Walden - Ethical/Advance Practice

Question 1

Obligation to help patient, to remove harm, to prevent harm, promote good, “do no harm”

Answer 1

Beneficence

Question 2

Ex. Educating patient about new prescription, how to take, encourage to stop smoking, calling surgeon to get prescription stronger

Answer 2

Beneficence e.g.

Question 3

Obligation to avoid harm, protect a patient from harm, prescribing a medication that is not contraindicated to patient.

Answer 3

Non-malificence

Question 4

Obligation to act in way that’s useful to or benefits the majority, outcome is what matters with utilitarism, use resource to benefit the most

Answer 4

Utilitariasm

Question 5

Ex WIC is only for women and babies because it would cost society more if these patients were hurt by inadequate food intake

Answer 5

Utilitariasm e.g.

Question 6

Quality of being fair without acting with a lack of bias, fair suitable distribution of resources, ex homeless man admitted to ED without insurance, treated the same as a man with insurance

Answer 6

Justice

Question 7

Quality or state of being worthy of ethical and respectful treatment respect for human dignity is important aspect of medical ethics, persons religious, personal, cultural beliefs are considered dignified treatment.

Answer 7

Dignity

Question 8

Ex. Using hospital gowns to cover patient front and back, Foley catheters should not be visible to visitors not to embarrass patient.

Answer 8

Dignity e.g.

Question 9

Obligation to maintain trust in relationship- keeping promise, dedication and loyalty to patient.

Answer 9

Fidelity

Question 10

Ex. NP should try her best to develop trust with patient

Answer 10

Fidelity e.g.

Question 11

Obligation to protect patient’s identity, personal information, test results, medical records, conversations, and other health information is right is protected by HIPPA

Answer 11

Confidentiality

Question 12

Obligation to ensure mentally competent patients have right to make their own health decisions and express treatment preferences

Answer 12

Autonomy

Question 13

NP are responsible for their own actions and choices and do not blame others for their mistakes

Answer 13

Accountability

Question 14

Ex. Patient diagnosed with pleurisy but when goes to ED is diagnosed with MI, no error is held accountable for her decision

Answer 14

Accountability e.g.

Question 15

Obligation to present information honestly and trustfully, in order for patient to make informed decision, do not withhold “bad news”

Answer 15

Veracity

Question 16

Ex. Patients mammogram results are in, but son does not want patient to know, no must tell patient

Answer 16

Veracity e.g.

Question 17

One person interferes or overrules the autonomy of another

Answer 17

Paternalism

Question 18

Person who acts as intermediary between patient and organization,
ombudsman investigates and mediates complaint form both sides and attempts to
reach fair conclusion

Answer 18

Ombudsman

Question 19

Person assigned by court to act in best interest of the child/frail
vulnerable patient.

Answer 19

Guardian ad litem

Question 20

Organization that does processing of claims and administrative paperwork for another company

Answer 20

TPA

Question 21

Pays for inpatient services, (Hospice)

Answer 21

Medicare A

Question 22

Pays for outpatient services (ambulance emergency only)

Answer 22

Medicare B

Question 23

Pays for both

Answer 23

Medicare C

Question 24

Is for medications drug benefit

Answer 24

Medicare D

Question 25

Provides insurance for low income individuals and families who meet poverty criteria

Answer 25

Medicaid

Question 26

patients assigned PC (gatekeeper), copay per visit, PCP must approve
referral

Answer 26

HMO

Question 27

Not assigned PCP, can visit any PCP, more expensive than HMO

Answer 27

PPO

Question 28

Does not reimburse for dentures glasses or hearing aids or ambulance
transportation

Answer 28

Medicare B

Question 29

Is law that allows person to keep insurance after quit job.

Answer 29

COBRA

Question 30

Primary healthcare delivery of PT/OT/speech, communicate thru
phone, video chat or email.

Answer 30

Medical home