Test 3 Flashcards
What type of information are patients encouraged to obtain from their physicians and caregivers?
A) Current and relevant information about the hospital
B) Understandable information concerning diagnosis, treatment, and prognosis
C) Information only about their medication
D) Financial information about their care
B) Understandable information concerning diagnosis, treatment, and prognosis
In which situation can the patient’s right to obtain information be bypassed?
A) If the patient is asleep
B) During emergencies when the patient lacks decision-making capacity and the need for treatment is urgent
C) If the doctor is too busy
D) If the patient does not ask for information
B) During emergencies when the patient lacks decision-making capacity and the need for treatment is urgent
What are patients entitled to discuss regarding specific procedures or treatments?
A) The doctor’s personal opinions
B) The risks involved, possible length of recuperation, and medically reasonable alternatives
C) The hospital’s overall policies
D) None of the above
B) The risks involved, possible length of recuperation, and medically reasonable alternatives
Patients have the right to know the identity of which individuals involved in their care?
A) Only the primary physician
B) Only the nurses
C) Physicians, nurses, students, residents, and other trainees
D) Only senior doctors
C) Physicians, nurses, students, residents, and other trainees
What right does the patient have regarding treatment decisions?
A) The right to always follow the doctor’s recommendation
B) The right to make decisions about their plan of care prior to and during treatment
C) The right to make decisions only after treatment
D) The right to refuse any treatment without any consequences
B) The right to make decisions about their plan of care prior to and during treatment
If a patient refuses a recommended treatment, what are they entitled to?
A) No further care from the hospital
B) Only emergency services
C) Other appropriate care and services the hospital provides or transfer to another hospital
D) Complete dismissal from the hospital
C) Other appropriate care and services the hospital provides or transfer to another hospital
What should the hospital do if it has policies that affect patient choices?
A) Ignore the patient’s preferences
B) Notify patients of any policies that might affect their choices
C) Only inform the patient if they ask
D) Transfer the patient to another facility
B) Notify patients of any policies that might affect their choices
What right does a patient have in relation to advance directives?
A) The right to change doctors at any time
B) The right to request additional tests
C) The right to have an advance directive, such as a living will or health care proxy
D) The right to choose hospital staff
C) The right to have an advance directive, such as a living will or health care proxy
What is the hospital’s responsibility regarding advance directives?
A) To ignore them if they conflict with the doctor’s decision
B) To honor the intent of the advance directive to the extent permitted by law and hospital policy
C) To only consider them in extreme cases
D) To require that all patients have an advance directive
B) To honor the intent of the advance directive to the extent permitted by law and hospital policy
What right does a patient have concerning their medical records?
A) The right to review their records and have the information explained, except when restricted by law.
B) The right to edit their medical records.
C) The right to refuse any explanation of their medical records.
D) The right to deny access to medical records for all hospital staff.
A) The right to review their records and have the information explained, except when restricted by law.
What must a hospital provide in response to a patient’s request for medically indicated care and services?
A) A free consultation.
B) A reasonable response within its capacity and policies.
C) Immediate discharge from the hospital.
D) Unlimited services regardless of urgency.
B) A reasonable response within its capacity and policies.
Under what condition can a patient be transferred to another facility?
A) The patient requests it, and the new facility accepts them.
B) The current hospital is too full.
C) Only after the patient’s family agrees to the transfer.
D) Transfer is possible regardless of the receiving facility’s consent.
A) The patient requests it, and the new facility accepts them.
What must the patient receive before a transfer?
A) A new doctor.
B) An explanation of the transfer’s need, risks, benefits, and alternatives.
C) Free transportation to the new facility.
D) A guarantee of better care at the new facility.
B) An explanation of the transfer’s need, risks, benefits, and alternatives.
How should case discussions, consultations, and treatments be conducted?
A) In public to ensure transparency.
B) In a way that protects the patient’s privacy.
C) Openly with the patient’s family involved.
D) In any manner convenient for the hospital staff.
B) In a way that protects the patient’s privacy.
Which of the following is NOT required by Joint Commission International to be documented in a consent for a procedure?
A) Nature of the procedure
B) Assessment of the patient’s understanding
C) Name of the physician performing the procedure
D) Reasonable alternatives, including risks and benefits
C) Name of the physician performing the procedure
Written Consent
Written - Is necessary for extensive interventions, anesthesia or sedation, restorative procedures, any invasive or surgical procedures, administration of high risk medications, etc.
Implied Consent
Implied – when a patient passively cooperates in a process without discussion or formal consent
Verbal Consent
Verbal – Can be sufficient for routine treatment or diagnostic procedures
Informed Consent
Patient has the right to receive information and ask questions about the risks, benefits, and alternatives to the proposed procedure or intervention
Should be done with the patient (if able) or the patient’s surrogate (if they are unable) and the person responsible for providing the intervention (RA, Radiologist, Physician, etc.)
Common Procedure Risks in Radiology
Complications with anesthesia
Tiredness
Nausea/vomiting
Mood shifts
Dizziness
Allergic reactions
Breathing issues
Infection
Bleeding
Discomfort
Insufficient sample
Who can give consent?
The patient
A parent or guardian
A surrogate for the impaired patient
In emergencies – physicians may initiate treatment – but should communicate with patient/surrogate as soon as possible
Who can’t give consent?
A patient with impaired cognition or ability to understand
A child under 18 (unless legally emancipated, pregnant, married)
Who can refuse consent?
The patient
A parent or guardian
A surrogate for an impaired patient
Consent can be revoked at anytime during the procedure
