PHIL BIOETHICS 227 EXAM 2 Questions and
Answers (100% Correct Answers)
In the paternalistic model of doctor-patient relationship, power resides exclusively
with _________; in the engineering model, it resides entirely with __________.
Ans: physicians; patient
In the engineering model of doctor-patient relationship, the doctor's job is to ______.
Ans: consult
Among the advantages of the collegial model of doctor-patient relationship are the
following:
Ans: A. respects the autonomy both doctor and patient
B. importance of trust
The engineering model of doctor-patient relationship is based on a sharp distinction
between _______ and ______.
Ans: facts; values
There are three kinds of incompetent patients:
Ans: A. pt who used to be competent but is no longer but expressed wishes or living
will
B. pt who used to be competent but no longer is but values, religious beliefs, and
philosophy of life is known
C. children/adult with disabilities or pt who is no longer competent and wishes not
known or had been expressed
Among the problems of advance directives are the following:
Ans: A. patients change their mind at the approach of death
B. vague terms (heroic and extraordinary)
C. situation different than what the pt could have anticipated
In the absence of clear and specific advance directives, surrogates should ______.
Ans: use substituted judgment based on pt values and preferences
Decisions based on a patient's best interest are justified by the ethical guideline of
______ and of ______.
Ans: beneficence and non maleficence
, 2 Inquire through: | Professional | Confidential Support
Among the advantages of advance directives are the following:
Ans: A. to relieve family from stress and anxiety
B. protects autonomy of the patient
C. provide basis of decision making; document unusual request
Deception in health care undermines the ______ between the doctor and the patient.
Ans: bond of trust
Among the things that can be done to preserve as much confidentiality as possible in
the case there is an ethical demand to breach it are the following:
Ans: A. disclosure should be limited to the information essential to the intended
purpose
B. only those who need to know should receive the information
Among the requirements of informed consent are the following:
Ans: A. disclosure and comprehension of relevant information
B. patients competence
C. patient agreement with the treatment plan
For Edmund Pellegrino, it is necessary for doctors to practice virtue for the following
reasons:
Ans: A. virtue enables doctors to do the right thing in a difficult and uncertain
circumstances where broad principles either do not apply or provide little guidance
B. reduces risks of a physician putting his interest ahead of the patients
Combined advance directives are the best kind of advanced directives for the
following reasons:
Ans: A. advanced directives can be confusing and having a proxy reinforces
instructional directives
B. prevents ambiguity
For Pellegrino, even though the obedience to the law is necessary in medical practice,
it is not enough for the following reason:
Ans: A. the law protects only the most obvious violation of human rights
B. law consist of minimal requirements
Except in the case of _______, all patients must sign a consent form before undergoing
a surgical procedure.
Ans: emergencies