36. Informed Consent Flashcards
A patient presents to the ED with a severe head laceration. While assessing the head wound the patient suffers a seizure. Postictal she is no longer oriented to time, person, or place. You decide to consult her healthcare proxy for consent regarding emergency surgery. The patient can be labeled as which of the following?
A. Incompetent
B. Insane
C. Incapacitated
D. Confused
SZ
Ans C. Incapacitated
Capacity is a clinical determination. Competence and insanity are legal determinations made by a court.
Which of the following is not a situation when a minor would be considered competent to consent for care?
A. If patient is pregnant B. If patient is married C. If obtaining mental health counseling D. To receive Contraceptives E. To receive an Elective Surgery
SZ
Ans. E Elective Surgeries
Minor are considered competent if they are emancipated (Must be over 13 years old, married, economically self-sufficient, served in the military). They are also competent regarding specific treatments (contraceptives, STDs, pregnancy, Mental Health, Alcohol/Substance Abuse, Traumas).
A 76 y/o male that was diagnosed with end-stage lung cancer 6 months ago recently became hospitalized as his lung function has become increasingly more difficult. He has signed a DNR. The patient goes into respiratory arrest, and the attending physician administers CPR despite the signed DNR. What describes the physician’s actions? (MG)
A. Reasonable physician standard
B. Violation of beneficience
C. Paternalism
D. Violation of non-maleficience
C. Paternalism
This is a violation of autonomy
Which of the following is one of the 3 criteria for capacity of a patient? (MG)
A. Patient is not insane
B. Patient is considered competent
C. Patient is a legal adult
D. Patient has ability to communicate a decision
D. Patient has ability to communicate a decision
- ability to understand
- ability to make a decision
- ability to communicate that decision
