Ethics- Test #4 (death, liability)

persistent vegetative state

PVS

centers for disease control

CDC

employee assistance program

EAP

true

t/f: child abuse is required by law to be reported by the radiographer

true

t/f: an EAP visit is considered confidential

false

t/f: a person must be on a ventilator to be considered in a PVS

all of the above

which of the following can be used to define substance abuse?

indicates the types of treatments allowed once incapacitated

what is the purpose of a living will?

all of the above

which of the following could be examples of elder abuse?

postponing death by changing their ways

The bargaining stage is which one of the 5 stages of grief?

assigns who will make medical decisions for the patient and supersedes wishes of the family

what is a durable power of attorney?

withholding of any life support allowing natural death to occur (withholding food and water)

what is passive euthanasia

nursing home placement

which of the following is not a form of elder abuse?

so that patients living will can be activated

which of the following is not a reason to prove brain death?

patient is an active participant

which of the following defines active euthanasia?

acceptance

a patient has undergone a surgical amputation. They realize their limitations are their new normal, what stage of grief is this an example of?

non-voluntary

a patient is in a PVS and the family requests the permission to withhold, what type of euthanasia would this be?

treatment options for patients

hospice provides all of the following except?

consent and participation of the patient

what is the definition of voluntary euthanasia?

all treatment options have been exhausted

which of the following is the definition of a terminal illness?

DNR

which advanced directive will allow a patient to deny/decline CPR if they go into cardiac arrest?

voluntary

a patient who has been diagnosed with a rare disorder with no cure, wants to leave this earth on their own terms, what type of euthanasia is this?

financial

a family member takes $100 of the $150 meant for groceries this week, what type of elder abuse might this be?

elder

putting your grandmother in a nursing home so that you can sell her house would be what type of abuse?

avoidance

which of the following is not a stage of grief?

a disease that can endanger the public

what is the definition of a communicable disease?

against the wishes of the patient/proxy/ does not want to die

what is the definition of involuntary euthanasia?

electronic

which of the following is not a type of abuse?

DNR tattoo

which of the following is not ethically considered a valid advanced directive?

bargining

Tim is a 35 year old who has been diagnosed with terminal colon cancer, he is willing to do anything to live long enough to see his child born, what stage of grief is he in?

voluntary, passive

Val has an incurable disease, she has decided to die when she feels like the time is right. When she does this, she will stop eating and drinking, what type of euthanasia is this?

treatments, mandates, testing

the CDC is responsible for?

all the above

what does hospice care provide to families who need their services?

ability to designate a healthcare proxy, and to outline patient wishes

what is the purpose of an advanced directive?

intimate partner

what type of abuse commonly occurs in cycles, escalates over time, and does not stop without intervention?

durable power of attorney

Todd names Lisa as a person who can make medical decisions only once he has become incapacitated. what type of advanced directive is this?

document signed by a medical person that a birth occured

what is a certificate of live birth?

rhinovirus

which of the following is not a disease the CDC would follow?

housing issues

which of the following would not be a reason to have an EAP visit?

both b and d

Tina has just received a terminal diagnosis. After drinking a bottle of wine, Tina writes down her wishes on a piece of paper. She is very emotional and decides that she does not want any further treatment. Unfortunately, the next day, Tina passes out at her home, when her parents find her, they also find the note with her wishes on it. The ambulance arrives to take Tina to the hospital, could her note be considered a valid advanced directive?

mandatory reporting

must report deaths, births, communicable diseases, assaults or criminal acts, abuse, substance abuse

certificate of birth

date, time, place of birth and parental information, signed by professional present at birth, unofficial, sent to state office

birth certificate

issued after verification of certification of birth, issued by state registry or Office of vital statistics, official record

fetal death

can have a birth and or death certificate, look into for foul play during pregnancy

death certificate

sent to state office, identity of deceased individual, age sex race, date, parents, marital status, cause of death, final disposition (buried or cremated)

communicable diseases

any disease that can endanger the public, required to report to proper authorities to stem the tide of disease, more than 120 nationally notifiable diseases

testing, treatment, mandates

what does the CDC do

name, birth, spouse, race ect,

what do you provide the CDC with

physical, psychological, economic, verbal/emotional, sexual

types of abuse

child abuse

shyness, don’t want to speak up, evidence of abuse, differing stories, poor hygiene, skeletal survey

elder abuse

financial, physical, poor hygiene, incontinent, abandonment

domestic partner

intimate partner, occurs in cycles, not leaving the side, not allowing patient to speak

substance abuse

illegal or prescription drugs, OTC drugs, alcohol

Employee Assistance Program

help employee going through substance abuse, confidential, counseling

death

permanent ending of all biological functions that sustain a living organism

brain death

irreversible loss of all functions of the brain

coma

unresponsive, unconscious tested with painful stimuli, need breathing help, never awake

Absence of brainstem reflexes

unresponsive to stimuli, pupils do not dilatate

apnea test

does not breath on own, no coughing or gagging

coma, absence of brainstem reflexes, apnea test

what is needed to be negative to be brain dead

persistent vegetative state

can’t move but know what is going on, can sometimes breath on their own, some brain function

electrocephologram

what can be used to determine brain death but can have false pulses

hospice care

aids in supporting the terminally ill and their family, focuses on improving the quality of the patient’s remaining life, in home or facility

denial

stage of death that you are unaccepting of the prognosis

anger

stage where the patients is mad with themselves or loved ones

bargaining

stage of death where the patient is hoping to postpone death based on changing their ways

depression

stage of death where the diagnosis sets in, isolation and grieving oneself

acceptance

stage of death where patient comes to terms with what will happen, new normal

advanced directive

document that provides direction for medical care if/when a person becomes incapacitated

healthcare proxy

acts on patient behalf based on their medical needs

living will

document, types of medical treatment the individual wants if they become incapacitated, detained or general along with financials and assets

durable power of attorney

person or persons, along with health care proxy, communicated patients wishes based on living will

Do not resuscitate

DNR

DNR

order is written by physician based on discussion with patient, health care proxy, or living will, wristband only covers in hospital

persistent vegetative state

PVS

electroencephologram

EEG

Centers for Disease Control and Prevention

CDC

voluntary euthanasia

consent and participation of patient

euthanasia

purposely ending life to relieve pain and suffering

non voluntary euthanasia

consent is unavailable, coma or PVS

involuntary euthanasia

against the wishes of the patient or proxy, patient does not wish to die

passive euthanasia

withholding of common life sustaining treatments, patient dies naturally

active euthanasia

doing an act, injecting, use of lethal substances or forces to cause death

physician assisted euthanasia

help from physician, death with dignity laws, active voluntary