module 5-Autonomy and Consent

Question 1

autonomy is a worldwide concept (T/F)

Answer 1

F- only western

Question 2

factors of autonomy (3)

Answer 2

Implies respect
Ability to set goals
Freedom to act on choices

Question 3

respect

Answer 3

not paternalistic
only individual knows what is best for them

Question 4

what are the limits of autonomy (4)

Answer 4

Outside accepted standards
Ethical views
Limited availably resources
Economic issues

Question 5

what was the video about autonomy and limits

Answer 5

patient watches porn for pain

Question 6

how does autonomy and justice conflict

Answer 6

finite resources

Question 7

what factors threaten autonomy (4)

Answer 7

• paternalistic attitude
• focus on technology
• not appreciate difference in knowledge
  -assume pt’s values=HCP values

Question 8

what does the patient centered approach focus on

Answer 8

autonomy

Question 9

what does informed consent decrease

Answer 9

paternalistic decision making

Question 10

difference of law and ethics related to informed consent

Answer 10

ethics- protect the pts rights

law- protect health care team from legal actions

Question 11

guidelines to informed consent (3)

Answer 11

voluntary
understanding
disclosure of essential info

Question 12

capacity vs comprehension

Answer 12

capacity- Having the ability to understand what you are told

comprehension- actual understanding of what they are being told

Question 13

what is needed for understanding (2)

Answer 13

capacity
comprehension

Question 14

barriers to comprehension (2)

Answer 14

language or medical jargon

Question 15

values of informed consent (3)

Answer 15

honesty
trust
power

Question 16

explicit consent

Answer 16

clear statement from pt
written out (document)

Question 17

exceptions to informed consent (3)

Answer 17

emergencies
deemed not competent (proxy)
waivers- from pt

Question 18

when can’t a patient change their mind (informed consent)

Answer 18

can’t change decision when change from competent to incompetent

Question 19

nurses role with informed consent (4)

Answer 19

• patient is aware of options
• Advocating for the patient
  -patient understanding
  -witness signing consent

Question 20

rights of child (4)

Answer 20

Right to life
Right to treatment-extend life
Right to end unnecessary suffering
Right to justice

Question 21

Rights of parents (4)

Answer 21

-not unlimited rights
-responsible for raising children
-know child best
-decisions in child’s best interest

Question 22

who decides whether a minor can give consent

Answer 22

Common Law

Question 23

age of consent in Canada

Answer 23

No universally accepted, legally defined age for consent in Canada

Question 24

my sister’s keeper (5)

Answer 24

mature minor
- younger sister stop being a donor to older sick sister
-right to refuse transplant
-went to court
- parents want to continue tx

Question 25

consent and toddlers (2)

Answer 25

not able to understand and lack capacity

Question 26

consent and school-aged children (2)

Answer 26

strong assent/dissent
not fully understand

Question 27

consent and adolescents (3)

Answer 27

based on maturity
able to understand
affected by peer pressure, impulsive and risk-seeking

Question 28

parental authority is absolute (T/F)

Answer 28

F- not absolute, exceptions

Question 29

story of consent for minor and parents (2)

Answer 29

-kid died of meningitis because parents don’t take him to Dr

-dad got 4 months in prison-no remorse

Question 30

story of cystic fibrosis (4)

Answer 30

-didn’t want to be intubated, said had DNR
-lied about age
-minor- intubate anyway
-parent said- no DNR=intubate

Question 31

barriers to consent video (3)

Answer 31

medical jargon and rushed
illiterate and no resources/witness
language

Question 32

consent for research (5)

Answer 32

purpose study
procedures
benefits
risks
recording devices

Question 33

rules for consent for research (5)

Answer 33

Confidentiality and anonymity
Access to data
Remuneration (payment)
Withdrawal from study
Dissemination of findings (shared)

Question 34

What is the legal protection of a patient’s right to personal autonomy?

Answer 34

informed consent

Question 35

Competence

Answer 35

a legal ruling regarding a person’s ability to make meaningful life decisions

Question 36

what are included in advanced directives (2)

Answer 36

-interventions to initiate or withhold
-designate surrogate to make decisions if patient can’t