Ethics and Approach to Care

1. Which of the following best defines the concept of non-maleficence?
2. Which of the following best defines medical capacity?
3. All of the following are barriers to hospice and palliative care in the United States, except:
4. 89-year-old African American female with Alzheimer’s dementia with multiple admissions over the last 6 months for aspiration pneumonia. Patient’s CXR consistent with aspiration pneumonia, RR 24, 94.9 F rectal temperature. Patient is drowsy and minimally responsive to verbal stimuli. Which of the following puts patient at higher risk for mortality?
5. Which of the following are reasonable precautions for a hospice patient with cancer pain where diversion may be a concern?
6. Which of the following is not an essential member for a hospital ethics committee?
7. Tramadol does not interact with which of the following medications?
8. Hospice face to face re-certification can be completed how far ahead of the actual re-certification date?
9. What approximate percent of care in the United States is considered non-beneficial/futile?
10. What percent of Americans would like to die at home?
11. “Comfort care” in a skilled nursing facility is the same as hospice care.
12. Most physicians desire care at the end of life that differs from what they advise their patients.
13. Palliative care is the most appropriate care for patients with a prognosis of less than 6 months.
14. Care during the last 3 and 7 days of life is a quality indicator for hospice care.
15. Catheter-associated UTIs should be a quality indicator for hospice care.
16. Hospice CAHPS (Consumer Assessment of Healthcare Providers and Systems) scores for facility (i.e. SNF) patients often reflect other factors besides the hospice experience.
17. It is not a conflict of interest for a physician to be a SNF (Skilled Nursing Facility) medical director and hospice (with a hospice that serves his/her SNF) medical director concomitantly.
18. It is always right to give hope to patients and families, even if it is false hope.
19. A patient in a right-to-die state/territory can make a physician follow his/her wishes.
20. ”Primum non-nocere” is latin for “first do everything possible.”