Term
| T/F A physician can break confidentiality if information is needed in civil commitment proceedings. |
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Definition
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Term
| T/F Even if a competent patient waives the right to confidentiality, a psychiatrist can clain doctor-patient confidentiality and refuse to testify in court. |
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Definition
| FALSE, the patient holds testimonial privilege and the psychiatrist must testify |
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Term
| What is testimonial privilege? |
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Definition
| the privilege to withhold information that applies only to the judicial setting |
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Term
| T/F Psychiatrist has a carte blanche authorization to disclose all information obtained to hospital staff members. |
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Definition
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Term
| Can a psychiatrist speak to family members of the patient? |
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Definition
| should obtain verbal conset from a competent patient before speaking to family members |
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Term
| What does HIPAA stand for? |
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Definition
| health insurance portability and accountability act of 1996 |
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Term
| Is a psychiatric consultant's note on the medical chart considered a psychotherapy note? |
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Definition
| NO, psychotherapy notes recieve extra confidentiality protection and they are kept separate from the rest of the medical record |
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Term
| What are the two principles that informed consent is based on? |
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Definition
1)every patient has a right to determine what is or is not done to his/her body
2) it is the physician's duty to diclose honestly all the facts about a patient's condition |
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Term
| What is the purpose of informed consent? |
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Definition
| promote individual autonomy |
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Term
| What are the three ingredients of informed consent? |
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Definition
| competency, information, voluntariness |
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Term
| What are the basic exceptions to informed consent? |
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Definition
| emergencies, incompetence, therapeutic privilege, waiver |
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Term
| What is therapeutic privelege? |
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Definition
| complete disclosure of risks and alternatives will ahve a deleterious effect on a patient's health and welfare |
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Term
| How is it decided whether a patient is competent or not? |
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Definition
| determination of competency requires a judicial decision |
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Term
| T/F Health care providers can not declare a patient incompetent. |
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Definition
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Term
| Although a physician can not determine whether an individual is incompetent, they can determine... |
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Definition
| if the individual has a lack of decisional capacity |
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Term
| What are the four standards for determining mental incapacity in deicision making? |
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Definition
| 1) communication of choice 2) understanding the information provided 3) appreciation of options available 4) rational decision making |
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Term
| What is the hierarchy of substituted judgment in louisiana? |
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Definition
| legal gaurdian, spouse, adult child of a patient, parent of patient, adult sibling, close friend |
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Term
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Definition
| formal voluntary admission |
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Term
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Definition
| physician's emergency commitment |
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Term
| When can you commit a patient against their will? |
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Definition
| if they are suicidal, homicidal, or gravely disabledd |
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Term
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Definition
| coroner's emergency commitment |
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Term
| What are the principles of biomedical ethics? |
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Definition
| respect for patients autonomy, beneficence, nonmaleficence, justice |
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