CHLH 260 Exam 2 Questions and Answers Solved Correctly Graded A+
States with Physician Assisted Suicide - Answers -Oregon (1997)
-Washington
-Montana
-Vermont (2013)
Janet Adkins - Answers diagnosed with Alzheimer's, went to Kevorkian, performed the PAS in a public
park in his van and the with the flip of a switch, potassium chloride was administered and would be
dead
Value conflicts with PAS - Answers autonomy, beneficence, non-maleficence
Pain control - Answers palliative care experts believe that pain can be alleviated in all but the rarest
cases, some patients may withhold or delay narcotics with fear of addiction
Oregon Criteria for PAS - Answers -must be terminally ill
-6 months or less to live
-2 oral requests for assistance in dying
-must have one written request for assistance in dying
-must convince two physicians that she/he is sincere, not acting on a whim, and that the decision is
voluntary
-no depression influence
-wait 15 days
Marcia Angell - Answers YES: principles which predominate are autonomy and duty to relieve suffering,
doctors should not be prosecuted for providing PAS
Kathleen Foley - Answers NO: PAS will substitute for interventions that would otherwise improve the
quality of life, hurts training education and practice improvements in palliative care
Ethical Theory that best fits Bush Admin. trying to repeal the Death with Dignity Act of 1997 - Answers
Deontological: not ethical to have a doctor assist in suicide
Natural Law: Bush supports dying naturally and not having someone help you.
first place in the WORLD to legalize euthanasia - Answers Northern Territory of Australia
reasons for genomic testing - Answers -health & disease
, -prenatal testing: controversial
-down syndrome
-cystic fibrosis
-spina bifida
Utilitarianism for Genetic Testing - Answers -at times can require sacrifice, baby born with impairment,
less optimal life and burden for family and society
Deontological Theory for Genetic Testing - Answers Right action determined by intention not outcome,
choice examined
Mary Example - Answers Family influence: add pressure, families make decisions together, explore
clients values
autonomy for genetic testing - Answers social values and personal values conflict
-may not want to know offspring is at risk
-may prefer offspring to have same condition
privacy and confidentiality for genetic testing - Answers complex, genetic test may reveal risk of disease
-for other biological family members & other family members may be unaware of risk
justice for genetic testing - Answers fair and equal treatment: equal access to testing
-socioeconomic, ethnic, geographical groups
-weakened w/o universal access
-not available at all hospitals
ethical dilemmas in genetic testing - Answers -some tests don't identify all mutations
-may not provide enough info for a decision
-should info be gathered if no treatment exists
-undesired options after testing
-false positives & negatives
-uncertain implications for early intervention
-potential adverse personal or society consequences
genetic discrimination - Answers -real or perceived genetic differences
States with Physician Assisted Suicide - Answers -Oregon (1997)
-Washington
-Montana
-Vermont (2013)
Janet Adkins - Answers diagnosed with Alzheimer's, went to Kevorkian, performed the PAS in a public
park in his van and the with the flip of a switch, potassium chloride was administered and would be
dead
Value conflicts with PAS - Answers autonomy, beneficence, non-maleficence
Pain control - Answers palliative care experts believe that pain can be alleviated in all but the rarest
cases, some patients may withhold or delay narcotics with fear of addiction
Oregon Criteria for PAS - Answers -must be terminally ill
-6 months or less to live
-2 oral requests for assistance in dying
-must have one written request for assistance in dying
-must convince two physicians that she/he is sincere, not acting on a whim, and that the decision is
voluntary
-no depression influence
-wait 15 days
Marcia Angell - Answers YES: principles which predominate are autonomy and duty to relieve suffering,
doctors should not be prosecuted for providing PAS
Kathleen Foley - Answers NO: PAS will substitute for interventions that would otherwise improve the
quality of life, hurts training education and practice improvements in palliative care
Ethical Theory that best fits Bush Admin. trying to repeal the Death with Dignity Act of 1997 - Answers
Deontological: not ethical to have a doctor assist in suicide
Natural Law: Bush supports dying naturally and not having someone help you.
first place in the WORLD to legalize euthanasia - Answers Northern Territory of Australia
reasons for genomic testing - Answers -health & disease
, -prenatal testing: controversial
-down syndrome
-cystic fibrosis
-spina bifida
Utilitarianism for Genetic Testing - Answers -at times can require sacrifice, baby born with impairment,
less optimal life and burden for family and society
Deontological Theory for Genetic Testing - Answers Right action determined by intention not outcome,
choice examined
Mary Example - Answers Family influence: add pressure, families make decisions together, explore
clients values
autonomy for genetic testing - Answers social values and personal values conflict
-may not want to know offspring is at risk
-may prefer offspring to have same condition
privacy and confidentiality for genetic testing - Answers complex, genetic test may reveal risk of disease
-for other biological family members & other family members may be unaware of risk
justice for genetic testing - Answers fair and equal treatment: equal access to testing
-socioeconomic, ethnic, geographical groups
-weakened w/o universal access
-not available at all hospitals
ethical dilemmas in genetic testing - Answers -some tests don't identify all mutations
-may not provide enough info for a decision
-should info be gathered if no treatment exists
-undesired options after testing
-false positives & negatives
-uncertain implications for early intervention
-potential adverse personal or society consequences
genetic discrimination - Answers -real or perceived genetic differences
