaction survey

D.  

post-hospital verbal communication regarding a care issue that could have been handled by the staff during visit but was not reported

Discussion 0
Questions 32

Protecting outdoor air intakes can mitigate the risk of terrorists introducing airborne agents. Steps include:

Options:

A.  

Relocate intakes higher; establish a security zone; add lighting and surveillance

B.  

Paint the intake vents a different color

C.  

Put a “No trespassing” sign only

D.  

Reduce HVAC maintenance

Discussion 0
Questions 33

An indemnification clause in a contract is designed to

Options:

A.  

create a forum to resolve contract disputes related to fulfillment of the contract terms.

B.  

hold the other party responsible for fulfilling the terms of the contract.

C.  

defer all legal costs to the other party in the case of harm, liability, or loss.

D.  

clarify commitments to compensate the other party for harm, liability, or loss.

Discussion 0
Questions 34

An HMO advertises it is “the best” and its physicians can manage any illness/injury. A patient relies on this and is injured. The patient might sue the HMO for:

Options:

A.  

Apparent agency / negligent misrepresentation / vicarious liability (depending on facts and jurisdiction)

B.  

Only weather damage

C.  

Only EMTALA penalties

D.  

Only OSHA violations

Discussion 0
Questions 35

Which of the following should a risk manager consider when evaluating the effectiveness of a claims management program?

    indemnity-to-expense ratios

    total number of cases reported

    percentage of cases resolved within reserves

    percentage of cases identified prior to claim

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

Discussion 0