Sat Wk 3 Ethics Flashcards Preview

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Flashcards in Sat Wk 3 Ethics Deck (15)
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1
Q

it is unethical to discuss any information regarding __ w another person
cannot confim or deny __

use professional __ during informed consent process
only use family in __

use __ loop communication to reduce misunderstandings
sender transmits message which is __ by recipient

w reason to suspect elder abuse, interview pt __

A

pt
anythng

interpreter
emergency

closed
repeated

alone

2
Q
RF for elder abuse
F\_\_ gender
Dementia or \_\_ illness
Functional I\_\_
social \_\_
shared \_\_ enviro
poor \_\_

Sx- physical/sexual
atypical A__ or fractures
pain not __ w etiology
anogenital injury or new __

Psych/verbal: change in __/__
D/A

Neglect: Inadequate N/H
__ ulcers or deterioration

Financial: failure to adhere to __ regimen
multiple __ apptments
unpaid __

A
female
chronic
impairment
isolation
living
SES

abrasion
consistent
STI

behavior/personality
depression, anx

nutrition/hydration
pressure

medical
missed
expenses

3
Q

if pt is refusing tx, must asses __ making capacity
pt must communicate __ by indicating preference
must __ info and tx options
A__ consequences and risks
must have R__ as to why

if pt is incapacitated, decision falls to __

___ intervenes if no next of kin is available

EMTALA states that hospital must __ anyone coming to ED for medical care
if emergent, must __ the cx
cannot transfer individual w the cx if pt is not _-

A
decision
wish
understnad
appreciate
rationale

next of kin

court

screen
stabilize
stable

4
Q

it pt has serious cx but parents are refusing tx, physician must attempt to address parental __
if cannot be resolved, next option is __ or involvement of CPS

competent pt can __ to receive diagnostic info
respect based on A__
physician should try to ___ the pt and address any concerns

under HIPAA, w/out consent from pt, information cannot be __
can be verbal or __

care for deaf pt uses trained sign language __
improves clinical __
if urgent, can use other __

any procedure/tx requires __ of pt alone

A

concerns
courts

refuse
autonomy
understand

shared
written

interpreter
outcomes
methods

autonomy

5
Q

as part of admission process, pt should be asked about __
consists of a living __ w end of life issues
Health care __ is individual named to make decisions if pt is incapacitated
proxy makes decision according to __

__ is insurance plan w low monthly premiums/copayments/deductibles/total cost
confines pt to __, requires referrals to specialist, and denies __ for services not necessary

__ is similar to HMO w requirement to see PCP
may see __ providers, thus premium/cost is higher

__ is more flexible, w choices for in/out of network
costs more than __
does not req __ to specialist

A

advance directives
will
proxy
will

HMO
network, payment

POS
out of network

PPO
HMO/POS
referral

6
Q

if pt is in emergency situation, physician can disclose information about __ to family members

Hospice focuses on __ of life
used to control __
team is __ w various areas that care is provided
requires prognosis of < __

physicians are obligated to report __ colleagues
contact immediate __ first
if nonemergent, contant __ health program/hospital committee
if not possible, contact state licensing __

A

basic care

quality
sx
interdisciplinary
6m

impaired
supervisor
physician
board

7
Q

physicians must protect pt confidentiality in __ places
in situation, __ to private setting
do not mention __ connected to the pt

if pt has different religious views, offer __ w out interjecting own opinion

always address pt by __ first and ask preferrence

if pt is not in distress, he can __ to receive info abt cx

A__ take precedence over wishes of family members
if there is a disagreement, consult __ committee

A

public
defer
anything

support

surname

refuse

advance directives
ethics

8
Q

maintain __ stance on sexual history
inquire about __ sex partners

Bad news:
Set \_\_
arrange for comfortable _
maintain _ contact
P_
use OEQ to asses \_\_ 
I- ask how much they want to \_\_
K- warn that bad news is \_\_
speak in \_\_ terms
ask for U\_\_
E\_\_ w emotions
S\_\_ and strat
create \_\_ w end of life discussions
A

neutrl
all

stage
setting
eye
perception
perception
invitation, know
coming
simple
understanding
empathize
summary
plan
9
Q

in emergency, perform life saving tx even w out __
always provide life saving therapy to __

all surrogate decisons must be based on what pt would have __

informed consent must be performed by __ provider
requires accurate __ of intervention, R/B, alternatives and answering of __

Minors can consent to __ care, dx/tx of STD/contraception, and drug/alcohol R__
cannot consent to a__

emancipated minor is one who is H__ or a _
married or in __ service
financially __ or high schol graduate

A

consent
minor

wanted

knowledgable
description
questions

prenatal, rehab
abortion

homless, parent
military
independent

10
Q

pt w low literacy has problems w reading and _ language
thus, must use drawings or __
RF include low __, impaired cog, hx of __ or poor SES

when evaluating child for abuse, interview __
signs include __ lesions, swelling, bone tenderness, unwilling to use __, retinal hemorrhage, genital trauma or signs of __
look for different stages of __ or cig burns
if positive, report to __

in pt w sexual abuse, physician should convey __ and concern
aknowledge __ and discuss when pt is __

A

spoken
videos
education
incarceration

alone
skin, limb, neglect
healing
CPS

empathy
trauma, ready

11
Q

pt w suspected IPV should be assessed for __ in supportive, nonjudgmental way first
ask if they feel __ or have safety plan
do not __
can refer to __

Sx of IPV include location of \_\_\_
inconsistent \_\_ of injury
STD or chronic \_\_ pain
nonadherence to \_\_
overly \_\_ partner who does not allow pt to be alone
refusal to \_\_ exam
appear fearful or D\_\_
A

safety
safe
pressure
help

injury
explanation
pelvic
tx
intrusive
sexual
distressed
12
Q

when confronted about disabilities, physician should perform further __ and exams

physicians are ethically req to disclose medical __ to pt regardless of harm/benefit
include simple __
only consult __ if serious harm of litigation ensues

must have explicit __ to disclose info to family/employer
Exceptions include suspected child/elder __
K/G wound
__ disease
threats to __ self/others

A

assessment

error
apology
risk management

consent
abuse
knife, gunshot
communicable
harm
13
Q

__ decision is one surrogate believes pt would chose
if no AD, use __ then friend

disclose error in __ in timely manner w apology

should identify problem in timely manner via __ analysis
identifies __ for error
obtain __ for complete info of event
interview multiple __ to understand how prob happened
once determined, recommend __

A

substitute
family

person

root cause
reason
data
staff members
plan
14
Q

physician is not req to provide medical service against __
but are obligated to __
have __ discussion w respect for autonomy

unethical to accept __ of significant value
decline w expressing __

pt going through denial should only be confronted if it is interfering w __ or significant relationships
provide __ to pt as much as possible

A

morals
refer
neutral

gifts
gratitude

tx
hope

15
Q

Grief
Denial- denies cx or __

Anger- expressed to __ or others

Bargain- in return for __

Depression- becomes __ and hopeless

Acceptance- Becomes at _

A

prognosis

doctor

cure

sad

peace