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12 Cards in this Set

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true or false: once a patient signs consent they must continue treatment?
false - pts can change their minds at any time
Exceptions to the requirement of informed consent?
Emergency situations
pts without decision making capacity
pts that sign waivers to the right of informed consent
a 15y/o pregnant girl requires hospitalization for preeclampsia. Should parents be informed?
No. Parental consent is not necessary for medical treatment of pregnant minors
Doctor refers pt for an MRI at a facility he owns
Conflict of interest
Involuntary psychiatric hospitalization can be undertaken for what 3 reasons?
Pt is danger to self, others, or gravely disabled (unable to provide for basic needs)
true or false: Withdrawing life-sustaining care is a more serious measure than withholding care.
False. Withdrawing and withholding life-sustaining care are the same from an ethical standpoint.
When can a MD refuse to continue treating a patient on the grounds of futility?
When there is no rationale for treatment, maximal intervention is failing, a given intervention has already failed, and treatment will not achieve the goals of care.
An 8y/o child is in a serious accident. She requires emergent transfusion and the parents are not present.
Treat immediately. Consent is implied in emergency situations.
Conditions in which confidentiality must be overridden
real threat of harm to 3rd parties, suicidality, certain contagious diseases, elder and child abuse.
Involuntary committment or isolation for medical treatment may be undertaken for what reason?
Treatment non-compliance represents a serious danger to public health (eg TB)
A 10y/o child presents in status epilecticus, but her parents refuse treatment on religious grounds.
Treat because the disease represents an immediate threat to the child's life. Then seek a court order.
a son asks that his mother not be told about her recently discovered cancer.
A pts family cannot require that a doctor withhold information from a patient.