Vulnerable adults and kids

Question 1

What are the 8 goals of medicine?

Answer 1

• Promote health
• Educate
• Maintain health
• Improve function
• Avoid harm
• Relief near death
• Prevent untimely death
• Cure dz

(I-PREACH)

Question 2

What is dependence?

Answer 2

The state of relying on or being controlled by someone or something else

Question 3

What is vulnerability?

Answer 3

State of being open to injury

Question 4

True or false: we are all dependent

Answer 4

True

Question 5

True or false: the degree of dependence correlates with the degree of vulnerability

Answer 5

True

Question 6

What are the two major categories of dependence?

Answer 6

Social or health parameters

Question 7

What are the obligations of a physician to vulnerable adults?

Answer 7

• meet needs
• Provide care
• Minimize harm
• Avoid exploitation

Question 8

What is the central feature of advocating for a vulnerable patient?

Answer 8

Help maintain their autonomy

Avoid discrimination/paternalism

Question 9

What is infantilising adults?

Answer 9

Treating the elderly as infants

Question 10

True or false: it is appropriate to obtain consent in pt with mental illness at times when they are most lucid

Answer 10

True

Question 11

True or false: implied consent is sufficient for sharing healthcare information to the healthcare team

Answer 11

True

Question 12

True or false: reporting abuse overrides confidentiality

Answer 12

True

Question 13

How much information should be reported with abuse?

Answer 13

Only as much as necessary

Question 14

What are the four major ways of restraint?

Answer 14

• Physical
• Mechanical
• Chemical
• Psychological

Question 15

What is the definition of delirium?

Answer 15

Acute disconnection with reality

Question 16

What are the best ways to reduce the incidence of falls? (4)

Answer 16

• Review meds
• Correct sight and hearing
• Safe footwear
• Institutional changes

Question 17

What are the personal steps that you can take to reduce the incidence of falls?

Answer 17

• Establish personal plan
• Involved old ppl in their care
• Restrict movement PRN

Question 18

What are the two qualifications that must be obtained to enforce restraints?

Answer 18

Must be:

• proportional to risk
• Planned, discussed, documented

Question 19

What are the ssx of neglect/abuse (besides the obvious)?

Answer 19

• Withdrawn or sad affect
• Unprompted remarks about caregiver
• Recent weight loss/ change in hygiene

Question 20

Physicians are mandatory reporters of abuse through what government body?

Answer 20

Department of human services offices

Question 21

What level of government determines who is and is not a minor?

Answer 21

State

Question 22

True or false: if you’re tried as an adult and convicted, then you’re emancipated

Answer 22

True

Question 23

Who grants emancipation?

Answer 23

Judge

Question 24

True or false: being pregnant or married makes you emancipated

Answer 24

false-marriage yes, prego no

Question 25

What should you do for emancipated minors receiving healthcare?

Answer 25

Encourage minors to receive medical care they might not otherwise receive

Question 26

What is title X?

Answer 26

Act designed to prioritize the needs of low income families or uninsured people, and planned parenthood, by allotting government monies to that purpose

Question 27

Is abortion provided for with title X?

Answer 27

No

Question 28

What are the title X services? (4)

Answer 28

- Family planning - Breast and pelvic exams - STD screens - Prego dx/plan

Question 29

True or false: title X services are made available to all adolescents, regardless of age

Answer 29

True

Question 30

True or false: Title X services are contingent on parental consent

Answer 30

False-- are NOT contingent

Question 31

True or false: a minor of any age can consent to title X services

Answer 31

True

Question 32

Does title X trump state laws if there is a conflict?

Answer 32

Yes

Question 33

What is the one exception to reporting to parents under title X?

Answer 33

Positive HIV test (but a negative test is still confidential)

Question 34

Do healthcare providers need consent to provide contraceptives?

Answer 34

No, but need written consent from minor

Question 35

True or false: Iowa law authorizes a minor to provide consent for medical services relate to the prevention, diagnosis, or treatment of an STD

Answer 35

True

Question 36

Do you need parental consent for treating STDs?

Answer 36

No

Question 37

True or false: the law *does* require that a minor be informed prior to testing that if the HIV test result is positive, the minor's legal guardian shall be informed

Answer 37

True

Question 38

What controls are there to prevent notification of parents from insurance billing?

Answer 38

None

Question 39

Does substance abuse have to be reported to parents?

Answer 39

Nah

Question 40

Does treatment for rape victims need consent?

Answer 40

No

Question 41

Does education count as medical care? Does this mean that parents must be informed?

Answer 41

No, and no

Question 42

Does abortion need parental consent? How many parents are needed?

Answer 42

Yes-- need at least 48 hours after written consent has been obtained from both parents, unless one cannot be reasonably be located

Question 43

Can you provide abortions without parental consent in case of emergency?

Answer 43

Yes

Question 44

What are the criteria to become emancipated? (3)

Answer 44

- Absent from parental home with consent from parents - Self supporting - Assumed a new relationship inconsistent with being a part of the family

Question 45

True or false: it is illegal to provide free care to patients in an office setting

Answer 45

True

Question 46

True or false: parents or guardians must consent to emergency services

Answer 46

True--but if they are not present, then do not need it

Question 47

At what age are kids allowed to donate blood with and without parental permission?

Answer 47

17 no permission needed | 16 need permission

Question 48

Can parents disclose their child's health information under HIPAA (assuming the kid's a minor)?

Answer 48

Yes

Question 49

True or false: a parent may waive their right to their child's medical record

Answer 49

True

Question 50

A parent, under certain circumstances, can access their child's health record once waived. What is the one exception to this?

Answer 50

Substance abuse

Question 51

What is the rule that is followed if divorced parents disagree on the treatment for their child?

Answer 51

Child's best interest prevails

Question 52

True or false: adoptive parents are treated the same under Iowa state law, assuming the proper paperwork is filled out

Answer 52

True

Question 53

Can foster parents consent to routine and ordinary medical and dental care of their child?

Answer 53

Yes

Question 54

Who are authorized caregivers?

Answer 54

Adults, who are not the patient's parents, and does not live with the minor, and do not have consent abilities

Question 55

What are cases where public interest supersedes patient confidentiality?

Answer 55

- If a threat to public | - Involvement of abuse/neglect