Ethics Test Questions Flashcards
how much information should a doctor tell a patient
info should be tailored to what the patients want to know or need to know such as risks
when can confidentiality be broken from a competent patient
without patient consent if there is risk of serious harm or
death to others
according to GMC guideline what info do you tell patients about treatment
what they want or need to know
the duty of confidentiality is owed to which patients
all patients regardless of their age or competence
if someone is refusing treatment but cant speak how would you discuss it
assess her ability to understand the need for the treatment but make sure you adhere to her wishes before going ahead
if a 14 year old wanted antibiotics should you prescribe them without consent
if the teen is Gillick competent then he has the ability to understand the treatment, has maturity and understands the risks etc
if someone has capacity do they have the right to refuse treatment options
yes, but you should fully inform them of all options available which she has the right to refuse or accept
if someone was having memory problems and refuses treatment what should you do
conduct a functional test for capacity as cognitive impairment could be affecting her decision making
what does the second stage of the functional test assess
whether a patient can understand, retain and weigh up relevant information and communicate it back to make a decision
should all children be consulted about treatment despite any distress it may causes
yes, if they have the capacity to understand, especially if it is a life or death situation
if someone refuses treatment which will result in death is that their right
yes, if there is no reason to think that she lacks the capacity to make this decision
when should the second stage of the functional test be carried out
when the patient shows evidence of impairment to the mind or brain
what did the bolam case give rise to
led to the bolam test for negligence of doctors - a doctor is not guilty of negligence when they have acted in accordance with practice accepted as proper by a responsible body of medical opinion
duty of confidentiality covers what types of information
hard copy, computerised, text, picture, video, audiotapes and any information in the memory of medical professional
what is undue influence and how does it affect treatment decisions
occurs when a patients decision cannot be taken to really be their own decision and the treatment can only be offered without it
valid consent must be voluntary
what was the bolitho case
mother of 2 year old sued hospital for negligence causing death of the child
how did the bolitho case improve the bolam test
it highlighted that the medical opinion to back up the doctor must be both reasonable and responsible - better safeguards patients
is it okay to talk to a next of kin disclosing information without consent of the patient
no - you must get patient consent no matter the next of kin provided they have capacity
what are the GMC guidelines about honesty and why is it good
require you to be honest and it builds a trusting relationship which enables good patient care
if someone is under the age of 18 should you without information from parents
yes, it is not deceptful as the parents have no right to the information
what was the result of the debbie purdy case regarding assisted suicide abroad
it is against the law to aid someone in going abroad for suicide - maximum penalty of 15 years
produced new guidance which clearly sets out when prosecution should be considered
if parents are asking questions about the case what should you do
confidentiality of the patient should be respected but also the doctor must be honest - so you should try your best to evade questions and only say answers associated with treatment of the patient
what happens when an adult patient lacks capacity
the decisions must be made from them by the doctor
if someone told the doctor about refusal of treatment but then lost ability of capacity do you still listen to them from before
if treatment causes harm then the doctor has the ability to overrule what was said before as the patient no longer has the capacity to understand the risk
a GIllick competent child has the ability to do what
provide valid consent to any treatment
what do 16-17 have ability to do for treatment in england and wales
16 / 17 are presumed to be competent and therefore don’t need gillick test but they may not refuse treatment if it is overruled in court if it is in their best interests
