Reference no: EM133484592

Assignment:

1. When a patient who lacks DMC is brought into the hospital, what standard or document should be used first when the surrogate or care team is making a treatment decision (according to Lo).

• Substituted judgement
• What the doctor thinks is best
• Best Interest
• Advanced Directives

2. Which best represents Trotter's definition of futility?

• There is a goal, there is an action aimed at achieving that goal, and no medically appropriate goal to reach.
• Nothing can be done for the patient.
• There is a goal, there is an action aimed at achieving the goal, and virtual certainly that action will not be able to achieve the goal.
• When the interventions won't promote a goal that both the physician and family agree is desirable.

3. According to the article "Ten Myths about Decision Making Capacity," health care professionals should presume that a patient does not have decision making capacity if the patient attempts to make a decision that the health care professionals consider a bad decision.

• True
• False

4. By the concept of "internal morality," Pellegrino means that people should follow their own moral codes and not listen to the morality of their society or their profession.

• True
• False

5. Consider the following scenario: Jack and Mary have been married for 25 years. Mary has been a devout Jehovah's Witness all her life. She is currently in unconscious and in need of a life saving blood transfusion. According to the hierarchy for surrogate decision making (provided by Lo), the first standard Jack should use to make the choice is best interest standard.

• True
• False

6. According to our readings (or any outside research), which of the following is NOT a generally accepted component of informed consent.

• The patient has decision making capacity.
• The patient has been provided with adequate information.
• The patient's choice is voluntary.
• The patient's choice is in his or her best interest.

7. According to Brody (from Trotter's article), the case of Baby K was not futile.

• True
• False

8. According to the article "Ten Myths about Decision Making Capacity," all patients who have been diagnosed with a mental disorder lack decision making capacity.

• True
• False

9. According to the article "Ten Myths about Decision Making Capacity" the only consideration for whether or not a patient can provide informed consent is if all relevant information has been disclosed.

• True
• False

10. According to Lo, which of the following is NOT a problem associated with substituted judgement:

• There may be cases were judgments might lead to choices that contradict what the medical team thinks is in the patient's best interest.
• Family members might confound what they would want with what the patient would want.
• The physician's moral values might differ from those of the patient or other health care workers and s/he may be required to recommend a treatment s/he finds unethical
• Family members may be unable to accurately state a patient's wishes regarding treatment.