ethics/systems

Question 1

Beneficence

Answer 1

obligation to help pts and relieve suffering

Question 2

Autonomy

Answer 2

patients freedom to choose

Question 3

justice

Answer 3

fair distribution

Question 4

medicare

Answer 4

must accept medicares maximum fee, cannot bill pt or another party for the difference between what medicare allows and what the physician wants to charge

Question 5

to make an advanced directive a pt must have what two things

Answer 5

capacity and be competent (legal decision that a pt has sufficient ability to manage own affairs)

Question 6

parens patriae

Answer 6

allows the state to intervene and act as a surrogate parent for those who are unable to care for themselves or may hurt themselves

Question 7

actus reus

Answer 7

voluntary conduct

Question 8

mens rea

Answer 8

evil intent

Question 9

respondeat superior

Answer 9

person at top of hierarchy are responsible for the actions of those at bottom of hierarchy

Question 10

nonmaleficence

Answer 10

do no harm

Question 11

altruism

Answer 11

putting the needs of others before your own

Question 12

fiduciary duty

Answer 12

obligation to work in the patient’s best interests

Question 13

Asking the pt to sign consent is an example of what?

Answer 13

autonomy

Question 14

disability

Answer 14

a physical or mental impairment that substantially limits one or more of the major life activities of such individuals
- record of such impairment or
being regarded as having such impairment

Question 14

disability

Answer 14

a physical or mental impairment that substantially limits one or more of the major life activities of such individuals
- record of such impairment or
being regarded as having such impairment

Question 15

HIPPA

Answer 15

health insurance portability and accountability act
- protect the transmission and confidentiality of pt info
- right to written copy
- right to know how protected
- right to copy of records (does not include psychotherapy notes)

Question 16

commission of a criminal act has two components actus reus and mens rea

Answer 16

actus reus=voluntary conduct
mens rea=evil intent

Question 17

MNagten rule

Answer 17

did the defendant understand difference between right and wrong with respect to the act at time it was committted

Question 18

ford v wainwright

Answer 18

competence to be executed

Question 19

competence case of dusky v us

Answer 19

• must be able to demonstrate knowledge of the charges
• must demonstrate knowledge of persons in the case
• must be able to collaborate with his attorney

Question 20

category A-X

Answer 20

A: controlled studies show no human risk. generally considered safe
B: animal studies show no risk. no human studies available. caution advised
C: animal studies show adverse fetal effects. no human studies available. weigh risks and benefits
D: human fetal risk seen. may be used in life-threatening situations
Category X: proved fetal risk in humans. No indication for use even in life threatening situations

Question 21

most common reason for psychiatric malpractice suits

Answer 21

include suicide attempt or completed suicide

Question 22

substituted judgement

Answer 22

surrogate makes a decision based on what the patient would have wanted, taking into account his or her wishes or values

Question 23

who is competency decided by?

Answer 23

the court

Question 24

what are the four standards of capacity

Answer 24

• ability to communicate choice
• ability to understand the information presented
• ability to understand how information applies to one’s own circumstances
• ability to reason in a logical manner (even if most people wouldnt agree with the final decision )