Principles of Confidentiality and Truthfulness Flashcards

1
Q

Any social relationship depends on __________, however telling everything could lead to disaster.

A

Truthful communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

True or False: Telling the truth is not the same as telling the whole truth.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

True or False: It is difficult to decide what may be ethically concealed and what must be revealed.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

It is communicating something which is at odds with what the speaker believed to be true.

A

Lie

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Understood be wrong.

A

Lie

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Examination of the nature and range of reasonable expectations.

A

Revised definition of lying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The three factors: determine the reasonableness of the __________, are part specifications of the __________ and to ____________ by a proportional good.

A

Expectation of truth
Obligation to minimize evil
Justify the tolerance of evil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

No reasonable expectation of the truth if the communication will take place in circumstances where other people can overhear the conversation

A

Place of communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Types of communicators:

A

– The doctor
– The patient
– The relative
– The public

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

In a __________, the relationship is confidential, and the obligation to confidentiality changes expectations

A

counseling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

People do not ordinarily have a __________ that a health care provider will tell them the truth about anyone but themselves

A

reasonable expectations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

True or False: It is not a lie to conceal the truth, although it may be unethical for other reasons

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

No one is asking about the information

A

Volunteering information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

It is the person who wants to tell the information

A

Volunteering information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

It creates the reasonable expectation of the truth.

A

Volunteering information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Health care workers who uses media to spread medical news must:

A

Must be accurate
Must give full disclosure
Must enjoy editorial independence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

It is necessary to avoid conflict of interests that might result from dependence on a drug company or censorship by an editor

A

Independence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

a “look-alike” pill that has no pharmacologic effect that is given for psychological effect, or as a control in research evaluating the efficacy of a study drug.

19
Q

Sugar pill

20
Q

Drugs with active pharmacological properties have enhanced effects because the patients believe in them

A

Placebo effect

21
Q

in industrial psychology, merely paying attention to the worker increases productivity and cooperation. Same as in placebo.

A

Hawthorne effect

22
Q

__________ has been found to have an effect in the immune system and even produce addiction

23
Q

The effect of drugs depend not only on their pharmacologic properties but also on the ________ of the user and the setting in which the drug was taken.

A

mental set

24
Q

Although the ___________ may make important contributions to patient care, a physician must not rely on that effect

A

placebo effect

25
When placebo is overpriced and used in place of the standard of treatment. Failure to use accepted treatment when it is called for is _________.
malpractice
26
_________ is condemned as a form of theft.
Overpricing
27
It is wrong to tell falsehoods in situations in which there is reasonable expectation of truth
Truthfulness
28
The expectation of truth varies according to the ________, the ___________ , and the ____________.
place of communication roles of communicators nature of the material being communicated
29
concerned with a matter of keeping secret
Confidentiality
30
is information that a person has a right or obligation to conceal
Secret
31
Type of obligatory secrets :
1. Natural secret 2. Promised secret 3. Professional secret
32
So named because the information involved is by its nature, harmful if revealed
natural secret
33
Knowledge that we have promised to conceal
promised secret
34
The special evil of revealing promised secrets arises from the harmful effects of ___________.
breaking promises
35
However, like the natural secret, there may be _____________ for revealing the secret
proportionate reasons
36
A secret, if revealed, will harm not only the professional’s client but will do serious harm to the profession and to the society that depends on that profession for important services
professional secret
37
"privileged information"
professional secret
38
A physician cannot disclose information learned in confidence from a patient unless the patient gives permission
Privileged information
39
____________ is the MOST serious of all secrets because its violation can cause the greatest harm.
Professional secret
40
need access to diagnosis and treatment of the patient
Health insurance
41
will need to go through the work ups done and has access to the patient’s records
billing office
42
Referrals to other health professionals
confidentiality and consultation
43
Special cases:
* Media publicity and confidentiality * Children and adolescence * Hospital records, research and confidentiality