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Exam 3: Paternalism and Patient Autonomy

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Question 21

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The Following Questions For Readings: "Fundamental Elements of the Patient-Physician Relationship," AMA Council on Ethical and Judicial Affairs -The AMA's medical code says that physicians should respect their patients' right to

A) receive any treatment available.
B) receive complete information about treatments and their alternatives.
C) decide on the optimal course of action.
D) receive futile treatments.

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Question 22

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Limitations on a person's autonomy can include psychological coercion.

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Question 23

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The Following Questions For Readings: "Autonomy, Futility, and the Limits of Medicine," Robert L. Schwartz -Schwartz says that in the Wanglie case, the central question was not whether the treatment requested by the patient was futile, but whether the treatment was

In your own words, define paternalism and explain the difference between strong and weak paternalism.

A patient is pushing to receive a treatment their doctor deems medically futile. What is a widely recognized principle to which the physician can appeal?

Physicians face pressure from pharmaceutical companies to use expensive treatments of limited efficacy, are penalized for low productivity, and have financial incentives to recommend procedure-oriented interventions in place of minimally invasive counseling. These all represent serious threats to

The Following Questions For Readings: "Four Models of the Physician-Patient Relationship," Ezekiel J. Emanuel and Linda L. Emanuel -According to the Emanuels,

Early medical practice was strongly paternalistic.

The Following Questions For Readings: "Autonomy, Futility, and the Limits of Medicine," Robert L. Schwartz -Schwartz says that defining the scope of medicine should be left to

Act- and rule-utilitarians do not dramatically disagree on how to balance patient autonomy and provider beneficence.

The Following Questions For Readings: Bouvia v. Superior Court, California Court of Appeals -The Bouvia ruling asserted that competent adults have a "constitutionally guaranteed right" to

A physician knows that if they tell their patient the truth about their diagnosis, it will complicate their treatment and recovery. However, they reason that in the long run, lies do more harm than good because they erode public trust in the medical profession and it is best to adhere to a rule of honesty in diagnosis. This physician is adhering to a _______ moral theory in their reasoning.

The _______ principle states that autonomous persons should be allowed to exercise their capacity for self-determination.

The Following Questions For Readings: "Paternalism," Gerald Dworkin -Dworkin argues that some limited forms of state paternalism

The Following Questions For Readings: "Confronting Death," Dax Cowart and Robert Burt -Dax Cowart insists that no one has the right to

What is an "advance directive" and how can it extend patient autonomy?

Courts have stretched the right of competent patients to reject recommended treatments to situations in which they become incompetent (e.g., lapse into a coma) via advanced directives or other evidence of their preferences.

The Following Questions For Readings: "Four Models of the Physician-Patient Relationship," Ezekiel J. Emanuel and Linda L. Emanuel -According to the Emanuels, the dominant model in bioethics has been the _______ model.

Only a few states have religious exemptions in their civil codes on child abuse or neglect.

The Following Questions For Readings: "Why Doctors Should Intervene," Terrence F. Ackerman -Ackerman says that autonomy can be compromised by