Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PRITE- MISC > Ethics > Flashcards

Ethics Flashcards

1
Q

Routinely informing pts about confidentiality limits is an example of what ethical skill? (6x)

A

BUILDING ETHICAL SAFEGUARDS INTO WORK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What ethical principle provides the most appropriate basis for psychiatric intervention in a mentally incompetent patient? (5x)

A

BENEFICENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In ethics, beneficence is: (5x)

A

APPLYING ONE’S ABILITIES SOLELY FOR THE PATIENT’S WELL-BEING. PHYSICIAN ACTS PATERNALISTIC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Difference between a boundary violation and boundary crossing is? (5x)

A

BOUNDARY VIOLATIONS ARE CHARACTERISTICALLY EXPLOITATIVE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

First do no harm refers to which of the following principles: (4x)

A

NONMALEFICENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

her. The most appropriate next step for the therapist is to: (4x)

A

SEEK CONSULTATION WITH A COLLEAGUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A suicidal 18 y/o pt who lives with his parents is evaluated in the ED. The psychiatrist warns the pt that if he does not sign in voluntarily for inpt tx, the psychiatrist will involuntarily hospitalize the pt. The pt consents to inpt care. The pt in this situation has not given valid informed consent because: (x3)

A

HE WAS COERCED INTO GIVING CONSENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A famous entertainer comments publicly about having problems cutting down on ETOH use despite knowing negative effects on family members. Well-known psychiatrist, never met the entertainer, goes on a news program and says that the entertainer is most likely experiencing ETOH abuse. What explains ethics of MD? (2x)

A

UNETHICAL BECAUSE THE PSYCHIATRIST HAS NOT EXAMINED THE ENTERTAINER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What reflects opinion of APA on practice of charging a pt for a missed appointment (2x)

A

SUPPORTS IT IF IT IS CONTRACTED WITH THE PATIENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Watson’s experiment with “Little Albert” demonstrated that an 11 y/o child, who previously shown no phobic response to a stimulus, learned to fear the stimulus after it was repeatedly paired with a loud noise. This would be unethical b/o violation of: (2x)

A

NONMALEFICENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Paternalism can be justified by which of the following basic ethical principles (x2):

A

BENEFICENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Pt’s spouse calls the patient’s psychiatrist to ask about changes in the patient’s medication. Which of the following would be an appropriate initial response for the psychiatrist to make? (2x)

A

INFORM THE SPOUSE THAT THE PATIENT’S CONSENT IS REQUIRED TO DISCUSS TREATMENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Most appropriate time to discuss advance directives with a pt (x2)

A

WHEN THE PT IS COMPETENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The three component of informed consent include: the presentation of information, the voluntariness of consent on the part of pt, and (x2):

A

MENTAL COMPETENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Patient attracted to therapist, what should therapist do?

A

SEEK SUPERVISION FROM COLLEAGUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

SI pt needs hospitalization, but insurance thinks partial. What to do?

A

ADMIT PT TO HOSPITAL AND APPEAL INSURANCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Pt’s insurance refuses to pay for continued hosptialization for a depressed patient who is acutely suicidal. The psychiatrist remains concerned about SI and does not discharge the patient. This best illustrates the ethical principle in managed care of responsibility to

A

TREAT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Documents that first promoted first human subject consent in research

A

NUREMBERG CODE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Accepting flowers from a paranoid patient to make patient feel relaxed

A

BOUNDARY CROSSING

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What would be a situation in which to report a colleagues behavior?

A

BEING AGGRESSIVE TOWARD PATIENTS ON THREE DIFFERENT OCCASIONS DURING SHIFTS IN THE ED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Ethics of inpatient psych for SI pt refusing tx?

A

BENEFICENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

On-call resident evaluates new patient with bad dementia. Realizes patient was one of the resident’s former professors and mentors. Resident is the only psychiatrist on the unit. Attending is called and tells resident the hospital doesn’t have a relevant policy. What’s the optimal way to handle this?

A

FINISH THE EVALUATION AND PROVIDE ANY URGENT TREATMENT BUT INSIST ON A TRANSFER OF CARE AS SOON AS POSSIBLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Psych MD wishes to charge pts for appointments that they do not keep. According to code of ethics of APA, such a policy is:

A

ETHICAL IF PT IS SPECIFICALLY NOTIFIED IN ADVANCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Psych MD is approached at social gathering by a neighbor who seeks advice about recent Sx of depression and anxiety that neighbor has experienced since being fired from work. Which action would constitute establishment of doctor-pt relationship?

A

ADVISING NEIGHBOR TO START CBT W ONE OF SEVERAL PROVIDERS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Psychiatrist judges patient under managed care plan will need combined psychopharm and psychotherapy for > 1yr. Knows that health plan stops paying after 20 visits. Most ethical to tell patient:

A

PATIENT MAY NEED MORE TX THAN INSURANCE COVERS

26
Q

APA addressed ethics of sexual relationships between psychiatrists & pts by stating

A

NOT PERMISSIBLE TO HAVE A SEXUAL RELATIONSHIP WITH A CURRENT OR FORMER PATIENT

27
Q

Ethical standards dictate that the psychiatrist should do what in child custody evals?

A

INTERVIEW ALL PARTIES TO THE LITIGATION

28
Q

An internal medicine resident who is asked by the residency program to take a leave of absence due to erratic behavior must undergo a psychiatric assessment before returning to clinical duties. Which of the following statements best describes the obligation of the examining psychiatrist?

A

STATE CLEARLY TO PT PRIOR TO EVALUATION THE PURPOSE OF THE EVALUATION AND THAT THE INFORMATION MAY BE TRANSMITTED TO THE RESIDENCY PROGRAM

29
Q

According to APA, it is unethical for a psychiatrist to:

A

PARTICIPATE IN LEGALLY AUTHORIZED EXECUTION

30
Q

Fact that participants did NOT receive available indicated treatment in the Tuskegee Syphilis study is an ethical violation of justice, beneficence or non-maleficence?

A

NON-MALEFICENCE

31
Q

Psychiatrist warns 24 y/o pt- if pt does not sign in to a hospital voluntarily, the patient will be involuntarily committed. This approach violates the spirit of:

A

INFORMED CONSENT

32
Q

A psychiatrist wishes to charge patients for appointments that they do not keep. According to the code of ethics of the APA, such policy is:

A

ETHICAL IF THE PT IS SPECIFICALLY NOTIFIED IN ADVANCE

33
Q

Psychiatrist determines that fully informing a pt of tx risks would negatively impact pt’s health/welfare & documents rationale for tx the patient without informing the patient of all the risks. This psychiatrist is intending to use which of the following?

A

THERAPEUTIC PRIVILEGE

34
Q

Forcing med on pt directly challenges which of the following?

A

AUTONOMY

35
Q

Providing pts with an understanding of their disorders and options for treatment is honoring which of the following principles of ethics:

A

AUTONOMY

36
Q

Adolescent with recent SA is about to be discharged from hospital. The parents refuse a request to remove firearms from the house, stating, “I need firearms to protect my family and I will make sure they are secured.” Which ethical principle CONFLICTS with the psychiatrist making a CPS report?

A

AUTONOMY

37
Q

16 y/o says she think she may be pregnant but does not want to involve her parents. What should guide the psychiatrist’s actions?

A

THE PATIENT’S ABILITY TO GIVE CONSENT WILL VARY FROM STATE TO STATE TO STATE

38
Q

Failing to obtain informed consent defies which principle of ethics?

A

AUTONOMY

39
Q

It is ethical for a psychiatrist to bill pt for a missed appointment if:

A

IF PAYMENT FOR MISSED APPT FALLS IN CONTRACTUAL AGREEMENT.

40
Q

Pt who is poor but talented asks if he can barter for services. You like the pt’s product. What describes the nature of this proposal to accept goods in lieu of fees

A

IT IS NOT RECOMMENDED AS IT MAY COMPROMISE TREATMENT BOUNDARIES

41
Q

Psychiatrist wishes to charge pts for appointments that they do not keep. According to code of ethics of the American psychiatric association such a policy is:

A

ETHICAL IF THE PATIENT IS SPECIFICALLY NOTIFIED IN ADVANCE

42
Q

Pt qualifies for ECT, but does not want his doc to tell him the risks. He is a “chronic worrier” and fears hearing the risks will make him anxious, perhaps to the point of refusing treatment, which he believes he needs. What is the best response?

A

DOCUMENT THE PT’S KNOWING AND VOLUNTARY WAIVER AND PROCEED WITH TREATMENT

43
Q

Insurance company tells psychiatrist to switch generic drug. You know alternatives may be good too. What do you do?

A

CONTACT INSURANCE AND ASK FOR NON- FORMULARY APPROVAL

44
Q

Psychiatrist calls pt at home; wife asks how pt is doing. What principle governs response?

A

CONFIDENTIALITY

45
Q

How should a psychiatrist handle an interview about the misbehavior of a prominent government employee?

A

COMMENT ON HUMAN BEHAVIOR GENERALLY, BUT REFUSE TO OFFER OPINIONS ABOUT THE SPECIFIC PERSON

46
Q

Son of 70 y/o pt calls psych MD to reports his mom has b/c depressed in last 6 months, but pt denies being sad and refuses to see psych MD. Son mentions that he will bring mother to the appointment under the pretense of having her back pain checked. Most appropriate response from psych MD would be to:

A

TRY TO DISSUADE THE SON FROM USING DECEPTION

47
Q

Gag-rule clauses in some managed care plans may prohibit docs enrolled in their plans from taking which action?

A

ADVISING PTS ABOUT TREATMENTS NOT COVERED BY HMO

48
Q

The psych MD who released medical records and audiotapes of the treatment of the poet Anne Sexton to the author who was writing a biography after her death could have been criticized for violating what principle?

A

CONFIDENTIALITY

49
Q

Psych MD is treating a child whose parents are divorced. Under what circumstance is it ethically acceptable for the psychiatrist to have a romantic relationship with the child’s parent?

A

UNDER NO CIRCUMSTANCES

50
Q

A pt suffers as a result of the pt’s psychiatrist going on vacation w/o providing coverage. The psychiatrist’s problematic behavior violates which of the following ethical principles?

A

FIDELITY

51
Q

The efforts of psychiatrists to achieve “parity” legislation for mental illness can best be seen as illustrating which of the following moral principles?

A

JUSTICE

52
Q

If a third party is supervising a therapy case, the resident should inform the patient..

A

THAT HIS CASE WILL BE DISCUSSED

53
Q

A psychiatrist and spouse are attending a concert. During intermission, the psychiatrist sees that they will cross paths in the lobby with one of the psychiatrist’s patients. Which of the following would be the most appropriate conduct for the psychiatrist in this situation?

A

WALK BY WITHOUT INDICATING KNOWING THE PATIENT, UNLESS THE PATIENT INITIATES CONTACT.

54
Q

Psychiatrist prescribes medication to a psychotherapy pt of another mental health professional, what is his liability in this treatment arrangement?

A

PSYCHIATRIST RETAINS FULL RESPONSIBILITY FOR PATIENT’S CARE

55
Q

Pt with history of bipolar disorder hospitalized 2 weeks ago for mania and SI. Improved but 2 days before being allowed home visit, patient stops all meds. Doctor states if patient refuses meds, cannot go home for visit. Patient relents and accepts meds after hearing this. From ethical standpoint, response from doctor can be considered:

A

COERCIVE BUT ACCEPTABLE IF THE DOCTOR BELIEVED NON-ADHERENCE WOULD CAUSE SIGNIFICANT HARM

56
Q

Most significant barrier to accessing mental health services in school-based health centers

A

CONCERNS ABOUT CONFIDENTIALITY

57
Q

Which is a boundary violation? Investing in a pt’s business, treating the town pharmacist in a small town, accepting pt’s gift of hand-knit scarf, seeing a pt at a reduced fee compared to others, discussing pt’s sexual feelings in session

A

INVESTING IN A PATIENT’S BUSINESS

58
Q

The Belmont Report states that the underlying principle of informed consent is

A

RESPECT FOR PERSONS

59
Q

Central principle of Goldwater Rule:

A

IT IS UNETHICAL FOR PSYCHIATRISTS TO OFFER PROFESSIONAL OPINIONS ON PUBLIC FIGURES WITHOUT A FACE-TO-FACE EVALUATION

60
Q

A patient has refractory depression. The psychiatrist isn’t sure what to try next and consults a supervisor. What ethical principle is illustrated by the consult?

A

NONMALEFICENCE

61
Q

Conducting a session after hours in a local coffee bar is an example of ?

A

BOUNDARY VIOLATION

PRITE- MISC (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions