Term
| True or False: Once patients sign a statement giving consent, they must continue treatment. |
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Definition
False.
Patients may change their minds at any time.
Exceptions to the requirement of informed consent include:
-Emergency situations
-Patients without decision-making capacity |
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Term
| A 15yo pregnant girl requires hospitalization for preeclampsia. Is paternal consent required? |
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Definition
No.
Parental consent is not necessary for the medical treatment of pregnant minors. |
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Term
| A doctor refers a patient for an MRI at a facility he/she owns |
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Definition
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Term
| Involuntary psychiatric hospitalization can be undertaken for which 3 reasons? |
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Definition
-Patient is a danger to self
-Patient is a danger to others
-Gravely disabled (unable to provide for basic needs) |
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Term
| True or False: It is more difficult to justify the withdrawal of futile care than to have withheld the treatment in the first place. |
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Definition
False.
Withdrawing a nonbeneficial treatment is ethically similar to withholding a nonindicated one |
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Term
| A mother refuses to allow her child to be vaccinated. |
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Definition
| A parent has the right to refuse treatment for his/her child as long as it does not pose a serious threat to the well-being of the child. |
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Term
| When can a physician refuse to continue treating a patient on the grounds of futility? |
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Definition
-When there is no rationale for treatment.
-Maximal intervention is failing.
-A given intervention has already failed.
-Treatment will not achieve the goals of care. |
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Term
| An 8yo child is in a serious accident. She requires emergent transfusion, but her parents are not present. |
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Definition
-Treat immediately.
-Consent is implied in emergency situations. |
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Term
| A 15yo girls seeking treatment for an STD asks that her parents not be told about her condition |
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Definition
| Minors may consent to care for STDs without parental consent or knowledge |
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Term
| Conditions in which confidentiality must be overridden: |
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Definition
-Real threat of harm to third parties.
-Suicidal intentions.
-Certain contagious diseases.
-Elder and child abuse. |
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Term
| Involuntary commitment or isolation for medical treatment may be undertaken for what reason? |
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Definition
| When treatment noncompliance represents a serious danger to public health (e.g., active Tb) |
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Term
| A 10yo child presents in status epilepticus, but her parents refuse treatment on religious grounds. |
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Definition
Treat because the disease represents an immediate threat to the child's life.
-Then seek a court order. |
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Term
| A son asks that his mother not be told about her recently discovered cancer. |
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Definition
| A physician can withhold information from the patient only in the rare case of therapeutic privelege or if the patient requests not to be told. A patient's family cannot require the physician to withhold information from the patient. |
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