Quick Quiz

1. Beneficence & Nonmaleficence Autonomy and Informed Consent Quick Quiz

2. Beneficence & Nonmaleficence The Ought Implies Can principle says: • If you ought to do something, it can be done • If you ought to do something, you can do it • If you ought to do something, someone can do it • If you can do something, you ought to • If you can do something, someone ought to

3. Beneficence & Nonmaleficence The most general limit on our obligations are: • time and space • our talents • available technology • personal risk • there are no limits on obligations

4. Beneficence & Nonmaleficence Primum Non Nocere means: • The first shall be last • Never be the first • Give nothing to the first • First do no harm • The higher the fewer

5. Beneficence & Nonmaleficence In the statement of the patient’s duties regarding health care • Take care of your health as long as, all things considered, this does not produce more harm than good The phrase “all things considered” appears because: • Patients may need to consider the economic costs • Patients may need to consider family obligations • Patients may need to consider commitments to work • A and B • A, B and C

6. Beneficence & Nonmaleficence The Best Interests Principle and the Rational Choice Principle are principles that guide: • Physicians • Patients • Surrogates • Children • Only minor children

7. Beneficence & Nonmaleficence The Standard of Care uses the “reasonable professional” to set the standard. What determines reasonable? • Competency, Experience, Likeability, Success • Federal law, State law, County law, City law • Practice standards, Education, Institutional policies, Federal and state statutes • Coursework, Internships, Field work, Experience • None of the above; reasonable is undefined

8. Autonomy & Informed Consent The Ethics text notes that, historically, health care has moved from: • The engineering model toward respect for autonomy • The collegial model toward respect for autonomy • The priestly model toward respect for autonomy • Respect for autonomy to the covenant model • Respect for autonomy to the engineering model

9. Autonomy & Informed Consent The classification of people as children, the retarded, or the pleasantly confused … • Tells us they are not suited to give informed consent • Tells us they can never be guilty of negligence • Tells us nothing about their ability to consent • Tells us little about their ability to consent • Is always illegitimate and degrading to persons

10. Autonomy & Informed Consent Among the competing rules for determining what information is needed in informed consent, the book likes: • Patient preference and professional custom • Patient preference and prudent person • Prudent person and subjective disclosure • Professional custom and subjective disclosure • None of the rules; rules are too limiting

11. Autonomy & Informed Consent The overarching, important consideration governing the information in informed consent is: • It must be strictly medical • It must be communicated free of emotion • It must understood by the patient • It must be delivered in writing • It must be technically accurate

12. Autonomy & Informed Consent Paternalism, weak or strong, is: • A guide to treating the incompetent • A guide to treating the competent • To be avoided if possible • A and B • B and C

13. Answer Key Slide 2=B, 3=A, 4=D, 5=E, 6=C, 7=C, 8=C, 9=D, 10=C, 11=C, 12=C