pharm quiz 2

Question 1

Are you able to transport a capable patient without consent? please explain.

Answer 1

yes if the pt does not meet capacity due to a medical problem. you can also transport in situations where there us a delay or inability to get consent ex: language barriers. there are no reasons to suggest the pt would not want help therefore you are able to transport and treat them.

Question 2

List 3 factors that may impact your ability to gain consent

Answer 2

language barrier, mental impairment, age,

Question 3

Why is it important to assess a patient’s capacity for refusal of care?

Answer 3

to ensure pt are making informed decisions about their treatment

Question 4

Discuss the role of effective communication in healthcare and its impact on patient outcomes.

Answer 4

• communication with other health care persononnel reduces errors
• reduces stress for pt by informing them
• builds rapport between pt and medic

Question 5

You have a patient who appears to be having a STEMI (ST elevation myocardial infarction). They are refusing transport and state that it’s only some heartburn and it will pass. What will you say to them to gain their consent for transport? (Answer should reflect your words to the patient; i.e. “ I would like to take you to the hospital because”)

Answer 5

I would like to take you to the hospital today because you are having a heart attack. at this point their is a blockage in your heart preventing blood from circulating properly. The pain you are feeling is caused by the lack of oxygen to the heart. Without definitive care your heart will eventually stop beating and you will die. In the hospital they will be able to give you the exact care you need. Do you understand this?
- I would like to give you NTG and ASA. ASA will stop the clot from getting bigger. it is giving in pill form.I would like to give you NTG as well. It will help with the pain are you okay with taking this.

Question 6

A patient has the right to refuse treatment even if they will likely die without it.

(t/f)

Answer 6

true

Question 7

You respond for a patient that is experiencing shortness of breath. You arrive to find a 77 yr old patient, mildly SOB on exertion. His wife called as she is concerned that he may have a chest infection and is getting worse. You complete your assessment, the patient is cooperative, answers your questions appropraitely; PMHX lung CA, HTN and MI 3 yrs ago. He denies CP, SOB only on exertion with a dry non-productive cough. Vital signs are all within normal limits including sats of 95% and GCS 15. He does not wish to go to the hospital, despite his wife’s wishes. You explain the risks of a chest infection with his CA. He is able to describe the consequences of his refusal and he still refuses. Does this patient meet capacity?

Answer 7

yes

Question 8

List the 4 things that are required for consent to be valid

Answer 8

must be voluntary, specific to tx and the pt giving consent, must be informed, pt must meet the aid to capacity