ちなみに、GoShiken CPHRMの一部をクラウドストレージからダウンロードできます：https://drive.google.com/open?id=1CDym81bNvjlEQ09bNa5WsaPQuVMLjB6b
今はASHRM CPHRM試験に準備するために、分厚い本を購買しなくてあまりにも多くのお金をかかるトレーニング機構に参加する必要がありません。我々社のCPHRM練習問題は試験に参加する圧力を減らすだけでなく、お金を無駄にする煩悩を解消できます。あなたは弊社の商品を使用した後、一回でASHRM CPHRM試験に合格できなかったら、弊社は全額返金することを承諾します。
| Section | Weight | Objectives |
|---|---|---|
| Legal and Regulatory | 20% | - Manage legal risks and liabilities - Develop policies for legal compliance - Interpret healthcare laws and regulations - Analyze legal trends and precedents - Ensure compliance with regulatory requirements |
| Clinical/Patient Safety | 25% | - Collaborate on proactive safety initiatives (FMEA, RCA, Safety Culture/Just Culture) - Assess patient safety state and staff awareness - Evaluate effectiveness of patient safety initiatives - Implement patient safety programs and interventions - Analyze clinical data to identify risks and trends |
| Risk Financing | 15% | - Manage self-insurance and captive programs - Identify and analyze risk financing options - Evaluate insurance programs and coverage - Develop risk financing strategies - Analyze risk transfer mechanisms |
| Claims and Litigation | 20% | - Analyze claims data for risk patterns - Manage claims processes and documentation - Evaluate litigation outcomes and lessons learned - Coordinate litigation support and defense - Implement claims prevention strategies |
| Healthcare Operations | 20% | - Implement risk management in clinical operations - Identify operational risks in healthcare settings - Address workplace violence and safety - Manage emergency preparedness and response - Evaluate operational risk controls |
どのようにASHRM CPHRM試験に準備すると悩んでいますか。我々社のCPHRM問題集を参考した後、ほっとしました。弊社のCPHRMソフト版問題集はかねてより多くのIT事業をしている人々は順調にASHRM CPHRM資格認定を取得させます。試験にパースする原因は我々問題集の全面的で最新版です。
質問 # 53
A hospital has opted to open an anticoagulation clinic. As this is a high-risk medication, a risk manager wants to conduct a risk assessment before opening the clinic. The BEST tool to use would be a
正解：B
解説：
Failure Mode and Effects Analysis FMEA is the most appropriate tool in this scenario because it is a proactive risk assessment methodology designed to identify and mitigate potential failures before harm occurs. According to Health Care Risk Management principles outlined by ASHRM and the American Hospital Association Certification Center, FMEA is specifically used when introducing new processes, services, or high-risk clinical operations, such as an anticoagulation clinic involving medications with narrow therapeutic indices and significant bleeding risks.
FMEA systematically evaluates each step in a proposed process, identifies possible failure modes, analyzes their causes and effects, and prioritizes risks using severity, occurrence, and detectability scoring. This structured approach aligns with patient safety objectives by reducing preventable adverse events before implementation.
In contrast, Root Cause Analysis RCA is a retrospective tool used after an adverse event has occurred. A cause and effect diagram is a component often used within RCA or FMEA but is not a comprehensive risk assessment tool on its own. A scatter diagram is primarily used for statistical correlation analysis and does not evaluate process failures.
Therefore, for proactive risk identification and mitigation prior to clinic opening, FMEA is the best and most appropriate tool.
質問 # 54
A patient who has suffered a stroke is aphasic and unable to swallow. The physician would like to place a PEG tube for feeding. The patient is considered incapacitated and his wife consents to the treatment. The patient's adult children do not. The wife and oldest daughter each present a power of attorney document identifying them as the designated decision makers. To support the ethical principle of patient autonomy, which of the following should the risk manager recommend?
正解：B
解説：
Under Health Care Risk Management principles supported by ASHRM and the American Hospital Association Certification Center, patient autonomy is upheld by honoring valid advance directives and durable powers of attorney for healthcare. When multiple documents are presented that designate different decision makers, the most recent properly executed document typically supersedes earlier versions, unless state law provides otherwise.
Durable powers of attorney for healthcare may be revoked or replaced by executing a newer document.
Therefore, determining the effective document requires reviewing execution dates and ensuring validity under applicable state statutes, including witnessing and notarization requirements. The document with the more recent date generally reflects the patient's latest expressed wishes and controls decision-making authority.
Referring immediately to an ethics committee may be appropriate in unresolved value conflicts, but first establishing legal authority is essential. Asking the family to resolve the dispute independently delays necessary medical decisions and does not clarify legal standing. Selecting the older document would contradict the principle that later directives replace earlier ones.
Legal and regulatory objectives emphasize verification of surrogate authority, compliance with state advance directive laws, and protection of patient autonomy. Therefore, the risk manager should confirm which document is most recent and legally valid.
質問 # 55
An indemnification clause in a contract is designed to
正解：A
解説：
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, an indemnification clause is a contractual provision in which one party agrees to compensate or reimburse another party for specified losses, damages, liabilities, or claims arising out of defined circumstances. The purpose is to allocate risk between contracting parties and clarify financial responsibility if harm occurs.
Indemnification provisions often address responsibility for defense costs, settlements, judgments, and related expenses resulting from negligence, breach of contract, or other agreed-upon risks. The clause may include duty to defend language, limits on liability, or conditions triggering indemnification. Properly drafted indemnification language helps manage exposure and supports risk transfer strategies within contractual relationships.
Creating a forum for dispute resolution is addressed by arbitration or venue clauses, not indemnification.
Holding a party responsible for fulfilling contract terms relates to performance obligations, not indemnity.
Deferring all legal costs automatically is inaccurate, as indemnification depends on specific triggering conditions and negotiated language.
Legal and regulatory objectives emphasize careful contract review and risk allocation. Therefore, an indemnification clause clarifies commitments to compensate the other party for harm, liability, or loss.
質問 # 56
The first layer of insurance that will respond to a specific type of loss or exposure is called
正解：D
解説：
According to Health Care Risk Management principles supported by ASHRM and the American Hospital Association Certification Center, insurance coverage for liability exposures is often structured in layers. The first layer of insurance that responds to a covered loss is known as the primary policy.
Primary insurance provides initial coverage once any applicable deductible or self-insured retention has been satisfied. It is responsible for defense and indemnity payments up to the policy's stated per-occurrence and aggregate limits. Only after the primary policy limits are exhausted do excess or umbrella policies respond.
Terms such as baseline, foundation, and frontline are not recognized technical classifications in layered insurance structures. In professional and general liability programs, organizations commonly maintain a primary layer followed by one or more excess layers to protect against catastrophic losses.
Risk financing objectives emphasize understanding policy structure, limits, attachment points, and coordination between layers to ensure adequate protection of organizational assets. Therefore, the correct term for the first layer of insurance that responds to a loss is the primary policy.
質問 # 57
An employer is not required to offer a reasonable accommodation to a job applicant with a qualified disability unless
正解：C
解説：
Under Health Care Risk Management principles aligned with ASHRM and the American Hospital Association Certification Center, compliance with the Americans with Disabilities Act ADA requires employers to provide reasonable accommodations to qualified individuals with disabilities. However, the obligation to provide accommodation is generally triggered when the applicant or employee makes the employer aware of the need for accommodation.
The interactive process required by the ADA begins once the applicant requests an accommodation or discloses a need related to a disability. Employers are not required to speculate about potential disabilities or initiate accommodations without notice. While documentation may be requested to verify the disability in certain circumstances, proof is not the triggering requirement. Instead, the request itself initiates the employer' s duty to engage in good faith discussion to determine reasonable accommodation.
Withholding accommodation that creates an unsafe condition may raise separate workplace safety concerns, but that is not the threshold requirement under the ADA. Similarly, an employer's recognition alone does not automatically impose an obligation absent a request or clear disclosure.
Legal and regulatory objectives emphasize proper documentation, consistent application of ADA standards, and engagement in the interactive process once accommodation is requested. Therefore, the employer's duty arises when the applicant requests the accommodation.
質問 # 58
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