ATI LPN
Legal and Ethical Aspects of Healthcare Questions
Question 1 of 5
Hemi agreed to participate in a research experiment being conducted by a professor in psychology. He was told that the experiment would last two hours and would be somewhat boring but was not expected to be harmful in any way. After one hour, Hemi got tired of the tasks he was asked to do and told the experimenter he had changed his mind and wanted to quit. Can the experimenter tell him he has to continue?
Correct Answer: C
Rationale: Ethical guidelines grant participants the right to withdraw from research at any time, regardless of prior consent.
Question 2 of 5
Beauchamp and Childress state that the following is one justification of a right to privacy:
Correct Answer: D
Rationale: The right to privacy is grounded in the broader principle of respect for autonomy, allowing individuals control over personal information.
Question 3 of 5
You are a psychiatrist in session with a patient who tells you he thinks his boss at work is persecuting him. The patient has had mild schizophrenia. The patient asks you if you can keep a secret and then tells you that he is planning to kill his boss 'when the time is right.' You say, 'Of course, everything you tell me during the session will always be confidential.' What should you do?
Correct Answer: D
Rationale: A patient's right to confidentiality ends where another person's right to safety begins. Your duty to protect the life of the person at risk is more important than keeping the patient's medical information confidential. You must see that the person at risk is duly warned and law enforcement is informed.
Question 4 of 5
You are a resident invited to a dinner given by a pharmaceutical company. In addition to the dinner there is a lecture given on a medical subject as well as a $500 gift certificate to a department store for attending the presentation. Which of the following is the most appropriate action in this case?
Correct Answer: C
Rationale: Educational activities and modest meals from pharmaceutical companies are acceptable, but direct monetary payments to attendees are not, as they could influence prescribing behavior.
Question 5 of 5
A 52-year-old man with cerebral palsy is being evaluated for screening colonoscopy. He has a mental age of 8 and a second grade reading level in terms of comprehension. He lives alone and survives on a combination of public assistance and a low paying part-time job sweeping floors. You have thoroughly explained the procedure to him in terms of risks and benefits. He repeatedly refuses the procedure entirely on the basis of 'I just don't want it.' What should you do?
Correct Answer: C
Rationale: A patient can refuse a procedure if they understand the risks and benefits, regardless of cognitive impairment in other areas.