ISSUES IN PRACTICE - Ethics

Question 1

16 year old boy discusses nonthreatening sexual fantasies about a
cousin in therapy. What ethical principle
suggests an explicit account of these
fantasies is not needed in the medical
record? (2x)

Answer 1

Nonmaleficence

Question 2

According to AACAP code of ethics,
sexual contact by a psychiatrist with
family member or guardian of a patient
is discouraged for what period of time?
(2x)

Answer 2

Indefinitely

Question 3

Lecturer discloses relationship prior to
giving lecture at conference. Ethical
principle? (2x)

Answer 3

Fidelity

Question 4

Psychiatrist is consulted to assess child’s
academic delay and is a consultant at child’s
school. What ethical principle to consider?

Answer 4

Fidelity

.

Question 5

What is a core AACAP code of ethics for a 15
yo who does not want therapy, but parents
want her to attend?

Answer 5

Assent and consent

Question 6

Psychiatrist consents child for psych meds
with language child understands. Ethical
principle?

Answer 6

Autonomy

Question 7

Teen overdoses and psychiatrist
recommends inpatient despite parents
objecting. Ethical principle invoked?

Answer 7

Beneficence

Question 8

Ethical principle when 14 yo patient tells
you about skipping school to smoke weed,
but doesn’t want you to tell parents?

Answer 8

Confidentiality

Question 9

What ethical principle should guide
psychiatrist’s response to adolescent’s
request to not inform school of his
marijuana use?

Answer 9

Confidentiality

Question 10

Seeking approval for Institutional Review
Board to study anxiety in children. Parents
must provide informed consent for
participation and buccal swabs for
genotype of serotonin transporter. Biggest
ethical concern?

Answer 10

Ensuring confidentiality and security of

genetic data

Question 11

In one study, young orphans living in
institutions randomly assigned to be
transferred to foster care or remain in
institutional care. However it is already
established that foster care is better than
institutional care. What ethical question
does this raise?

Answer 11

Equipoise

Question 12

Clinic gives preferential appointments to
patients with private insurance over
insurance with low reimbursement. Ethical
principle violated?

Answer 12

Justice

Question 13

Fiduciary relationship between doctor and

patient based on?

Answer 13

Establishing trust and confidentiality

Question 14

Ethical principle related to giving patient
truthful information to allow them to make
an informed decision about treatment
interventions?

Answer 14

Veracity