Chapter 4 Review Questions

Question 1

Autonomy involves which of the following?
a. informed consent
b. the self
c. patient rights
d. all of the above

Answer 1

d. all of the above

Question 2

Informed consent should include the following:

Answer 2

diagnosis, treatment, prognosis, risks, alternatives, costs, rules, duration of incapacitation, names of persons performing procedure

Question 3

Why is two-way communication between patients and imaging professionals important in imaging services?

Answer 3

feedback to ensure the patient’s understanding of the procedure and opportunity to question

Question 4

Should the imaging professional be responsible for the informed consent process? Explain.

Answer 4

the imaging professional may have a limited role in the informed consent process, but it is the physician’s duty to provide the information about the procedure for the informed consent

Question 5

Define the following terms:
a. competence
b. surrogacy

Answer 5

a. competence - the ability to make decisions concerning one’s life
b. surrogacy - the appointment of a person to make decisions for another

Question 6

Paternalism is defined as which of the following?
a. motherlike caretaking
b. fatherlike (God-like) caretaking
c. necessary
d. none of the above

Answer 6

b. fatherlike (God-like) caretaking

Question 7

Define therapeutic privilege.

Answer 7

a prerogative invoked in limited circumstances when health care providers withhold information from a patient because they believe the information would have adverse effects on the patient’s condition or health

Question 8

Describe three conditions in which emergency situations may alter the informed consent process:

Answer 8

a. the patient must be incapable of giving consent and no lawful surrogate is available
b. danger to like or a risk of serious impairment to health is apparent
c. immediate treatment is necessary to avert these dangers

Question 9

T/F: Combining the prudent person rule and the subjective substantial disclosure rule in most cases provides the information the patient needs to make informed decisions.

Answer 9

true

Question 10

T/F: Respect for the autonomy of the patient includes the ability of the patient to make choices.

Answer 10

true

Question 11

T/F: Surrogacy is not an issue in respecting the patient’s autonomy.

Answer 11

false

Question 12

T/F: Truly informed consent may not be possible.

Answer 12

true

Question 13

T/F: Intentional torts can occur only if the perpetrator of the tort intends to do harm.

Answer 13

false

Question 14

T/F: Assault occurs when the victim is touched without giving consent.

Answer 14

true

Question 15

T/F: Battery cannot be found if the touching to which the patient has not consented is for the good of the patient.

Answer 15

false

Question 16

T/F: Immobilization devices used in the imaging department are considered restraints.

Answer 16

false

Question 17

T/F: Use of restraints of patients by imaging professional’s best tool to decrease risk of litigation for assault, battery, and false imprisonment.

Answer 17

false

Question 18

T/F: Communication is the imaging professional’s best tool to decrease risk of litigation for assault, battery, and false imprisonment.

Answer 18

true

Question 19

T/F: The legal duty to obtain informed consent lies with the imaging professional.

Answer 19

false

Question 20

T/F: Informed consent need not be given if an imaging professional does not feel the patient wants to know about he procedure.

Answer 20

false

Question 21

T/F: The duty of informed consent lies with physicians, so imaging professionals do not need to concern themselves.

Answer 21

false

Question 22

T/F: Consent forms may be used to obtain consent instead of an explanation of the procedure and its risks.

Answer 22

false

Question 23

List three reasons the seven points of respect for the autonomy of the patient are valuable tools in ethical and legal problem solving.

Answer 23

determine patient competency, determine whether patient has given consent, determine if patient needs a surrogate, determine whether patient has advance directive, determine whether patient can cooperate and make choices

Question 24

T/F: For informed consent to be legally recognized, a patient’s signature on the form is sufficient.

Answer 24

false

Question 25

T/F: The professional standard of information consent requires a physician to disclose the risks that a reasonable and prudent medical practitioner would disclose under the same or similar circumstances.

Answer 25

true

Question 26

T/F: The lay standard of informed consent measures the physician’s disclosure duty by the patient’s need for information rather than by the standards of the medical professional.

Answer 26

true

Question 27

T/F: An imaging professional does not need to be concerned with the law regarding informed consent in his or her jurisdiction, as long as the form is signed.

Answer 27

false