PHC 216 Midterm Exam 2023 QUESTIONS & ANSWERS 100% CORRECT

PHC 216 Midterm Exam 2023 QUESTIONS & ANSWERS 100% CORRECT   PHC 216 Midterm Exam 2023 Why the patients Information must be properly protected? a. To prevent it from the patient’s reach b. To prevent malicious, thoughtless or inadvertent breaches of confidentiality c. To prevent the patients from the necessary treatment provided in the clinic d. To prevent the patient from getting benefit from the healthcare team 2. Who is responsible for deciding what treatment to offer at the end of life? a. Clinician in charge of patients care b. Court must be involved every time c. Family has the right to take decision d. Palliative care specialist 3. Which of the following parties is responsible for deciding what treatment to offer forpatients at the end of life care? A. Clinician in charge for patient care B. Patient's family C. Patient him/herself. D. Palliative care specialist 4. When doctors should seek legal advice? a. If a competent young person refuses essential medical and life-savingtreatment b. If the young child's acceptance of treatment is determinative. c. If young people may give valid consent to medical treatment d. If young person's acceptance of medication is not determinative. 5. Which one is the provision of care for patients at the end of life? a. Do not apply confidentially in the case of end of life care for dying patients b. Dying patients should have opportunities to discuss matters such as wherethey want to die OR Effective communication within the health team. c. Effective communications are not compulsory when dealing with the patient d. Physicians should not explain the situation clearly 6. When does young people considered as competent and can give consent in normalconditions? a. Children less than 5 years b. Infant between 1-2 years c. People aged over 16 years d. Young children under 10 years 7. Which one of the following is an example of the proper standards for personal behaviour and public morality that must be followed by Healthcare Practitioners? a. Avoiding honesty of profession b. Have violent behavior on work c. Keeping away from unworthy behavior d. Use alcohol or drugs at the healthcare facility 8. What is the purpose of seeking consent from patients? a. To allow the treatment or exam to take place b. To explain the procedure c. To form a bond with the patient d. To give the patient unrealistic expectations 9. Which kind of treatment can be provided in case, consent cannot be obtained in anemergency situation? a. Cosmetic treatment to maintain beauty b. Immediately necessary to preserve life c. Invasive treatment with no use d. Radiation in unnecessary circumstances 10. Which one of the following should be avoided to prevent the insult to the noble health profession? a. Compassion for the patients b. Maintaining dignity of profession c. Obnoxious behavior for the patient d. Respect the rights of the patient 11. Which of the following is the legal purpose of consent? a. Adult patients with capacity in any circumstances can choose treatment. b. Consent is a trigger that allows treatment or examination to take place. c. Health Care is a partnership between doctor and patient and the family. d. Patients’ views should be jotted down separately respected. 12. The legal purpose of consent is: A. Patients' views should be respected. B. Health Care is a partnership between doctor and patient. C. Consent is trigger that allows treatment. D. Adult patients with capacity have the right to choose what happens to theirbodies. 13. In which of the following conditions the relatives have right to give consent tothe treatment of adult patient? a. Appointed as legal proxy b. Appointed as patient friend c. Appointed as patient nurse d. Only the guardian 14. When is a signed consent form is required? a. After seeing the doctor b. After talking to the paramedics c. Before any office visit d. For surgery 15. Which one of the following statement meaning the exceptional circumstances thatjustify overriding the right of an individual to confidentiality in order to serve a broader social interest? a. Confidential health service b. Express consent for treatment c. Implied consent for treatment d. Public interest disclosure 16. How long is consent valid? a. As long as it applies to the treatment in question b. For a lifetime after the consent is given c. For 6 months after the consent d. Only when the patient is conscious 17. Poor behavior of healthcare practitioners like lack of commitment to appointmentscould cause which one of the following direct consequences? a. Achieving higher levels of trustworthiness and honesty of practitioners b. Achieving higher levels of economic levels of profit c. Insulting the profession and demeaning the status of healthcarepractitioners d. Protecting the nobleness of the profession 18. Which one of the following could lead to insulting the profession or demeaning thestatus of a healthcare practitioner? a. Maltreatment THAMER. 88 19. Which of the following statement refers to the term disclosure? a. Agreement to an action based on knowledge of what that action involvesand its likely consequences. b. Information about people that doctors learn in a professional capacity andfrom which individuals can be identified c. Information from which individuals cannot reasonably be identified d. The provision of access to information about a patient, regardless of thepurpose 20. Which of the following refers to the provision of access to information about apatient, regardless of the purpose? a. Anonymised information b. Consent c. Disclosure d. Identifiable information 21. When a person lacks capacity, which one of the following must be issued? a. Certificate of capacity b. Certificate of Incapacity c. Certificate of withholding d. Certificate of treatment knowledge 22. Other than in emergency, when a person lacks capacity, which one of the followingmust be issued in order to provide treatment? a. Certificate of capacity b. Certificate of incapacity c. Certificate of sickness d. Certificate of treatment knowledge 23. Which of the following statement refers to the term capacity? a. Improper knowledge of the work b. Information about the best benefits of the treatments c. Knowledge of the medical advice given to the parents d. The ability to make decisions that influence their life 24. When considering disclosing information to protect the public interest, doctorsmust: a. Reveal the high level necessary to achieve the purpose b. Reveal the medium level to necessary achieve the purpose c. Reveal only the minimum information necessary to achieve the objective d. Reveal only the unanonymised information necessary to achieve theobjective 25. Why the health records must be appropriately dated? a. To avoid possible allegations of tampering b. To avoid the anonymization of the health records c. To check the content of records d. To hide the information 26. Why it’s a requirement for Healthcare Practitioners to attend continuous medicaleducation (CME) activities, and conduct research? a. Adhere to the standards of practice b. Provide a role model for his colleagues and patient c. Respecting the honor of the profession d. To the development of the profession 27. What are the limits on patients' rights to access to their health records? a. If a patient has a mental health condition b. Patients can access records at their doctors' discretion c. Patients have a statutory right of access to information about themselves d. Patients must be 18 or older to get the right of access of the financialinformation 28. In an emergency situation, when doctors should take whatever steps are necessaryto prevent deterioration of the patient’s condition? a. When a patient refuses treatment and there is doubt about his or hercapacity to do so validly b. When there is no doubt in the capacity of patient but the patient asks foremergency treatment c. When the patient has full capacity to take decision and wants theemergency treatment d. When the patient has full capacity and is with the close friends withoutparents in an emergency THAMER. 88 29. What factors must considered when deciding whether to withhold or withdraw life-prolonging treatment? a. Family’s best interests b. Patient's age c. Patient’s family d. Patient's known wishes 30. When an agreement on treatment cannot be reached in a reasonable period of time, who should get involved in decision- making? A. Courts B. Parents C. Hospital D. Police 31. Without appointed legal proxies, responsibility will usually fall to: A. Patient. B. Doctor. C. Family. D. Friends 32. Law does not allow compulsory treatment under: A. Mental disorder. B. Some forensic purposes. C. Some investigation under public health legislations. D. Normal Conditions. 33. Who must give consent for non-therapeutic circumcision, in the best interest of child? A. Doctor B. Incompetent Children C. Parents D. Nurse 34. In what circumstances doctor is allowed to give medical treatment to save patientslife without obtaining consent. A. In clinic B. In emergency C. Patient with capacity refuses medical treatment D. On request of patient's proxy/relatives. 35. Young person's competency can fluctuate because of? A. Their decision B. Their history C. Their needs D. Their medical condition 36. A patient can definitively lack capacity, when A. he/she give expected or apparently rational decision B. he/she has physical disability C. he/she can't communicate in the same language D. he/she is unconscious 37. In which of the following cases families and those close to the adult are allowed toconsent on behalf of an incapacitated adult? a. If they have been appointed as the patient's assess b. If they have been appointed as the patient's doctor c. If they have been appointed as the patient's helper d. If they have been appointed as the patient's proxy decision maker 38. Families and those close to the adult are allowed to consent only if they have beenappointed as A. Family member B. Working in health care C. Managers D. Patient's proxy decision maker THAMER. 88 39. Which of the following is an example of a disclosure in public interest? a. Chronic disease prevention b. Emergency case c. General health d. Infectious disease 40. A patient's consent is very important? A. To explain the procedure B. To provide the treatment C. To give the patient unrealistic expectations D. To form a bond with the patient 41. Which of the following is the Ethical purpose of consent is: A. Patients' views should be respected. B. Consent is trigger that allows treatment. C. Some interventions can be harmful (side effects, etc). D. Some interventions could be considered assault or battery. 42. The careful assessment of an individual's capacity is central to? A. To complete patient record documentation B. To explain the procedure C. To following medical advice D. The protection of patients' rights and interests 43. Adult patient with capacity have the right to refuse any medical treatment, with the exception of compulsory treatment authorized under which of the following Legislations? A. Cardiac Health B. Mental Health C. General Health D. Physical Health 44. Which one of the following is an example of patient care delivery usage of medicalrecord? a. Communication between caregivers 45. When do patients have the right to refuse any medical treatment? a. If they are adults with capacity 46. Who should seek consent? A. Doctor B. Patient C. Healthcare Administrator D. Head Nurse 47. Which of the following refers to the everyday ability that individuals possess to makedecisions or to take actions that influence their life? A. Power B. Inability C. Capacity D. Consent 48. The information such as name, address, full postcode, identification numbers, or anyother detail from which individuals can be identified is known as A. Anonymised information B. Disclosure C. Identifiable information D. Personal information 49. When children must not be discharged from hospital without a full examination? a. If the condition of the child is not serious b. If the diagnostic is very difficult to make c. If the parents, ask for it d. If there are concerns about the wellbeing of the child 50. A Patient comes to a healthcare physician with fever. The physician prescribes the medication and initiates the treatment considering that consent has been given the patient. What kind of content has the patient given? A. Anonymised B. Disclosure C. Implied D. Total consent 51. What doctors should do when it is not possible to obtain consent in an emergency? A. Wait for the consent B. Immediate life-saving treatment C. Invasive treatment with consent D. Non-invasive treatment with consent 52. What should be done when a child refuses care and/or competency of child is indoubt? A. Treatment must be withdrawn B. Courts must get involved C. Patient must be dismissed D. Parents should be warned 53. A researcher wants to study the effect of physiotherapy on the quality of life of geriatric patients admitted in the hospital during 2014. The hospital should make surethat the researcher is provided with: A. Anonymised information B. Disclosure C. Identifiable information D. Personal information 54. On the basis of which of the following the decisions for incapacitated patientsshould be made? A. Guardian's wishes B. Their best interests C. Their age D. Their family's wishes 55. Which of the following is correct about health records? A. Records must be clear B. Records must be without date C. Records must be short D. Records do not need to be accurate 56. Which of the following conditions are focused in goals of end of life care? A. Compassion, sensitivity and honest communication. B. Ineffective communication within the health team. C. It is unimportant to recognize when death is approaching D. Health professionals should be sensitive to patients' financial status 57. When it comes to EHR which statement from bello is true? A. Electronic records are not subject to the same duty of confidentialitycommon to paper-based records. B. Patients must be aware of how their data are shared and stored or haveinformation readily available to them explaining the potential sharing oftheir health record. C. Access to clinical information should be available to all staff working in theorganization. D. Patients must be informed about any upload of their clinical data to anational database but does not have the option to opt out. 58. How are the mixed messages avoided with the health team? A. By conflict B. By Effective communication C. By lack of communication 59. How records must be stated? A. Clear & Accurate B. Illegible C. Not dated accurately D. Unclear 60. According to General Medical Council, what is the definition of end of life? A. When patient is likely to die within 12 months B. When patient is likely to die after 12 months C. When patient is likely to die in between 15 to 20 months D. When patient is likely to die in between 21 to 30 months 61. What measure healthcare professional has to take when disclosing patientphotographs or videos for a secondary purpose? A. Anonymize the photo or video B. Disclose patient information C. It can undisclosed with medical students D. Present it without coding 62. Patients' request for information not to be shared with their GP must be: A. Respected B. Ignored C. Discussed D. Reported to justice 63. For patients' X-rays: A. No consent is required at all B. Consent to make them has to be explicit and written C. Consent to make them is implicit and does not need to be obtainedseparately D. Consent to 64. What factors must be considered when deciding whether to withhold or withdrawlife-prolonging treatment? a. Family's best interests b. Patient's age c. Patient's family d. Patient's known wishes OR Clinical judgment about the effectiveness of theproposed treatment 65. Which of the following should be included in health records? Which of the followingpatient health record should include? a. CEO opinion about the patient b. Health professionals' personal record c. Nurse personal views about patient d. Reasons for seeking healthcare & Presenting symptoms of disease 66. Which of the following care is defined as “A process of discussion between anindividual and their care providers irrespective of discipline?” a. Advance care planning b. Emergency care for patients c. First Aid treatment d. Primary care process 67. An individual and their care providers irrespective of discipline". A. Advance care planning B. Emergency planning C. First Aid planning D. Fee planning THAMER. 88 68. A physician shares confidential information about a patient with a family member orfriend. This is an example of which of the following? a. Breach of confidentiality b. Implied consent c. Negligence d. Public interest disclosure 69. Which of the following refer to patient agreement, either orally or in writing, to theuse or disclosure of information? a. Anonymised information b. Disclosure c. Express consent d. Implied consent 70. A researcher wants to study the effect of physical therapy on the quality of life ofgeriatric patients admitted in the hospital during 2019. The hospital should makesure that the researcher is provided with which of the following? a. Anonymised information b. Disclosure c. Identifiable information d. Personal information 71. What should be done when a child refuse care and/or competency of child is indoubt? a. Courts must get involves b. Parents should be warned c. Patient must be dismissed d. Treatment must be withdrawn 72. Which of the following can be considered as a clear benefit of having health recordsthat are appropriately dated? a. Able to summarize accurately after deletion b. Avoiding possible allegations of tampering c. Convincing the patient to consent to the disclosure d. Increasing the time needed for the patients 73. When are children and young people competent to give consent to medicaltreatment? a. They are able to understand the nature and the purpose of treatment b. They don’t involve their parents in making decision for the treatment c. They follow doctor’s decision that may conflict with their wishes d. They reach 21 years old or above with mental disability problem 74. Which of the following should children & young people obtain to access to theirmedical information? a. Age 75. Which one of the following is a principle of confidentiality? a. Health care teams is the only one who have the data and patients shouldrespect this procedure. b. Information must be available to patients and explained how their data willbe shared within the healthcare team. c. Information would not be available because it is secure , even it should notbe available for the patients. d. Patients have no right to discuss their situation with the doctor or with theteam providing care to them. 76. Which of the following statements is most accurate regarding consent process for recordings such as images of internal organs, laparoscopic and endoscopic images? a. Consent as a concept does not apply for these recordings b. Consent is implicit and does not need to be obtained separately c. Consent is only needed when repeating the same recording d. Consent must be explicit and required to be obtained separately 77. What are physician responsibilities when a child at risk is discharged from thehospital? a. Creating a documented plan for the future care b. Have no responsibilities with the child at risk c. Only the family has all the responsibilities d. Pathological case should be considered at last 78. Which of the following processes is necessary before the child at risk is dischargedfrom the hospital? a. Child must be registered at an identified general practitioner (GP) b. Child must be given a discharge report c. Child must receive a thorough examination within 48 hours. d. Child must seek a second medical opinion. 79. What types of information should patients be given before consenting totreatment? a. A discussion about the advance directive b. Any uncertainties about the diagnosis or prognosis c. Financial and administrative information d. Options for treating or managing pre-existing conditions 80. What are the rules of confidentiality that must be applied during the end of lifecare? a. No confidentiality rules apply in such cases b. Special less restrictive confidentiality rules apply c. Special more restrictive confidentiality rules apply d. The usual and regular rules of confidentiality in healthcare settings apply 81. When dealing with end of life care, health professionals should be especiallysensitive to which of the following? a. Patients' cultural and religious backgrounds OR Religious and culturalbackgrounds of the patients b. Patients’ families decision regardless of patients wishes c. Patients’ socio-economic status d. Financial status of the patient under treatment 82. Which of the following refers to a valid consent given in writing or orally fordisclosure of information? a. Express consent b. Implied consent c. Inferred consent d. Legal consent 83. Which of the following statements is most accurate when considering disclosingpatient information to protect the public interest? a. Reveal all the information necessary to achieve the objective b. Reveal only the minimum information necessary to achieve the objective c. Reveal the high-level information necessary to achieve the purpose d. Reveal the medium level information necessary to achieve the purpose 84. Which of the following is most accurate about health records? a. Records must be ambiguous b. Records must be clear c. Records must be without date d. Records do not need to be accurate 85. How should a healthcare professional deal with the medical professional standards? a. Disregard the medical professional standards as they are not importantanyway b. Maintain the medical professional standards and work to improve them c. Maintain the medical professional standards without trying to improve them d. Start by developing their own special medical professional standards 86. In the context of the end of Life care, why effective communication within thehealth team is vital? a. To avoid mixed messages b. To ensure higher levels of benefits c. To give hope to the patient at the end d. To improve the health of the attendant 87. In which one of the following cases an adult patient with capacity is unable to refusemedical treatment? a. If it is a compulsory treatment authorized under mental health legislation b. If it is an optional treatment authorized under healthcare legislation c. If it results in permanent physical injury or death d. If it results in permanent physical injury or death of a viable fetus 88. Which of the following treatments can be provided in case consent cannot beobtained in an emergency situation? a. Cosmetic treatment to maintain beauty b. Immediately necessary treatment to preserve life c. Invasive treatment with no use d. Radiation in unnecessary circumstances 89. Which one of the following can influence a young person's competency? a. Age b. Medication OR Medical condition c. Parent's Mood d. Social condition 90. What is the right approach about oral nutrition and hydration for end of life patient?Which of the following is the most accurate approach about oral nutrition and hydration for end of life patients? a. Oral nutrition and hydration should be forced on patients who resist orrefuse to take it to survive b. Oral nutrition and hydration should be maintained as long as the patient iswilling and able to tolerate it c. Oral nutrition and hydration should be replaced in all cases by intravenousnutrition to maintain hydration d. Oral nutrition cannot be forced but we can force hydration at any stage ofthe treatment 91. How can we determine the best interests of patients who lack capacity? a. Analyzing the circumstances of each individual case b. Comparing patients with the same doctor who consulted earlier c. Considering all patients with the same underline condition d. Excluding patients participation from the treatment process 92. In the context of ethics and regulations in healthcare, how can we best designatethe health records? a. Accurate, clear, factual and legible b. Clear, short, realistic and factual c. Legal, accurate, electronic and downsized d. Legible, contemporaneous, ethical and electronic 93. What is the main role of palliative care when it is recognized that the patient’scondition is incurable? a. It helps to prevent future major health problems b. It offers relief from pain and distressing symptoms c. It prevents the overlapping of therapies in the same time d. It proposes an alternative approach to treat the patient 94. Which features should doctors give particular consideration when communicatingwith children and young people? a. Culture level b. Financial interest c. Honesty and confidentiality d. Social status 95. Information about individuals that cannot be identified by the recipient, but whichenables the linking of this information to patient profiles is known as which of the following? a. Anonymized information b. De-Identified information c. Identifiable information d. Pseudonymized information 96. Which health records are subject to the duty of confidentiality? a. Both Electronic records and paper records b. Only Electronic records information c. Only paper records with irrelevant information d. Only private information about life-threatening conditions 97. Which one of the following best describes an inappropriate relationship with thepatient? a. A honesty breach b. An encouraged behavior c. A personal choice pertaining to personal freedom d. A professional medical behavior 98. What doctors should do if their patients ask to remove information that they think isnot clinically relevant to their health? a. Doctors should consult the court to appropriately justify the cause ofdeletion of the records. b. Doctors should consult administrative staff while deleting or adding thefinancial information. c. Doctors should delete that information if both parties agree and thatdeletion would not cause any significant changes. d. Doctors should delete that information because any alteration to themedical record would cause a significant change. 99. What is the main purpose of the healthcare practitioner while being careful abouthow they look and behave? a. Increase their income b. Protect the nobleness of the profession c. Reflect the brand and the image of the organization they represent d. Show that they are wealthy THAMER. 88 100. When can doctors consider disclosing patient information? a. If the disclosure is essential to prevent a harm to the public 101. Which one of the following can protect the nobleness of the profession? a. Mastering skills 102. Which one of the following is a complex response occurring in those who are wellaware of the facts but wish to protect the patient or one another by not acknowledging or discussing them? a. Collusion 103. How to strive to provide scientific and practical contributions to the developmentof the profession? a. Writing articles 104. What's the primary purpose of a health record? a. Support continuous patient care and improve communication and qualityassurance of the care and services delivered 105. When can physicians make recording of a patient? a. When there is appropriate consent or other valid authority for doing so. 106. In which settings doctors may have to make difficult decisions about which patientsto treat first? a. All medical settings b. Emergency settings c. Patients second visit settings d. Physician office visits settings 107. Where should refusal of medical treatment be documented? a. Health records. 108. Which of the following is a consent that can be inferred if the patient has beeninformed that information is to be disclosed, the purpose and extent of the disclosure , and that they have a right to object , but have not objected? a. Implied consent 109. What does the term "GMC" stand for? a. General Medical Council 110. When are children and young people eligible to give consent to their medicaltreatment? a. when they understand the purpose of the proposed treatment 111. A young person's competency may fluctuate due to which of the following reasons a. Medication 112. Consent that is expressed orally or in writing; also known as explicit consent. An articulation of patient agreement for the disclosure of information is key term ofwhich of the following? a. Express consent 113. Ali is 14 years old . He came for medical consultation about his backache. He showscapability to understand fully what is proposed. He is intelligent. The doctor explain all relevant information and alternatives. In term of consent competency, which of the following are expected? a. He can be considered competent even if under 16 years of age 1- Adult patients with capacity have the right to refuse any medical treatmentrefuse medical treatment? A. If its compulsory treatment authorized under mental health legislation B. if it is an optional... C. If is result ... or death D. If it results ... fetus 2- Which one of the following can influence a young person's competency? A. Age B. Medical condition C. Parents mood D. Social condition THAMER. 88 3- Which of the following processes is necessary before the child at risk is dischargedfrom the hospital? A. child must be given a discharge report B. child must be registered at an identified general practitioner C. child must receive a thorough examination within 48 hours D. child must seek a second medical opinion 4- Which of the following statements is most accurate when considering disclosingpatient information to protect the public interest? A. reveal all the information necessary to achieve the objective B. reveal only the minimum information necessary to achieve the objective C. reveal the high- level information necessary to achieve the purpose D. reveal the medium level information necessary to achieve the purpose 5- Which of the following refers to a valid consent given in writing or orally fordisclosure of information? A. express consent B. implied consent C. C inferred consent D. legal consent 6- What factor must be considered when deciding whether to withhold or withdrawlife-prolonging treatment? A. Family best interest B. patient age C. patient family D. patient known wishes 7- When are children and young people competent to give consent to medicaltreatment? A. they are able to understand the nature and the purpose of treatment B. they don’t involve their parents in making decisions for the treatment C. they follow doctors' decision that may conflict with their wishes D. they reach 21 years old or above with mental disability problems 8- Statement refer to the term capacity? A. improper knowledge of the work B. B-information about the best benefits of the treatment C. knowledge of the medical advice given to the parents D. the ability to make decisions that influence one's life 9- In the context of ethics and regulations in healthcare, how can we best designatethe health records? A. accurate, clear, factual and legible B. clear, short, realistic and factual C. legal, accurate, electronic and downsized D. legible, contemporaneous, ethical and electronic 10- Why the patient information must be properly protected? A. to prevent it from the patient reach B. to prevent malicious, thoughtless or inadvertent breaches of confidentiality C. to prevent the patient from the necessary treatment provided in the clinic D. to prevent the patient from getting benefit from the healthcare team 11- The purpose of seeking consent from patient? A. to allow the treatment or exam to take place B. to explain the procedure C. to form a bond with the patient D. to give the patient unrealistic expectations 12- Which of the following is the legal purpose of consent? A. adult patient with capacity in any circumstances can choose treatment B. consent is a trigger that allows treatment or examination to take place C. healthcare is a partnership between doctor and the patient and the family D. patient’s views should be jotted down separately respected 13- When dealing with end-of-life care, health professionals should be especiallysensitive to which? A. patient cultural and religious background B. patient families' decisions C. patient socio-economic status D. financial status of the patient under treatment 14- Which one of the following is a principal of confidentiality? A. Health care team is the only one who have the data and patient should respect B. information must be available to patient and explained how their data C. information would not be available because it is secure .... D. patient have no right to discuss their situation... THAMER. 88 15- Which health records are subject to the duty of confidentiality? A. Both electronic record and paper records B. only electronic records information C. only paper records with irrelevant information D. only private information about life- threatening conditions 16- Poor behavior of healthcare practitioners like lack of commitment toappointments... A. achieving higher level of trustworthiness… B. achieving higher level of economic level... C. insulting the profession or demeaning D. protecting the nobleness of the profession 17- When is a signed consent from required? A. After seeing the doctor B. After talking the paramedics C. Before any office visit D. Before surgery 18- What is the main role of palliative care when it is recognized that the patient’scondition is incurable? A. it helps to prevent future major health problems B. it offers relief from pain and distressing symptoms C. it prevents the overlapping of therapies in the same time D. it proposes an alternative approach to treat the patient 19- Which of the following should be included in health records? A. Health professionals personal B. Manger opinion C. Nurse personal D. Reasons for seeking 21- What are physician responsibilities when a child at risk is discharged from thehospital? A. creating a documented plan for the future care B. have on responsibilities with child at risk C. only the family has all responsibilities D. pathological case should be considerate last THAMER. 88 22- Why it’s a requirement for Healthcare Practitioners to attend continuous medicaleducation (CME) activities, and conduct research? A. to adhere to the standard of practice B. to provide a role model for his colleagues and patient C. to respect the honor of the profession D. to the development of the profession 23- When a person lacks capacity which one of the following must be issued? A. Of capacity B. Of incapacity C. Of treatment knowledge D. Withholding 24- Information about individuals that cannot be identified by the recipient, but whichenables the linking of this information to patient profiles is known as which of the following? A. anonymized information B. De- identified information C. identifiable information D. pseudonymized information 25- Which one of the following statements the exceptional circumstances that justifyoverriding the of individual to confidentiality in order to serve a border social interest? A. confidential health service B. express consent for treatment C. implied consent for treatment D. public interest disclosure 26- When a person lacks capacity, which one of the following must be issued? A. certificate of capacity B. certificate of incapacity C. certificate of treatment knowledge D. certificate of withholding 27- What doctor should do if their patient asks to remove information that they thinkin not clinically relevant to their health? A. consult administrative staff while deleting or adding ... B. consult the court to appropriately justify the cause... C. Delete that information if both parties agree and that deleting not cause anysignificant.... D. Refuse to delete that information because any alteration.... 28- How should a healthcare professional deal with the medical professionalstandards? A. Disregard the medical professional standards as they are not important anyway B. Maintain the medical professional standards and work to improve them C. Maintain the medical professional standards without trying to improve them D. Start by developing their own specie medical professional standards 29- Who is responsible for deciding what treatment to offer at the end of life? A. Clinician in charge of patients care B. court must involve C. family has the right to take decisions D. palliative care specialists 30- Beat describe an appropriate relationship with the patient? A. honestly breach B. encouraged behavior C. personal choice pertaining to personal freedom D. professional medical behavior 31- Statement most accurate regarding consent process for recording such as images... A. as a concept does B. implicit and does not need to be obtained separately C. is only needed when repeating... D. must be explicit and required... 32- End-of- life care... effective communication within the health team is vital A. to avoid mixed messages B. to ensure higher level C. to give hope D. to improve the health THAMER. 88 THAMER. 88 THAMER. 88 THAMER. 88 THAMER. 88 Essay Questions PHC216 THAMER. 88  Health records should be regarded as confidential. This might include: Presenting symptoms Reasons for seeking healthcare Relevant clinical findings Diagnosis Options for care and treatment discussed with the patient Risks and benefits of care and treatment options, as explained to the patient Decisions about and care treatment Evidence of the patient's agreement Action taken Outcomes Subsequent additions or amendments to information and the reasons for the changes  Records should not include : Health professionals' personal views about a patient's behaviour Exception: include if they have bearing on healthcare  Health recourds should be ? Clear Accurate Factual Legible Contemporaneous Appropriately dated  What is Consent ? Agreement to an action based on knowledge of what that action involves and its likely consequences  Disclosure The provision of access to information about a patient, regardless of the purpose.  Difference between Express consent AND Implied consent ? Express consent : Consent that is expressed orally or in writing. Also known as explicit consent.Express consent is generally preferable because it is unambiguous Implied consent : is acceptable for uses or disclosures of information that directly contribute to the diagnosis, care or treatment of a patient, and to the quality assurance of that care, unless the patient objects.  What is Anonymised information ? Information from which individuals cannot reasonably be identified. Requires the removal of name, address,full postcode, identification numbers or any other detail or combination of details that might support identification.  Identifiable information Information from which a patient can be identified. Name, address and full postcode will identify a patient; combinations of information may also support identification, even if the name and address arenot included.  The key information that is recorded includes: • presenting symptoms and reasons for seeking healthcare • relevant clinical findings and diagnosis • option ns for care and treatment discussed with the patient • risks and benefits of care and treatment options, as explained to the patient • decisions about care and treatment, including evidence of the patient's agreement • action taken and outcomes  Removing information from health records • When making decisions about care and treatment it is important to have a complete record. • Circumstances where it might be appropriate to completely remove information from a paper record areextremely rare. • Information should not be changed or removed without a clear explanation being recorded in a way thatmakes it clear why it has been altered. • Electronic records keep an automatic audit trail which will always maintain a complete record.  Access to health records : • Patients and their representatives are entitled to have access to their records and to have copies of them. • Patients may authorise a third party, such as a lawyer, to access records on their behalf. ▪ Parents with parental responsibility may have access to their child’s records if this is in the child’s bestinterests and, when the child is competent, if he or she gives consent. ▪ People appointed to manage the affairs of mentally incapacitated patients may have access toinformation necessary to fulfil their function. ▪ Information may be withheld if revealing it may cause serious physical or mental harm to the patient or,in certain circumstances, it relates to a third party who is not a health professional who has cared forthe patient. ▪ Doctors should facilitate information access by patients, and be willing to show them the contents oftheir records.  Expected conducts of health professionals in KSA Should strive to provide scientific and practical contributions to the development of the profession, through; • Research • Studies • Writing articles and • Continuous education THAMER. 88 بالتوفيق للجميع .. THAMER. 88 Midterm Exam PHC 216 - 2022  Why a young people can competency fluctuate? Give any two conditions? A young people's competency can fluctuate because of • Their medical condition • Medication • Time of day • Their mood  Give 2 types of recordings for which consent to make the recordings is implicit. • Pictures of internal organs or structures • Pathology Slide Pictures • endoscopic images • X-rays  Which condition law allows for compulsory treatment.? Give of any two The law allows • mental disorder • Some forensic purposes • Some investigations under public health legislation  Write any 2 points in which the consent will be valid as per patient Q have the ability to take decision • Provide sufficient information to make an informed decision • Act voluntarily and free from undue pressure • Know that he can refuse  Should strive to provide scientific and practical contributions to the development of the profession, through; • Research • Studies • Writing articles and • Continuous education  Six categories of recordings for which consent to make the recordings is implicit and does not need to be obtained separately • Images of internal organs or structures • Images of pathology slides • Laparoscopic and endoscopic images • Recordings or organ functions • Ultrasound images • X-rays 1. Which of the following terms refers to people who are probably mature enough to make important decisions for themselves? A. Legal proxies B. Parents C. Children D. Young people T . M 2. Which of the following traits corresponds to protecting the nobleness of the healthcare profession? A. Having an inappropriate relationship with the patient or one of his/her family members B. Seeking fame on account of the basics and ethics of the profession. C. Excelling in his/her work by mastering skills. D. Avoid being sensitive :o patient's cultural and religious backgrounds. 3. When consent cannot be obtained in an emergency doctor should provide treatment. A. Invasive B. Cosmetic C. Immediately necessary to preserve life D. None of the above 4. In which of the following circumstances doctor is allowed to give medical treatment to save patients' life without obtaining consent? A. Patient with capacity refuses medical treatment B. In emergency C. In clinic D. On request of patient's proxy/relatives 5. Which of the following terms refers to people who are probably not mature enough to make important decisions for themselves? A. Children B. Parents C. Young people D. Legal proxies 6. Which of the following scenario is the patient's information is no longer confidential and may be used more freely? A. When the information is protected B. When the information is validated C. When the information is outdated D. When the information is anonymized 7. When do the courts need to be involved in decisions? A. If the patient is not competent B. In an emergency C. When agreement on treatment cannot be reached in a reasonable period D. For any surgery 8. Which of these behaviours protect the nobleness of the profession of a healthcare practitioner? A. Limiting patient autonomy. B. falsification C. Maltreatment. D. Maintaining good manners. 9. What is the main action to be done before disclosing health records for a secondary purpose? A. Send all relevant information as soon as possible B. Anonymize or code the recordings C. Identify the patient accurately D. Get a court order 10. What measure do healthcare professional has to take when disclosing patient photographs or videos for a secondary purpose? A. It can be undisclosed to medical students B. Anonymize the photo or video C. Disclose patient information D. Present it without coding T . M 11. Patients sometimes ask their doctor not to make a note of some clinical fact. What is the doctor expected response if the patient requests the removal of information from his/her health records? A. Explain why the information should be included B. Remove the information as patient's wish C. Patient has no right to this request D. Refuse this request 12. Which of the following secondary uses of patient information as a disclosure for purposes not associated with providing healthcare? A. Complaints. B. Employment. C. Public health. D. Teaching. 13. Which of the following considers one of the assessment tools to measure children's competence to take a specific decision? A. Social factors B. Cognitive development C. Age D. Environmental factors 14. Which of the following is one of the Six categories of recordings for which consent to make the recordings is implicit and does not need to be obtained separately? A. Images of internal organs or structures B. Images of patient face C. Handwriting paper of the patient's wishes D. Patient's financial status 15. Which one of the following is a principle of confidentiality? A. Patients have no right to discuss their situation with the doctor or with the team providing care to them B. The information would not be available because it is secure, even it should not be available for the patients. C. Health care tears are the only one who has the data and patients should respect this procedure. D. The information must be available to patients and explain how their data will be shared within the healthcare team. 16. What type of communication is crucial when patients are approaching death? A By Effective communication B. By conflict C. By Lack of communication D. By Ineffective communication 17 What is the primary purpose of health records? A. Support Doctor's Diagnosis B. Strengthen the doctor-patient relationship C. Register Medical Data D. Support Patient Care 18 In regard to health records, which one of the following is considered as "use of data for secondary purposes"? A. Social media medical advertising B. Public health, audit, teaching C. Support political views D. Personal view about the patient's behavior 19 What are doctors' responsibilities with respect to child protection? A. Performing the wishes of the child B. Explaining the treatment to the parents C. The well-being of the child or children concerned D. None of the above T . M 20 Following is highly needed to support children when participating in decisions regarding their healthcare A. Information B. Empathy C. Encouragement. D. Support 21 Who is responsible to discuss withdrawing or withholding treatment, nutrition, and hydration? A. A teacher B. A parent C. A lawyer D. A senior clinician 22 Which of the following is central to the partnership between doctor and patient, with each having a role in decisions about treatment or care? A. Capacity B. Consent C. Confidentiality D. Competence 23 Which of the following terms refers to people who are probably not mature enough to make important decisions for themselves? A. Children B. Legal proxies C. Young people D. Parents 24 Which of the following refers to the everyday ability that individuals possess to make decisions or to take actions that influence their life ? A. Consent B. Capacity C. Power D. Inability 25 Who is entitled to give consent to medical treatment on behalf of their child ? A. Neighbour B. Child's friends C. First relatives D. People with parental responsibility healthcare a of status the demeaning or profession the insulting to lead could following the of one Which 26 أي مما ي ل يمكن أن يؤدي إىل إهانة المهنة أو الحط من مكانة ممارس الرعاية الصحية؟ practitioner? سوء المعامله Maltreatment a. should record health patient following the of Which records? health in included be should following the of Which 27 أي مما ي ل يجب تضمينه ف السجالت الصحية؟ أي من السجالت الصحية التالية للمريض يجب أن يتضمن؟ include? A. CEO opinion about the patient B. Health professionals' personal record C. Nurse personal views about patient أسباب طلب الرعاية الصحية وعرض أعراض المرض disease of symptoms Presenting & healthcare seeking for Reasons D. T . M أي بيان من بيلو صحيح؟EHR:عندما يتعلق األمر ب true?: is bello from statement which EHR to comes it When 28 A. Electronic records are not subject to the same duty of confidentiality common to paper-based records. B. Patients must be aware of how their data are shared and stored or have information readily available to them explaining the potential sharing of their health record. يكون أن أو وتخزينها بياناتهم مشاركة بكيفية دراية عل ض المر يكون أن يجب لديهم معلومات متاحة لهم بسهولة ت رشح لهم المشاركة المحتملة لسجلهم الصح. C. Access to clinical information should be available to all staff working in the organization. D. Patients must be informed about any upload of their clinical data to a national database but does not have the option to opt out. 29 In the context of the end of Life care, why effective communication within the health team is vital? a. To avoid mixed messages b. To ensure higher levels of benefits c. To give hope to the patient at the end d. To improve the health of the attendant T . M