Deinstitutionalisation policies have inadvertently led to which of the following outcomes?

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Legal and Ethics in Healthcare Quizlet Questions

Question 1 of 5

Deinstitutionalisation policies have inadvertently led to which of the following outcomes?

Correct Answer: B

Rationale: Deinstitutionalisation shifted many mentally ill to jails and nursing homes due to poor community support.

Question 2 of 5

You are discussing the care of an elderly woman with her family. Although she is awake and alert, the patient is very ill and physically fragile. You are awaiting the results of a biopsy for what will likely be cancer, which has already metastasized throughout the body. The family asks that you inform them first about the results of the biopsy. They are very loving and caring and are constantly surrounding the patient. They do not want to depress the patient further, and because there will be no hope for a cure they see no reason to ruin her remaining life with this information. What should you tell them?

Correct Answer: D

Rationale: Your first duty is to keep the patient fully informed about her health care. Unless there is significant evidence of possible psychological harm to a patient, you have an absolute duty to the patient first, not the family. The motives of the family members are irrelevant.

Question 3 of 5

You have been asked to give Grand Rounds at a hospital. A manufacturer of a new medical device is sponsoring you. In exchange, you are being offered a $1,000 fee for your talk. What should you do?

Correct Answer: D

Rationale: Industry sponsorship is acceptable if there's no control over content and all financial ties are disclosed, allowing the audience to judge potential bias.

Question 4 of 5

Mr. M. consents to a procedure on his left ear. After the patient is anesthetized Dr. W. discovers that the right ear is in greater need of surgery. What should the surgeon do?

Correct Answer: B

Rationale: Informed consent is specific to each procedure; medical necessity does not infer consent for a different procedure.

Question 5 of 5

A patient of yours has gone to the hospital to obtain a copy of her medical record for her own review. The hospital refuses to release them to her on the grounds that she must provide an adequate reason for wishing to see the records. She has come to see you to ask if this is true and how can she get her records. What should you tell her?

Correct Answer: D

Rationale: Patients have an absolute right to their medical records without needing to justify the request.

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