Question

Question 1

A 64-year-old woman with MS is hospitalized. The team feels she may need to be placed on a feeding tube soon to assure adequate nourishment. They ask the patient about this in the morning and she agrees. However, in the evening (before the tube has been placed), the patient becomes disoriented and seems confused about her decision to have the feeding tube placed. She tells the team she doesn't want it in. They revisit the question in the morning, when the patient is again lucid. Unable to recall her state of mind from the previous evening, the patient again agrees to the procedure. Which of the following is a true statement regarding the facts you have from this case?

Select one:

a. The patient has an impaired decision-making capacity.

b. The team is legally required to proceed with the feeding tube.

c. The patient was never competent.

d. The patient should be given a reasonable accommodation.

Clear my choice

Question 2

Amy Anderson has been certified in writing by one physician to be incompetent and to have a terminal condition. Amy has a directive to physicians and a durable power of attorney for health care that names her husband as her agent. Her husband has directed that all life-sustaining procedures be stopped. The physician is obligated to comply with the husband’s request.

Select one:

True

False

Question 3

Edith Edwards has contracted a highly contagious viral infection. Her physician, an infectious-disease specialist, instructs Edith to refrain as much as possible from contact with her family for the next 72 hours. As long as the physician has no physician-patient relationship with any other family members, he does not have a duty to warn them of Edith’s contagious condition.

Select one:

True

False

Question 4

A 55-year-old man has a 3-month history of chest pain and fainting spells. You feel his symptoms merit cardiac catheterization. You explain the risks and potential benefits to him, and include your assessment of his likely prognosis without the intervention. He is able to demonstrate that he understands all of this, but refuses the intervention. Which of the following is a true statement regarding the facts you have from this case?

Select one:

a. The patient has an impaired decision-making capacity.

b. The physician is legally required to proceed with the cardiac catheterization.

c. The physician has a duty to respect the patient's choice.

d. The patient should be given a reasonable accommodation.

Answer 1

1. A patient has impaired decision making capacity

2. True

3. False

4.C The physician has a duty to respect the patient's choice