Health ethics exam 2

How does violating patient confidentiality harm the patient? Choose the best answer: A. Revealing someone's health information may cause them embarrassment or shame. B. The patient may lose trust in the health care system and may not seek health care when they need it. C. The patient may learn not to share sensitive information with health care providers, and thus may not be properly diagnosed or treated. D. Revealing someone's health information may open them up to discrimination. E. All of these.

All of these

Commercial Boundaries

Boundaries that define how a provider should separate their business interests from their treatment recommendations.

Personal Boundaries

Boundaries that define the range of acceptable relationships a provider may have with their patients.

Inter-professional boundaries

Boundaries that define the role that different health professions have in delivering care.

Integrity Boundaries

Boundaries that promote the right of a professional to act in a way that is consistent with their values and beliefs.

Cost-effectiveness

Choosing the less expensive treatment when multiple treatments are similar in terms of efficacy

Economic Waste

Choosing the less expensive treatment when the benefit of the more expensive alternative does not outweigh the cost

Fraud

Collecting fees for services never provided, or providing services under false pretenses

TRUE OR FALSE: Patients have the right to access their own medical information. This means that people who work in a health care facility can use their employee access privileges to access their own health records.

False

TRUE OR false? Resource stewardship is one of the least understood of the moral foundations of the therapeutic relationship because it is an ancient idea that goes back to the early days of medicine.

False

TRUE or False? Resource stewardship is a responsibility of health care providers, and refers to the conduct, aims, or qualities that characterize or mark a profession or professional person.

False

True or False? Healthy boundaries are those that conform completely to professional standards, and do not allow for any flexibility or room for interpretation.

False

Decisional privacy

Making your own decisions

Physical privacy

Not allowing others to touch you in ways you don't like.

Informational privacy

Not sharing information about yourself with others

Confidentiality

Not sharing someone else's information with others

Which of the following is not a valid justification for overriding patient privacy and confidentiality? A. Notifying public health authorities of a case of sexually transmitted disease B. Notifying legal officials if they suspect their patient was a victim of violent crime. C. Notifying a patient's family if the patient appears to be suicidal. D. Notifying a patient's family if the patient is making poor decisions about medical treatment options.

Notifying a patient's family if the patient is making poor decisions about medical treatment options.

The American Medical Association's "Principles of Medical Ethics" confirms that physicians must maintain the privacy and confidentiality of their patients. However, they give physicians a loophole that they can use to share confidential information about a patient. What is that loophole? A. Physicians can share confidential health information if the patient is a good friend of theirs. B. Physicians can share confidential information with the patients' immediate family members. C. Physicians can share confidential health information as required by law. D. Physicians can share confidential information if the patient dies.

Physicians can share confidential health information as required by law.

Medical Waste

Referring a patient for a test or treatment that is unnecessary or futile

Allocation

The process of distributing resources

Rationing

The process of distributing scarce resources

Triage

The process of distributing scarce resources to achieve a desired outcome

Gaming the system

The process of facilitating access to scarce resources by exaggerating need

You are working in a health care facility treating patients, and a co-worker asks you to describe the details of a patient's diagnosis. Under what circumstances can you share this information? A. When the co-worker needs to know so that they can perform their job duties. B. When the co-worker is your manager. C. When the co-worker is a physician. D. When the co-worker has worked with the patient in the past.

When the co-worker needs to know so that they can perform their job duties.

Which of the following best describes why professionalism is important in health care? Choose the best answer from the following. a. All of these. b. Because health care professionals are making choices that affect other people's health and well-being. c. Because health care providers by necessity must have a relatively intimate relationship with their patients while simultaneously maintaining a professional distance and not getting overly involved in their lives. d. Because professional boundaries help health care providers maintain a professional relationship with their patients without becoming so distant as to appear disinterested or negligent.

a. all of these

Which of the following accurately describes the difference between crossing a professional boundary and violating a professional boundary? a. All of these. b. Crossing a boundary tends to be done with good intentions and generally happens in response to a specific situation, while violating a boundary is often done repeatedly with full awareness of wrongdoing. c. Crossing a professional boundary involves personal boundaries like having a romantic relationship with a patient, while violating a professional boundary involves commercial boundaries like encouraging patients to choose treatments that will benefit you financially. d. Health care providers generally try to hide evidence that they've crossed a boundary, but are more open about boundary violations.

b. Crossing a boundary tends to be done with good intentions and generally happens in response to a specific situation, while violating a boundary is often done repeatedly with full awareness of wrongdoing.

Which of the following best describes professionalism? a. Professionalism requires adherence to the ethical principles set by your profession. b. Professionalism involves the conduct, aims, or qualities that characterize or mark a profession or a professional person. c. Professionalism helps health care providers make choices that will enhance the well being of their patients.

b. Professionalism involves the conduct, aims, or qualities that characterize or mark a profession or a professional person.

According to the concept of resource stewardship, who should be responsible for controlling the ever-increasing costs of health care? Choose the best answer from the following: a. Insurance companies b. Providers c. Patients themselves d. The government

b. providers

Which aspects of resource stewardship does the "Choosing Wisely" campaign promote? Choose the best answer from the following: a. Preventing medical waste b. Cost-effectiveness c. Preventing economic waste d. All of these

d. all of these

Gatekeeping

The process of assigning someone to determine who may access scarce resources