Quick Quiz

1. Quick Quiz Physician v. Patient

2. Truth & Confidentiality Which definition did Garrett use for ‘lying’? Speech against the mind Speech intended to deceive others Uttering falsehoods when others reasonably expect truth Uttering falsehoods against the mind Uttering falsehoods in general

3. Truth & Confidentiality A Natural Secret is: Something kept secret about your nature Something that would naturally harm a person if divulged Something kept secret about your body Something that would alter your nature if known Something that is unnatural to know

4. Truth & Confidentiality What is bad about revealing a promised secret? Revelation treats promisee as a means only, not as an end Revelation entails harmful effects Breaking promises is only bad if it has harmful effects A and B B and C

5. Truth & Confidentiality If the physician says “I am going to prescribe something that often helps in these cases and has no bad side effects,” but is in fact prescribing a sugar pill (which does often help and has no bad side effects), the physician… has not lied because the sentence uttered is true has not lied because the patient believes what the doctor wants them to believe has not lied because the patient believes the truth has lied because the patient concludes what the doctor intends and knows to be false (this drug will help me) has lied because it is never right to mislead someone

6. Truth & Confidentiality “A secret is knowledge that a person has a right or obligation to conceal,” is … a mistaken definition because some secrets are just beliefs a mistaken definition because some secrets are wrong a mistaken definition because secrets are always wrong a correct definition because it’s in the book a correct definition because wrongfully held secrets are called something else

7. Truth & Confidentiality A Tarasoff duty is a duty to … Share pregnancy information with parents of minors Tell the truth to terminally ill patients Suspend judgment about lying co-workers Protect your employer by concealing malpractice Warn third parties of threats against them

8. General Biomedical Ethics The main goal of health care is … extend life alleviate suffering optimize happiness A, B, and C are co-equal Who knows?

9. Informed Consent The classification of people as children, intellectually disabled, or the pleasantly confused … Tells us they are not suited to give informed consent Tells us they can never be guilty of negligence Tells us nothing about their ability to consent Tells us little about their ability to consent Is always illegitimate and degrading to persons

10. Informed Consent Among the competing rules for determining what information is needed in informed consent, Garrett likes: Patient preference and professional custom Patient preference and prudent person Prudent person and subjective disclosure Professional custom and subjective disclosure None of the rules; rules are too limiting

11. Informed Consent The overarching, important consideration governing the information in informed consent is: It must be strictly medical It must be communicated free of emotion It must understood by the patient It must be delivered in writing It must be technically accurate

12. Informed Consent Coercion and Undue Influence are thought to ruin the ability to give informed consent because they interfere with: Competence Voluntariness Disclosure Understanding Dignity

13. Paternalism v. Autonomy Paternalism, weak or strong, is considered by both Vaughn and Garret to be: A guide to treating the incompetent A guide to treating the competent To be avoided if possible B and C A, B and C

14. Paternalism v. Autonomy Paternalism trying to benefit a patient irrespective of or contrary to: a parent’s wishes a father’s wishes that patient’s wishes that patient’s wishes, only if competent a physician’s wishes

15. Paternalism v. Autonomy Therapeutic Privilege is: The patient’s right to the latest therapies The doctor’s duty to use the latest therapies The doctor’s right to deceive a patient for their own good The patient’s duty to refuse therapies they cannot afford The privilege to use therapeuts

16. Paternalism v. Autonomy According to the Garrett book, strong paternalism is justified for the government to… Protect the rights of others Protect the patient from physical harm Protect a patient from financial harm Protect an overriding state interest Protect a hospital from liability

17. Answers 2C, 3B, 4D, 5D, 6B, 7E, 8E, 9D, 10C, 11C, 12B, 13E, 14C, 15C, 16D