1. Beneficence & Nonmaleficence Autonomy and Informed Consent
Quick Quiz

2. Beneficence & Nonmaleficence
The Ought Implies Can principle says:
If you ought to do something, it can be done
If you ought to do something, you can do it
If you ought to do something, someone can do it
If you can do something, you ought to
If you can do something, someone ought to

3. Beneficence & Nonmaleficence
The most general limit on our obligations are:
time and space
our talents
available technology
personal risk
there are no limits on obligations

4. Beneficence & Nonmaleficence
Primum Non Nocere means:
The first shall be last
Never be the first
Give nothing to the first
First do no harm
The higher the fewer

5. Beneficence & Nonmaleficence
In the statement of the patient’s duties regarding health care
Take care of your health as long as, all things considered, this does not produce more harm than good
The phrase “all things considered” appears because:
Patients may need to consider the economic costs
Patients may need to consider family obligations
Patients may need to consider commitments to work
A and B
A, B and C

6. Beneficence & Nonmaleficence
The Best Interests Principle and the Rational Choice Principle are principles that guide:
Physicians
Patients
Surrogates
Children
Only minor children

7. Beneficence & Nonmaleficence
The Standard of Care uses the “reasonable professional” to set the standard. What determines reasonable?
Competency, Experience, Likeability, Success
Federal law, State law, County law, City law
Practice standards, Education, Institutional policies, Federal and state statutes
Coursework, Internships, Field work, Experience
None of the above; reasonable is undefined

8. Autonomy & Informed Consent
The Ethics text notes that, historically, health care has moved from:
The engineering model toward respect for autonomy
The collegial model toward respect for autonomy
The priestly model toward respect for autonomy
Respect for autonomy to the covenant model
Respect for autonomy to the engineering model

9. Autonomy & Informed Consent
The classification of people as children, the retarded, 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. Autonomy & Informed Consent
Among the competing rules for determining what information is needed in informed consent, the book 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. Autonomy & 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. Autonomy & Informed Consent
Paternalism, weak or strong, is:
A guide to treating the incompetent
A guide to treating the competent
To be avoided if possible
A and B
B and C

13. Answer Key
Slide 2=B, 3=A, 4=D, 5=E, 6=C, 7=C, 8=C, 9=D, 10=C, 11=C, 12=C