Ethics

Question 1

What is hospice? What is allowed in hospice?

Answer 1

Hospice is palliative care made up of IDT available 24/7 that provides care for end of life pts who forego life prolonging therapy.

Question 2

New diagnosed HIV should be encouraged to tell partner… Should u encourage pt to tell or say u r supposed to tell?

Answer 2

Pt should tell fiance. U are required only to tell dept of health.

Question 3

Doctor is responsible for identifying surrogate when no advance directives

Answer 3

Dont get ethics committee involved

Question 4

What to do when a multiple family cant agree on decision for loved one?

Answer 4

Ethics committee

Question 5

Performing emergent procedures in unconcious pt is which priciple of medicine?

Answer 5

Beneficence!!!

Autonomy is informed consent
Integrity is to be honest

Justice is fairness of who gets scarce resources

Question 6

Pt with advance directive dnr/dni intubated but kids dont want removal… What to do next?

Answer 6

Remove it..

Dont need ethics involved

Question 7

Is it ok to go to pt wedding?

Answer 7

Yes. Just no sexual relationship

Question 8

If nurse gets needlestick and pt refuses hiv test then

Answer 8

Dont test pt and give postexposure proph

Not allowed the offer pt hiv test and not inform on results bc of ethics

Question 9

Parents of child born dwarf (high fatality) do no want child transferred to nearby tertiary center for icu. What do u do?

Answer 9

Respect their wishes.

Critically ill pts may have life sustaining measures withheld if the potential for joy is overwhelmed by pain and suffering

Question 10

You find out a colleague is engaging in sexual behavior with a pt. what do u do?

Answer 10

Report to state medical board

A pt cannot give consent bc of physician-pt disparate relationship

Not appropriate for you to directly contact the colleague etc

Question 11

Jehovas witness in mva, losing blood, hypotensive… Can you give blood?

Answer 11

No!! Give ivf and vasopressors

But for a jehovahs witness child u can bc a parents cannot refuse lifesustaining tx for child who has not reached age to consent to religion

Question 12

You get a gold watch from a pt. you decline but ur reason is which? You cant accept any gifts from pts or you cant accept expensive gifts

Answer 12

You cant accept expensive gifts

Question 13

MR woman comes for prenatal care but mom doesnt want her preg. What should u ask?

Answer 13

Who is guardian???

If no guardian, then the pt is own guardian and need to determine capacity and ask more que.

Question 14

Woman finds out she has lynch syndrome
But worried employer and insurer will find out
What do u tell her?

Answer 14

She should not worry- there is lawlreventing employer from getting genetic info and even if they have genetic info they are prohibited from discriminating

Question 15

Never pick the judgemental answer!

Answer 15

Never

Question 16

Pt asks u about a new herbal med. What do u say?

Answer 16

Herbal meds are not strictly regulated. I need further evidence before recommending the product

not avoid taking supplements that u read about online as these claims are largely unsubstantiated.- some herbs do work

Question 17

Lady mad she waited hours to see doc. Response?

Answer 17

Sorry for the delay i was caught up by emergency

NOT i see u r upset. Lets focus in how i can help you

Question 18

A divorced mom has child w chromosome abn and genetics is requesting testing from mom and dad but mom hates dad and complaining

Answer 18

Help mom deal and then educate about benefits of getting the dads chromosome studies

Not the and to document and proceed no further

Question 19

Severe copd lady doesnt want intubation and wants to die at home but daughter disagrees and wants pt adm

Answer 19

Arrange for home hospice