Med Ethics Final – Flashcards
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jp Which of the following is true about medical errors? A. Causes 100,000 deaths annually (more than MVA, breast CA, or AIDS) B. It is the 8th leading cause of death in the US C. 1 in 5 Americans (22% or 22.8 million) report that they or a family member have experienced a medical error D. all of the above
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Correct Answer: D. ALL OF THE ABOVE
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jp Passive voluntary euthanasia is:
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INVOLVES THE WITHDRAWAL OR WITHHOLDING OF LIFE-SUSTAINING TREATMENT
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jp What is a coma?
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PROFOUND OR DEEP STATE OF UNCONSCIOUSNESS
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jp Informed consent includes all of the following elements EXCEPT: A. Disclosure B. Comprehension C. Concealment D. Competency
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CONCEALMENT
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jp Which of the following is NOT one of the four basic principles in medical ethics? A. Autonomy B. Confidence C. Beneficence D. Justice
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confidence
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kc Which of the following is an error of omission?
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Failure to notify with results
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kc Which ethical theory best applies to the statement that humans are special and should have autonomy to freely decide for themselves?
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Kantian Ethics
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kc What is an abnormal reaction to grief?
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Never expressing any kind of grief
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kc A practitioner must oblige to Doctor- Patient confidentiality unless,
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It is in the best interest of the patient to break it such as suicide threats
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kc Which is not a basic principle in medical ethics? A. Autonomy B. Beneficence C. Justice D. Maleficence
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D
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cl All of the following are Greek philosophers that pondered ethical theory except o Plato o Aristotle o George Soros o Socrates
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George Soros
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cl Approximately when did "modern feminism" enter the medical dialog
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1970's
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cl Each of the following is a main element of Kantian Ethics, EXCEPT: o Ethics is not a matter of consequences, but of duty o Ethics decisions are governed by knowing when to say "I Kant" o A right act always treats other humans as ends-in-themselves, never as a mere means o People are only free when they act rationally The correct answer is : Ethics decisions are governed by knowing when to say "I Kant"
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Ethics decisions are governed by knowing when to say "I Kant"
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cl Which of the following was one of the chief theorists of Utilitarianism
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John Stuart Mills
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cl In which of the following states is Physician Assisted Suicide Legal
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Oregon
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dm Which of the four elements of informed consent is defined as: the information that a reasonable person would require to make an intelligent and informed decision?
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Disclosure
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dm Which ethical theory involves using case-based reasoning to determine standards of care?
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Cauistry
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dm Which of the following is NOT considered to be a "normal" reaction to grief
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never expressing any grief
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dm Which is the following is considered to be an error of omission?
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Failure to follow up on a test
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dm Double effect euthanasia is:
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the provision of palliative treatment with fatal side effects
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ls What are laws that come about without scripture and divine revelation, separate from those that are legislative?"
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Natural Law Theory
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ls What is an example of Active voluntary euthanasia?
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lethal injection
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ls Which of the following does not describe Utilitarianism? a.)The goal is to produce the greatest amount of good for the greatest number of people b.)Believes in minimizing harm to humans inflicted by others and maximizing well-being c.)A utilitarian believes in promoting happiness to all and preventing suffering d.) Mistreating wealthy people and only helping the poor.
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d
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ls Which of the following is not a typical symptom of grief?
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feelings of eagerness
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ls Which of the following is an error of commission
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wrong diagnosis
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al Beneficence can be defined as:
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Making decisions that are best for a patient without regard to personal gain or the interests of others
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al Which of the following is an example of competency?
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Mental capacity to understand, explain, and make choices
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al Which of the following is not considered to be one of the 5 typical signs of grief? a. Excessive desire to workout b. Sense of unreality c. Feelings of guilt and responsibility for the death d. Somatic/physical symptoms
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a
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al How would a Utilitarian most likely view end of life decisions?
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If the decision is about ending suffering, then ending suffering by any means makes sense.
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al Which of the following is NOT a possible reason why one would be hesitant to disclose a medical error they have made? a. Shame b. Angry patients c. Fear of being sued d. All of the above are possible reasons.
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d
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jm Which of the four basic principles in medical ethics is "based on the principle of respect for others, and the idea that people should make their own independent decisions"?
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Autonomy
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jm All of the following are reasons to break doctor-patient confidentiality except: A. Suspected child abuse B. To prevent a possible suicide C. To report a homicide D. To get on the news
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d
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jm Brain Death is characterized by: A. Unreceptively and unresponsively B. No spontaneous movements or breathing C. No eye movement D. All of the above
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d
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jm Physician-Assisted Suicide is legal in all of the following states except: A. Washington B. New Jersey C. Oregon D. Montana
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b
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jm All of the following are considered errors of omission except: A. Failure to follow-up on tests B. Prescribing the wrong drug C. Failure to perform preventive care D. Failure to notify with results
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b
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lk The ethical theory of Non-maleficence applies to the following statements:
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Above all do no harm
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lk Regarding medical errors, an example of an error of omission is
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Failure to follow up on tests
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lk In which of the following states is Physician Assisted suicide legal?
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oregon
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lk The following is considered an abnormal grief reaction: a.Grief that is never expressed b. Sense of unreality c. Somatic symptoms d. Difficulty performing normal routines e. Feeling hostile towards others
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a
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lk Kantian ethics defines a moral actions as one that is performed out of:
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Sense of duty
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ds Which of the following accurately describes "autonomy"?
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The principle that allows a patient the right to understand the consequences of his/her decisions, and makes choices without controlling influences that would limit voluntary action
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ds The type of utilitarianism that is aimed at relieving the greatest misery for the largest number of people is termed:
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Negative Utilitarianism
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ds Which of the following is NOT one of the "Five Typical Symptoms" of grief? A. A sense of reality B. Feelings of guilt and responsibility for the death C. Difficulty in performing normal routines D. Feelings of hostility towards others
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a
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ds The practice in which the physician provides a patient with a lethal dose of medication (or other means), upon the patient's request, which the patient intends to use to end his or her own life, is termed:
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Physician-assisted suicide
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ds Which is NOT an example of an error of omission? A. Failure to follow-up on tests B. Delay in diagnosis C. Failure of informed consent D. Wrong diagnosis
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d
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sw What country legalized Assisted Suicide in 2002?
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netherlands
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sw Which is not one of the "Five typical symptoms" of grief a) A sense of unreality b) Difficulty in performing normal routines c) Feelings of guilt and responsibility d) Believing that oneself is not worthy of living
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d
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sw Which theory believes a moral action is one that is performed out of a "sense of duty".
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kantian
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sw What is the eighth leading cause of death in the United States
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medical mistakes
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sw Which one is not a value of " Feminists Ethics" a) Generosity b) Loving c) Care d) Bonding
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a
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kf Which of the following is NOT a basic principle of medical ethics? A. Non-maleficence B. Beneficence C. Morality D. Autonomy
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c
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kf "The mental capacity to understand, explain and make choices" explains which of the following elements of informed consent?
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Competency
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kf Medical interventions intended to alleviate suffering, discomfort and dysfunction, but not to cure is the definition of:
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Palliative care
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kf A physician giving a lethal injection to end a patient's life is an example of
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active euthanasia
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kf Which one of the following is an example of an error of omission? A. Administering the wrong drug B. Failure to notify with results C. Giving the wrong diagnosis D. Writing an illegible prescription
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b
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fg Which of the following is not an error by commission? a. Wrong Diagnosis b. Wrong Dose c. Substandard Treatment d. Delayed Referral
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d
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fg Which of the following is not a "typical" sign of grief? a. Somatic Symptoms b. Sense of Unreality c. Happiness d. Denial
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c
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fg Which one of the following fields is best described as an interdisciplinary field of medicine which includes literature, philosophy, ethics, history, anthropology, cultural studies, psychology, sociology, literature, theater, film, and visual arts?
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medical humanities
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fg Which of the following statements about Euthanasia would a Kantian agree with?
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Humans should have the ability to decide what is best for them even if that means assisted suicide
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. A MD/PA team is asked to do a special surgery on a patient. According to Kant, which of the following reasons should the team perform the surgery?
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moral duty
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jh Which of the following is a principle in medical ethics? a) Autonomy b) Beneficence c) Non-maleficence d) All of the above
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d
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jh Which ethical theory's goal is to produce the greatest amount of good for the greatest number of people?
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utilitarianism
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jh What is the correct medical definition of a coma?
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profound deep state of unconsciousness
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jh Which of the following did NOT help develop the idea of Virtue Ethics? a) George W. Bush b) Aristotle c) Plato d) Socrates
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a
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jh What does it mean, when a physician DIRECTLY acts by giving a lethal injection to end the patient's life?
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active euthanasia
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ms Approximately how many deaths occur each year from medical errors
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100 thousand
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ms A DNR is
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signed order directing that no resuscitation efforts (CPR) are to be undertaken in the event of a cardiac or respiratory arrest.
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ms According to the Harvard criteria how is brain death confirmed?
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Two EKGs 24 hours apart
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ms Utilitarians tell us that...
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Consequences matter more
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ms Which one is NOT one of Plato's four cardinal virtues? a. Wisdom b. Justice c. Virtue d. Greed
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d
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id Informed Consent can be applied to which basic principle in Medical Ethics?
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autonomy
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id The following are exceptions to Doctor-Patient Confidentiality except...? A. Suspected child abuse B. Potential Suicide C. Potential Homicide D. HIV Test Results
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d
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id The Advance Directive document was federally legislated in:
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1991
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id What is the 8th leading cause of death in the US?
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medical errors
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id The following are arguments in favor of Physician-Assisted Suicide except...? A. Respect for autonomy B. Justice C. Compassion D. Sanctity of Life
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d
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ko All the following describe the reasons why disclosure should happen except a. Duty to the patient b. Decrease medico-legal liability c. Patients best interest d. Profession will be better served e. Physician's selfish interest.
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e
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ko According to the AMA code of ethics a. Physicians should fail to disclose error to their patient at all time. b. The physician is ethically required to disclose to the patient all the facts necessary to ensure understanding of what has occurred. c. The physician should please the insurance companies and not the patient d. Physicians can engage in unethical behaviors
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b
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ko End of life issues involve all of the following except a. Health care provide b. Patients family c. Insurance company d. Casual friend e. Legal system
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d
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ko Active euthanasia is legal in which of the following country
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holland
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ko Which of the following is an example of error of omission?
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Failure to inform concern
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lg One of the four basic principles in medical ethics is Autonomy. This principle:
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is based on the principle of respect for others, and the idea that people should make their own independent decisions. (informed consent)
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lg Which of the following does NOT describe an advanced directive: A: federally legislated in 1991- a patient must be informed of the right to have an advanced directive B. A document in which a person gives directions about medical care or who should make decisions should that person lose their decision-making capacity C. Living will D. In ALL states only terminally ill persons can create a legally effective living will
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d
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lg What is double effect Euthanasia?
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The provision of palliative treatment with fatal side effects
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lg The following are errors of omission EXCEPT: A. A. Failure to follow up on tests B. B. Delay in diagnosis C. C. Wrong dose D. D. Failure to notify with results
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c
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lg Which of the following about Kantian ethics is incorrect: A. Ethics is not a matter of consequence but of duty B. A right has a maxim that is universalizeable C. A right act always treats humans as an end in themselves, never as a mere means D. People are only free when they act irrationally
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d
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ms What is NOT one of the symptoms of grief? A. a sense of unreality B. a feeling of hostility towards others C. difficulty in performing normal routines D. Loss of memory of the deceased.
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d
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ms What does the principle of Kantian ethics state?
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Humans are special and should have autonomy to freely decide for themselves
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ms Medical errors are ranked at what number in cause of death?
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8th
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ms Which one of the following is NOT a societal expectation of medicine? A. Altruistic service B. Accountability C. Daringness D. Guaranteed Competence
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c
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ms Which one of the following is NOT amongst the 4 basic principles in Medical Ethics A. Autonomy B. Beneficence C. Justice D. Non-Malignance
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d
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bc Active Euthanasia is legal in which of the following States/Countries?
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Holland, Belgium, Switzerland, Luxenbourg
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bc All of the following are basic principals of Medical Ethics except: A. Autonomy B. Beneficence C. Non-Maleficence D. Justice E. Stem Cell Research
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e
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bc A Living Will is all of the following except: A. A type of advanced directive B. A document that expresses a persons preference for medical care C. Regulated exactly the same in all 50 states D. Can address various scenarios involving end of life care
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c
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bc Emergent consent occurs:
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In life threatening situations
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bc Non- Maleficence is a principal meaning
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Above all, do no harm
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jw All of the following are the basic principles in medical ethics EXCEPT: a. Beneficence b. Autonomy c. Kantian d. Justice e. Non-Maleficence
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c
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jw Which of the following does NOT apply to a living will: a. it is sometimes referred to as a directive to doctors b. The laws vary from state to state on who can create a living will c. It is created by a family member or friend of the patient d. It expresses a person's preferences for medical care
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c
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jw Physician Assisted Suicide is currently legal and how many states in the US:
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3
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jw what is currently the 8th leading cause of death in the United States:
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medical errors
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jw . All of the following are elements of informed consent EXCEPT: a. Voluntary choice b. Comprehension c. Disclosure d. Beneficence e. Competency
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d
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pd Libertarians as described in Social Contract Theory favor:
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government for defense
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pd Which is not one of the four basic principles of Medical Ehtics: a. Autonomy b. Beneficence c. Non-Maleficence d. Justice e. Euthanasia
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e
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pd Which one is not one of the elements of informed consent a. DNR b. Disclosure c. Comprehension d. Competency e. Voluntary choice
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a
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pd What are the requirements for the definition of medical negligence? a. There is a duty between parties b. Duty was breached c. The breach caused injury d. Action resulted in damages e. All of the above
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e
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pd What does palliative care entails:
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Medical intervention to alleviate dysfunction, suffering, and discomfort
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mw Which of the following is NOT an argument in favor of physician assisted suicide? A. respect for autonomy B. Justice C. Compassion D. Money
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d
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mw Which of the following are required in order to prove negligence?
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Duty, breach of duty, injury as a result of breach, and damages
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mw What is not an element of informed consent? A. Disclosure B. comprehension C. competency D. Diagnosis
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d
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mw What do practitioners of casuistry use to determine standards of care?
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case-based reasoning
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mw In narrative approach to ethics the patient's store is the _______, and the care the PA responds with is the _______?
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moral act, moral action
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dw How many Americans report that they or a family member have experienced a medical error?
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1 in 5
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dw Who was the woman involved in the controversial case where her husband wanted to remove her feeding tube and her parents objected.
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Terri Schiavo
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dw In a Persistent Vegetative State, a patient may still able to do what? A. Spontaneously move B. Occasionally grimace, cry or laugh C. Open eyes in response to external stimuli D. All of the above
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d
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dw On what grounds is a patient granted the right to refuse treatment?
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If the patient doesn't believe in the treatment
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dw People engage in an agreement to give up freedom for the greater good of the community is basically the definition of?
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a social contract