Y2 M1 Flashcards

1
Q

Which of the following does NOT belong with the 4 elements of consent required by the Health Care Consent Act 1996:

a. The consent should be given after treatment has started
b. The consent must relate to the treatment.
c. The consent must be informed and voluntary.
d. The consent must be given voluntarily (written, oral or implied).
e. The consent must not be obtained through misrepresentation or fraud

A

a.

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2
Q

T/F
In every province, the minimum age for giving consent to medical treatment is 14.

A

False.
There is no minimum age for giving consent to medical treatment.

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3
Q

T/F
Informed consent has subsection 3, which includes:
the nature of the treatment, the expected benefits, the risks, the side effects, the alternative courses of action, and the consequences of not having the treatment.

A

True

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4
Q

A consent to treatment is informed if, before giving it:

a. The person received the information about the matters set out in subsection (3) that a reasonable person in the same circumstances would require in order to make a decision about the treatment; and
b. The person received responses to his or her requests for addition information about those matters.
c. only A
b. A & B

A

d. A&B

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5
Q

“I do hereby affirm my loyalty to the profession I am about to enter. I will be mindful always of my great responsibility to preserve the health and the life of my patients, to retain their confidence and respect both as a physician and a friend who will guard their secrets with scrupulous honor and fidelity, to perform faithfully my professional duties, to employ only those recognized methods of treatment consistent with good judgment and with my skill and ability, keeping in mind always nature’s laws and the body’s inherent capacity for recovery.“

This statement is called the:

a. 1954 Osteopathic Oath
b. Confidentiality Waiver
c. Osteopathic Mantra
d. A. T. Still Oath 1917

A

a. 1954 Osteopathic Oath

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6
Q

Osteopathic practitioners may refuse to accept someone as a patient or declining to continue their care when they exhibit abusive behaviours such as:
a. They are or become aggressive.
b. They behave or have behaved inappropriately with you such as touching you, using inappropriate language or engaging in inappropriate conversation.
c. They do not have confidence in the care you are providing.
d. They appear to have become inappropriately dependent on you and do not respect the practitioner/ patient boundaries.
e. All of the above

A

e. All of the above

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7
Q

T/F
The osteopathic practitioner is able to terminate the practitioner-patient relationship if the patient poses a genuine risk of harm to the practitioner.

A

True

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8
Q

Which of the following are the potential consequences for the patient upon ending the practitioner-patient relationship:

a. Lack of continuity of care
b. Worsening of presenting symptoms
c. Limiting access to care
d. Reducing a patient’s level of trust in the osteopathic profession
e. All of the above

A

e. all of the above

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9
Q

Which of the following is NOT the role of the practitioner when attempting to resolve a situation in the best interest of the patient:

a. Proactively communicating expectations for patient conduct to all patients
b. Considering whether a problematic incident or behaviour is an isolated example or part of a larger pattern
c. Forgetting that the problematic incident occurred and continue to treat the patient
d. Discussing with the patient the reasons affecting the practitioner’s ability to provide care

A

c. Forgetting that the problematic incident occurred and continue to treat the patient

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10
Q

T/F
The practitioner responsibilities when ending the practitioner-patient relationship include:
documenting the reasons for discontinuation and steps undertaken to resolve the issues, convey to the patient that they should seek ongoing care, inform the patient that they are entitled to a copy of their medical records, ensure the timely transfer of a copy or summary of patient’s medical records upon their request, and to notify appropriate staff that care is no longer being provided to the patient

A

True

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11
Q

T/F
In exceptional situations, physicians can refuse to release the information in the patient’s medical record but only if they reasonably believe that there is a significant likelihood that disclosing the information will have a substantial adverse effect on the patient’s physical, or emotional health, or cause harm to a third party.

A

True

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12
Q

Under which circumstances can the practitioner disclose confidential information about the patient without their consent:
a. Compelled by order of the court or other legal authority (and only disclose the information you are required to under that order)
b. If it is necessary in the public interest. (ex. patient puts themselves or others at serious risk; infection, violent or serious criminal acts.)
c. In the interests of the patient’s health to share the information with their medical adviser, legal guardian or close relatives, and the patient is incapable of giving consent.
d. All of the above

A

d. All of the above

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13
Q

Maintaining patient confidentiality includes:
a. keeping patient’s identity and other personal information confidential, including opening you form about them in the course of your work
b. Ensuring staff and colleagues keep information confidential
c. Ensuring that information is kept confidential even after the death of a patient
d. Not relating or discussing medical details or information about the care of a patient with anyone, including their family or partner unless you have consent to do so.
e. Ensuring that such information is securely protected against loss, theft, and improper disclosure.
f. All of the above

A

f. All of the above

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14
Q

You should have adequate and secure methods for storing patient information and records. Patient records should be kept:

a. For a minimum of ten years after their last consultation.
b. If the patient is a child, ten years after their eighteenth birthday.
c. For a minimum of 7 years, regardless of age
d. A & B

A

d. A&B

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15
Q

For consent to be informed:
a. the patient must have received the information that a reasonable person in the
same circumstances would require in order to make a decision about the
treatment;
b. the patient must have received responses to his or her requests for additional
information about those matters;
c. the patient must be able to understand the information that is relevant to making
a decision about the treatment; and
d. the patient must be able to appreciate the reasonably foreseeable consequences
of a decision or lack of decision.
e. All of the above

A

e. all of the above

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16
Q

T/F
When treating a child, you should direct your discussions and questions at the responsible adult that is with them.

A

False. You should involve children and young people as much as possible in discussions about
their care, even if they are not able to make decisions on their own.

17
Q

T/F
If a child or young person with capacity gives their consent to treatment, a parent or
guardian cannot override that consent.

A

True

18
Q

T/F
If a child or young person with capacity refuses treatment, that refusal may, in certain
circumstances, be overridden.

A

True

19
Q

The most appropriate treatment for patients will sometimes involve all of the following EXCEPT:

a. Referring them to another osteopathic manual practitioner or other healthcare
professional.
b. Providing advice on self-care.
c. Not treating them at all.
d. Providing advice on exercises

A

d. Providing advice on exercises

20
Q

T/F
If you need to disclose information without your patient’s consent, you should inform the
patient, unless you are specifically prohibited from doing so (for example, in a criminal
investigation) or there is another good reason not to (for example, where a patient may
become violent).

A

True