SM01 Mini3

Question 1

primary ethical principals

Answer 1

1. Beneficence
2. Nonmaleficence
3. Autonomy
4. Justice

Question 2

Beneficence

Answer 2

acting for the benefit of the pt

Question 3

Nonmaleficence

Answer 3

do no harm

Question 4

autonomy

Answer 4

individual’s (patient’s) right to choose or refuse

Question 5

Justice

Answer 5

fairness & equality

distribution of rescources

Question 6

reasons for confidentiality

Answer 6

• respect for patients: not revealing information
• allows discussion of sensitive topics: they might not otherwise share
• encourages care-seeking: see reasoning above
• prevents harmful consequences to patients: stigmatization or discrimination

Question 7

reasons to break confidentially

Answer 7

• significant risk of suicide
• suspected child or elder abuse
• serious threat to another person: homocidial
• serious threat to pubic: impared driver

Question 8

Genetics Information Nondiscrimination Act

Answer 8

GINA (2008)

prohibits health insurers from denying coverage of healthy individual or charger higher premiums due to genetic predisposition for dz

prohibits employers from discriminating based off of individuals genetic information

Question 9

confidentially of minors

Answer 9

mature enough (usually 12yrs) confidentially maintained but encouraged to include their parents

Question 10

mental capacity

Answer 10

individual’s ability to make their own decisions

inhibitors: mental health, dementia, learning disability

determined by doctor

Question 11

mental competency

Answer 11

mental capacity of an individual to participate in legal proceedings or transactions

determined by the legal system

Question 12

elements of informed consent

Answer 12

• disclosure: fully informed about potential risks & benefits
• understanding: & given a chance to ask questions
• voluntariness: consent given freely; no coercion
• competence: legally about to provide consent
• consent: authorization of participation, preferably in writing

Question 13

suicide

Answer 13

fatal self-inflicted destructive act w/explicit or inferred intent to die

Question 14

suicide attempt

Answer 14

non-fatal, self-inflicted destructive act w/explicit or inferred intent to die

Question 15

suicidal ideation

Answer 15

thoughts of harming or killing oneself

Question 16

suicidal communications

Answer 16

direct or indirect expression of suicidal ideation or intent to harm onself

verbally, written, artwork, or other

Question 17

suicidality

Answer 17

all suicide-related behaviors & thoughts

includes completing or attempting suicide, communications, & ideation

Question 18

at-risk groups for suicide

Answer 18

• American Indians/Alaskan Natives
• Armed forces & veterans
• welfare children
• prisoners
• nonsuicidal self-injury patients (usually accidently)
• previous attempts of suicide
• mental health issue
• substance abuse
• severe, chronic medical conditions
• Older men: don’t want to be a burden
• LGBT community: discrimination
• midlife men
• bereaved by suicide

Question 19

static risk factors

Answer 19

aka chronic risk factors

things that can’t be changed

previous attempts, family/peer suicide, some psychiatric illnesses, chronic pain or terminal illness, gender

Question 20

dynamic risk factors

Answer 20

aka acute risk factors

variable or modifiable risk factors

ex. support system loss, depression, access to lethal methods

Question 21

protective factors against suicide

Answer 21

religion/cultural beliefs: fear of outcome

future goals

sense of responsibility to family

impulse control/emotional regulation