Legal Ethics: Chap 3 & 4

What is the exception to FS 390.0111 Termination of Pregnancy?

2 physicians certify in writing termination of pregnancy to save a pregnant woman's life or avert serious irreversible health other than psychological condition

True or False: FS 390.011 states that there must be a WEEKLY reporting of all abortions

False, MONTHLY

True or False: According to FS 381.004, the patient has the right to decline an HIV test

True

True or False: According to FS 381.004, you MUST tell the patient if positive HIV screening test, there is a need for confirmatory Western Blot test

True

True or False: According to FS 381.004, you MUST tell the patient, if positive, public health HAS to be notified by law

True

True or False: According to FS 381.004, you MUST inform the patient of false negative, and repeat the test in 3-6 months

True

It is a _______ felony if HIV positive person has sexual relations with person without telling them that he/she is HIV positive

3rd degree to 1st degree

Artificial injection of seminal fluid into a woman to induce pregnancy- fertilization occurs inside the body

"in vivo" artificial insemination

Semen is introduced to the oocyte external to the woman's body and a fertilized ovum is placed into the woman's body

"In vitro" fertilization (test tube)

Woman's husband's semen is used

Homologous artificial insemination

Donor semen other than the husband is used

Heterologous artificial insemination

True or False: In some states, artificial insemination requires that the child still needs to be adopted by the father

True

True or False: Only the wife's consent is needed for artificial insemination

False

What act protects human subjects in research?

1974 National research act

Why was the Tuskegee Study of Syphilis unethical?

Subjects were not told of a cure for syphilis

Voluntary and informed consent of human subjects before research can be done

Nuremberg code

Prevents exploitation of unwilling prisoners

1949 International Code of Medical Ethics

What group is responsible for protecting the rights and welfare of human subjects?

Institutional Review Board (IRB)

True or False: Elective and Therapeutic sterilization are both voluntary processes

True

Termination of the ability to produce offspring

Sterilization

Why are wrongful life cases generally not successful?

No recognized legal right "not to be born"

Prohibits discrimination by health insurance, life insurance, disability insurance or long-term care insure on the basis of genetic information

Genetic Information Nondiscrimination Act (GINA)

Prohibits employers from using genetic information when hiring, firing, job placement or promotion decisions

Genetic Information Nondiscrimination Act (GINA)

What is the mnemonic CAGE used for?

Alcohol abuse

"C" in CAGE

Cut down on your drinking

"A" in CAGE

Annoyed if people criticize your drinking

"G" in CAGE

Guilty about your drinking

"E" in CAGE

Eye opener first thing in the morning for your hangover

All states have passed a BAC level of _______ per se law

0.08

Moderate drinker for men = ____ drinks per day

2

Moderate drinker for women = ____ drinks per day

1

Heavy drinker for men = ____ drinks per week

15+

Heavy drinker for women = ____ drinks per week

8+

An acute organic psychosis that usually manifests itself within 24-72 hours of the last drink, but can occur up to 7 days later

Delirium tremens (DTs)

One of the most serious alcohol related disorders that is considered a medical emergency

Delirium Tremens (DTs)

Synthetic opioid that is 100x more potent than fentanyl and 10,000x stronger than morphine

W-18

True or False: It is unethical for a PA to become sexually involved with patients

True

Lifesaving treatment (such as respirator) is withdrawn or withheld allowing a terminally ill patient to die a natural death

Passive euthanasia

Intentionally commission of an act (such as giving a patient a lethal drug) that results in death

Active euthanasia (assisted suicide)

Right to formulate advanced directive regarding health care decisions whether to accept or refuse medical treatment BEFORE incapacitated

Patient Self-Determination Act of 1990

Legal document describing those treatments an individual wishes or does NOT wish to receive should they become incapacitated

Living will

True or False: Witnesses that sign a living will can be designated health care agent

False

In addition to the patient, how many witnesses are required to sign a living will?

2

An agent that makes a decision in a particular decision

Surrogate decision

A form of surrogate decision making where the surrogate attempts to establish what decision the patient would have made if that patient were competent to do so

Substituted judgment

Allows a person to appoint an agent to make decisions, but doesn't require the agent to know all situations and decisions that could arise

Health care proxy

What is the order of surrogate decision without advanced directives?

1. Spouse
2. Adult child (oldest to youngest)
3. Parents
4. Siblings (oldest to youngest)
5. Other relatives

When a physician recognizes that the effect of treatment will be of no benefit to the patient

Futility of treatment

Futility of medical care MUST be made by a _________

Physician

DNR orders must be on ______ paper

Yellow

True or False: DNR tattooed on chest IS legal/binding

False