Order Ethical Considerations Assignment

Order Ethical Considerations Assignment
Order 5980384
Order Ethical Considerations Assignment
1. A 62-year-old man with new onset shortness of breath is admitted to the ICU with a large rightsided pleural effusion, requiring noninvasive positive pressure ventilation because of increased
work of breathing. CT imaging is suggestive of lung cancer with metastasis to the liver. Prior to
disclosing results of imaging to the patient, the patient’s daughter asks to speak with you
privately. She states that her father does not wish to know anything regarding his condition.
What is the MOST appropriate next step?
A. Determine why the daughter believes that her father does not want to know information
regarding his diagnosis
B. Ask the patient about his preferences for knowing results of imaging, likely diagnosis, and
plans of care
C. Further assess if the patient has capacity to make decisions
D. Involve the ethics committee to determine if the patient is competent to make decisions
2. Which of the following is true regarding the concept of respect for autonomy?
A. A patient may be coerced into a treatment by using a credible threat
B. A patient may be persuaded into a treatment by using a legitimate argument
C. Physicians are obligated to “do whatever the patient wants”
D. If a patient refuses a treatment, there is no way a physician can be liable for injuries occurred
owing to lack of treatment
Order Ethical Considerations Assignment
3. A 78-year-old woman is admitted for choledocholithiasis, diagnosed by magnetic resonance
cholangiopancreatography (MRCP), with mildly elevated liver function tests and serum
bilirubin of 1.5 mg/dL. Serum amylase and lipase are normal and temperature is 37.1°C. Which
of the following is LEAST appropriate to discuss while consenting the patient for endoscopic
retrograde cholangiopancreatography (ERCP)?
A. The diagnosis of choledocholithiasis and need for additional procedures after ERCP
B. Propose and explain ERCP and alternative treatment options
C. The contact information of family members not present
D. The risks of refusing treatment
4. A 55-year-old male presents with a left middle cerebral artery stroke. Shortly after arriving at
the hospital, his mental status declines, and he is intubated. His wife is his durable power of
attorney for healthcare decisions. She notes that he did not want to end up, “connected to
machines to keep him alive,” and his living will states: “I do not want aggressive measures to
extend my life.” The neurointerventional team feels that his prognosis is likely good with an
endovascular revascularization procedure, but the wife is hesitant to consent to this procedure.
What is the most appropriate next step?
A. Explore the patient’s wishes with regard to medical care with his wife
B. Proceed with the procedure without his wife’s consent because it is likely lifesaving, and any
delay may make his outcome worse
C. Consult the hospital ethics committee
D. Consult other members of the family and seek their consent for the procedure
5. Which of the following is the correct order for highest to lowest priority of surrogate decision
makers for an incompetent adult patient?
A. Individual appointed by patient, spouse, adult child, parent, adult sibling
B. Individual appointed by patient, spouse, parent, adult child, adult sibling
C. Individual appointed by patient, spouse, adult sibling, adult child, parent
D. Individual appointed by patient, spouse, parent, adult sibling, adult child
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