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Ethics and Law > Ch5 Truthfulness and Confidentiality > Flashcards

Ch5 Truthfulness and Confidentiality Flashcards

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1
Q

Define truthfulness

A

Conformance with fact or reality

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2
Q

Define veracity

A

The obligation to tell the truth and not to lie or deceive others

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3
Q

What is a lie?

A

A falsehood told to another who has a reasonable expectation of the truth

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4
Q

What is the place of communication in relation to the truth?

A

The environment of the expectation of truth

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5
Q

What is the role of communication in relation to the truth?

A

The relationship between the communicators

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6
Q

The expectation of the truth varies with… (3 things)

A

Varies with

  • NATURE of the truth
  • PLACE of communications
  • ROLE of communicators
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7
Q

What is confidentiality?

A

The duty owned by healthcare providers to protect the privacy of patient information

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8
Q

What is a secret?

A

Knowledge that a person has a right or obligation to conceal

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9
Q

What are the 3 types of obligatory secrets?

A
  1. Natural
  2. Promised
  3. Professional
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10
Q

Define a natural secret

A

A secret that by its nature would be harmful if revealed

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11
Q

What is a promised secret?

A

A secret the receiver has promised to conceal

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12
Q

What is a professional secret?

A

A secret maintained to protect the patient, society, and profession

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13
Q

Exceptions to confidentiality are mandated by…

A

State law

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14
Q

What are 7 exceptions to confidentiality?

A
  • Birth defects (stats, environment)
  • Abuse (child, elderly, adult)
  • Drug addiction (local health, stats)
  • Communicable diseases (STIs, COVID, TB)
  • Automobile accidents (insurance)
  • Industrial accidents (OSHA)
  • Types of wounds (gunshot, police department)
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15
Q

HIPAA

  • Enacted by…
  • Patient’s right to…
  • Limits access…
  • Improve…
A

HIPAA

  • Enacted by FEDERAL GOVERNMENT
  • Patient’s right to ACCESS THEIR RECORDS
  • Limits access OF OTHERS TO THEIR RECORDS
  • Improve QUALITY, EFFICIENCY, AND EFFECTIVENESS OF HEALTHCARE DELIVERY THROUGH A NATIONAL FRAMEWORK
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16
Q

When confidentiality can be breached includes…

  • Requirement for…
  • Existence of a…
  • State…
  • Duty to…
  • Threat to…
  • AIDS…
A

When confidentiality can be breached includes…

  • Requirement for PATIENT AUTHORIZATION
  • Existence of a STATUTORY DUTY TO DISCLOSE
  • State TO STATE (TB, VENEREAL DISEASE, CHILD ABUSE)
  • Duty to WARN A THIRD PARTY
  • Threat to KILL ANOTHER PERSON
  • AIDS CONFIDENTIALITY AND REPORTING (MD TO PUBLIC HEALTH OR THIRD PARTIES)
17
Q

Which states require physicians to report to public health? To third parties who may be infected?

A
  • All states require reporting to public health
  • Not all states require to inform third parties who may be infected
18
Q

HIPAA mandates a patient’s right to…

Exception =

A

HIPAA mandates a patient’s right to ACCESS THEIR OWN RECORDS

Exception = PSYCHOTHERAPY NOTES

19
Q

Should imaging departments have a policy in regards to patients seeing their radiographic images?

A

Yes

20
Q

Torts

  • Breach of…
  • Failure to protect…
  • Their body…
A

Torts

  • Breach of CONFIDENTIALITY
  • Failure to protect PRIVACY OF PATIENT
  • Their body THEIR RECORDS
21
Q

Confidentiality includes… (3 things)

A
  • Computer communication (images)
  • Oral
  • Written
22
Q

What is defamation?

Oral =

Written =

A

Defamation = PUBLICATION OF AN UNPRIVILEGED FALSE STATEMENT THAT HURTS ANOTHER’S REPUTATION

Oral = SLANDER

Written = LIBEL

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