Quiz Nine

Question 1

consequentialist view on confidentiality

Answer 1

unless pts are able to rely on a MD to keep their secrets, they would be reluctant to reveal truthful info about themselves

Question 2

nonconsequentialist view on confidentiality

Answer 2

people should be allowed to exercise their capacity for self-determination

Question 3

right to privacy

Answer 3

the authority of persons to control who may possess and use info about themselves

Question 4

Kant on confidentiality

Answer 4

to break a promise is to violate autonomy

Question 5

law on confidentiality

Answer 5

prima facie, communication between pt and MD is privileged and should generally be safeguarded from invasion… but must be breached in cases of serious contagious disease, GSW, and abuse.

Question 6

Tarasoff v. Regents of the University of California

Answer 6

Guy told university therapist he was gonna murder Tarasoff. school didn’t warn family and he murdered her. Family sued and won. Court recognized the importance of confidentiality but ruled that a confidentiality must be breached when a third party is at risk of serious harm.

Question 7

act-utilitarian on confidentiality

Answer 7

judged case-by-case, the right action being on that maximized good for everybody

Question 8

rule-utilitarian on confidentiality

Answer 8

MD should use tact but tell pt the truth, improves trust in MDs and medicine, full confidentiality except when a third party is involved

Question 9

virtue ethics on confidentiality

Answer 9

use compassion and tact and tell pts and they will trust you more and tell you the truth

Question 10

Thomasma on confidentiality

Answer 10

it is a right to be told the truth because respect for the person demands it, persons need to make informed judgements about their actions, it is a kindness to be told the truth and preserves important relationships, STRESS VALUES OVER TRUTH IN THIS NEW GENETICS TESTING AGE

Question 11

necessary paternalism

Answer 11

sometimes we are under sufficient stress that others must protect us from harm

Question 12

Lipkin on confidentiality

Answer 12

pts cannot understand the truth, strong paternalist, THE CRUCIAL QUESTION IS WHETHER THE DECEPTION WAS INTENDED TO BENEFIT THE PT OR THE MD

Question 13

Cullen and Klein on confidentiality

Answer 13

deception to benefit the pt is wrong because it disrespects them by restricting their autonomy, but is a pt says they don’t want to know then don’t tell, it is possible for pts to understand the truth and they don’t need to understand the whole medical background to be able to make educated decisions, but it is permissible to deceive a pt but only if the deception is short lived and the gain is significant and or saves to pts life