Medical Ethics for Physicians

Course #47175 - $30-


Self-Assessment Questions

    1 . Prior to the 1960s, medical care decisions were primarily
    A) nurse-centered.
    B) patient-centered.
    C) physician-centered.
    D) None of the above

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    2 . What three events in U.S. history have caused a shift in the physician-patient relationship?
    A) The Joint Commission, case law, and the medical technology boom
    B) The Joint Commission, case law, and research and experimentation
    C) World War II research and experimentation, presidential elections, and the Joint Commission
    D) World War II research and experimentation, increased medical technology, and modernization of healthcare structure and organization

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    3 . Extensive publicity about three research projects resulted in the establishment of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The three research projects were
    A) the Tuskegee experiment, the Willowbrook State School experiment, and the Belmont report.
    B) the Belmont report, the Los Alamos project, and the elderly patients with chronic illness injected with live cancer cells.
    C) elderly patients with chronic illness injected with live cancer cells, the Tuskegee experiment, and Nutrasweet effects on teenagers.
    D) the Willowbrook State School experiment, the Tuskegee experiment, and elderly patients with chronic illness injected with live cancer cells.

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    4 . Which well-publicized court decision brought bioethics to the level of the individual?
    A) Tuskegee case
    B) Nancy Cruzan case
    C) Karen Ann Quinlan case
    D) Protection of Human Subjects case

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    5 . The Karen Ann Quinlan case is significant because it was the first case to deal specifically with the question of
    A) physician-assisted suicide.
    B) withdrawing of ventilator support from a permanently unconscious patient.
    C) removing an artificial feeding tube from a permanently unconscious patient.
    D) None of the above

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    6 . The link that made the Nancy Cruzan court case and the Karen Ann Quinlan case similar was
    A) the withdrawing of ventilatory support.
    B) the removal of an artificial feeding tube.
    C) the family members spoke for the individuals.
    D) None of the above

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    7 . During discussions at the state level, one of the agreed upon elements leading to the implementation of the Patient Self-Determination Act (PSDA) of 1990 was that
    A) incompetent patients have the same rights as competent patients.
    B) the right to refuse treatment is an issue to be decided at the state level.
    C) artificial nutrition and hydration are not considered medical treatment.
    D) the decision-making process should never be made in the clinical setting.

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    8 . The PSDA was legislation at the
    A) state level.
    B) federal level.
    C) county level.
    D) hospital level.

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    9 . The PSDA of 1990 mandated that applicable facilities must
    A) require clients to make out a living will.
    B) provide staff and the community education regarding issues associated with advance directives.
    C) halt care if there is not specific knowledge of the availability of an advanced directive for the patient in need of care.
    D) All of the above

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    10 . The means or tool for the individual to document his or her wishes for future healthcare decisions is called a(n)
    A) prime directive.
    B) advance directive.
    C) last will and testament.
    D) financial durable power of attorney.

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    11 . A physician directive is a legally binding form that allows
    A) patients to write their own treatment orders on the physician order form.
    B) patients to document their treatment wishes should they become unable to speak for themselves.
    C) the named surrogate to act on the financial matters of the patient who is unable to speak for himself/herself.
    D) the patient to name an attorney-in-fact to act on behalf of him/her for healthcare decisions, should the patient become unable to speak for himself/herself.

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    12 . The Joint Commission Patient Rights Standards on Ethical Issues requires that all accredited facilities must address
    A) advance directives.
    B) ethical issues in providing care.
    C) patient involvement in care decisions.
    D) All of the above

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    13 . Which of the following are considered the most common ethical principles currently applied in healthcare decision making?
    A) Negotiating, harboring, enlisting, issuing, delegating, acceptance
    B) Denial, anger, resistance, bargaining, acceptance, enlisting, issuing
    C) Autonomy, beneficence, non-maleficence, fidelity, right-to-know, justice, veracity
    D) Dependence, benevolent, non-benevolent, finality, wrong-to-know, judicious, veracity

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    14 . Autonomy, as a guiding principle, focuses on the patient's
    A) truthfulness.
    B) ability to self-pay for services.
    C) making and keeping promises.
    D) personal rights and self-determination.

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    15 . Deontologic ethics is
    A) the principle that all people are not of equal value.
    B) lying is ethical if it is seen to be in the person's best interest.
    C) based upon the principle that people should always be treated as a means to an end.
    D) a system of ethical decision making that stands on moral rules and unwavering principles.

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    16 . In natural law ethical theory, which of the following is TRUE?
    A) It is known as the virtue system of ethics.
    B) The fundamental maxim is to do good and avoid evil.
    C) Both A and B
    D) None of the above

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    17 . In order for a patient to be considered a capable decision maker in health care, he or she must be
    A) certified by a judge as competent.
    B) able to converse with healthcare staff.
    C) proven to make healthy and correct decisions.
    D) able to understand information relevant to the decision at hand and to weigh the possible alternatives.

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    18 . When following an ethical decision-making framework successfully, who makes the final determination of what should be done in patient care treatment issues?
    A) The nurse
    B) The physician
    C) The patient/family
    D) An objective outside party

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    19 . Collection of the database is the first step in the ethical decision-making framework. Components of this important first assessment step include
    A) sorting the issues.
    B) solving the problem.
    C) implementing the decision.
    D) gathering and assessing facts.

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    20 . In cases in which principles come into conflict, causing an ethical dilemma, which party's views must take precedence?
    A) The nurse's
    B) The physician's
    C) The patient's/family's
    D) The healthcare facility's

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