Exam (elaborations)
ETHICS & LEGAL organizational practice questions
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practice questions- systems based approach(ethics in med)
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Ethical, Legal and Organizational1) To qualify for federal contributions, 4) Which one of the following would justify a
provincial health insurance plans must patient's being declared incompetent with
guarantee all of the following, EXCEPT: respect to self care?
a) Benefits include all necessary hospital a) The patient has a major mental disorder
care and physicians' services b) The patient has been admitted to
b) Universal coverage on uniform terms hospital
and conditions c) The patient is undergoing
c) Portability of coverage from province to psychotherapy
province d) The patient is unable to understand the
d) Benefits include all necessary out-of- consequences of his/her decisions
hospital drugs, dental care and e) The patient is unable to work because of
prostheses a mental disorder
e) Administration on a non-profit basis
5) Concerning a physician's obligation to
2) Under certain circumstances, it may be provide due care to a patient, which one of
legitimate to detain individuals in an the following is correct?
institution against their wishes, for their own a) Beneficence is a moral commitment but
good and to protect others. This situation not a legal obligation to the well-being of
may arise when: the patient
a) A person has bizarre fantasies and b) Respecting autonomy is both a moral
actions commitment and a legal obligation to the
b) Persons are mentally incompetent and patient
unable to manage their own affairs c) A physician can be found guilty of
c) A close relative submits a petition that negligence even if he/she has acted in
an individual is actually and presently accordance with a practice acceptable
insane to a responsible body of peers
d) The individual's continued liberty poses d) Unanimity of practice is expected of
a danger to themselves and/or to others physicians
e) A person has visual and aural e) Where patient outcomes are poor,
hallucinations physicians may have their practices
scrutinized by the courts but not by peer
organizations
3) In which one of the following situations
would it be unethical for the psychiatrist to
break confidentiality and notify the 6) Which of the following is not an element of
authorities? valid consent?
a) The psychiatrist believes that the patient a) The patient arrives at his/her decision
will probably commit murder voluntarily and without coercion
b) The psychiatrist believes that the patient b) The patient is able to understand the
is actively suicidal information and appreciate the
c) The patient has severely impaired consequences of the decision
judgement and is in a responsible c) Consent is obtained in a written record
position, e.g. an airline pilot d) The consent is specific to the proposed
d) The patient has aggressive fantasies. procedure and to the provider(s) of care
e) The patient has taken a significant e) All information regarding the proposed
overdose intervention, including very remote or
unlikely risks of the intervention, have
been discussed
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