Social Sciences Flashcards
physicians should disclose medication errors and provide an apology in a timely fashion _________
regardless if harm occurred
_________ is a quality improvement measure that IDs what, how, and why a preventable adverse outcome occurred
root cause analysis
if there is reason to suspect abuse or neglect in an elderly patient, the patient should be
interviewed alone
visual resources should be used to address ______ patients
illiterate or low literacy
parents authority to make medical decisions for their children can be challenged in cases in which a child________. Physicians are justified in obtaining a court injunction to proceed with life saving medical treatment for the child
is at significant risk for harm
conversations regarding patients should be deferred to a ______________
private setting
________________ should be obtained by a provider who has sufficient knowledge to give an accurate description of the intervention, risks and benefits, and alternative treatments
informed consent
physicians are ethically and legally obligated to report _______ colleagues in a timely manner
impaired
a __________ is an insurance plan with low monthly premiums, low copayments and deductibles, and low total cost for the patient, but offers a limited panel of providers
HMO
________ take precedence over the wishes of family members
Advance directives
physicians should respond to disclosure of past _____ with empathy and concern
sexual abuse
all surrogate medical decisions, including next of kin decisions, must be based on the best estimation of
what the patient would have wanted
in an _________, the physician can treat an incapacitated patient without obtaining consent
emergency
most minors can consent to ________, treatment of an STI, contraception, and drug or alcohol rehab without emancipation or parental consent of notification
prenatal care
patients who are __________________ (drunk) should not be allowed to make important health care decisions
temporarily incapacitated
patients have the right to ________ to receive medical information
refuse
exceptions to patient confidentiality include ___________, knife or gunshot wounds, diagnosis of a reportable communicable disease, and patients at risk of physically harming themselves or others
suspected abuse
the five stages of grief are denial, anger, bargaining, depression, and ______. Denial that does not impair relationships or interfere with care should not be confronted
acceptance
consent of significant other is not required to undergo any type of procedure including
sterilization
when treating patients who have been referred for specialty care or a second opinion, it is imperative to not ____________ with the PCP
undermine the patients relationship
a health care _______ is a person legally designated to make medical decisions
proxy
physicians should ask patients preferred
form of address
in nonemergent settings, trained ________, including those for American Sign Language, should be used to ensure optimal medical care
language interpreters
physicians should use a neutral, open, and nonjudgmental approach when taking a
sexual history
providing _______ to friends is ethically problematic and should generally be limited to emergency situations when no other physician is available
informal treatments
patients with a life expectancy of <6 months should be evaluated for _____
hospice care
physicians are not required to provide medical services that are against their
personal beliefs
physicians may disclose patient information to friends and family members only when the patient gives
explicit permission
use the SPIKES protocol for
delivering bad news
when child abuse is suspected, the physician should attempt to conduct a full evaluation and interview with the child
alone
it is ethically problematic for physicians to accept
expensive gifts
all patients who present to the _______ must receive an appropriate screening medical exam and stabilization of their condition, regardless of ability to pay
emergency department
patients experiencing _______ should be assessed for safety and approached in a supportive, nonjudgmental, open ended manner
intimate partner violence
when an ill patient requests your______________ in an acute setting, it is appropriate to offer your personal support without interjecting your personal beliefs into the interaction
prayers
capacity to refuse _______ requires the ability to express a choice, understand the medical information, and appreciate the consequences of treatment options, and offer rationale for the decision
treatment
physicians are required to perform a thorough assessment prior to evaluating whether a patient is entitled to
disability benefits
a physician should neither confirm or deny whether the person of interest is a patient of theirs in a
nonmedical setting
romantic and sexual relationships with ______ are always unethical
current patients
physicians are ethically required to ______ medical errors
disclose
