Clinical Clerkship | Informed Consent and Documentation

Question 1

In which cases can you bypass patient consent to perform a procedure?

Accepted Answer

patient's life is at stake and they are unconscious, patient's limb is at stake and they are incapacitated

Question 2

The clinician recommends cryotherapy. What is an appropriate way to document preoperative discussions in the chart?

Accepted Answer

"Discussed the complications of hypopigmentation and scarring."

Question 3

WOF are important topics that the clinician should cover during an informed consent?

Accepted Answer

The patient's concerns should be adequately addressed, The patient should be brought into the medical decision-making process, The patient should have reasonable expectations regarding outcomes

Question 4

You should tailor your explanations to match the patient's health literacy. You can also provide pamphlets.

Accepted Answer

True

Question 5

There is no need for a witness to be present for consent to a bedside or office procedure.

Accepted Answer

True

Question 6

WOF is considered a material fact?

Accepted Answer

risks and benefits of treatment, the risks of refusing treatment, proposed treatment options and alternatives, diagnosis and prognosis

Question 7

At which point can a patient withdraw consent?

Accepted Answer

at any time for any reason

Question 8

Which of the following is true regarding informed consent?

Accepted Answer

pt deserves to have adequate info so they can make an informed decision, required for any patient being touched or having procedure, pt deserves to know the potential complications of any procedure

Question 9

A patient is involuntary committed for mental illness. This makes them incapable of giving consent to treatments.

Accepted Answer

False

Question 10

PA discussed the procedure during an appt. Later, the pt calls with a f/u question. There is no need to document this.

Accepted Answer

False

Question 11

How does educating the patient benefit the clinician?

Accepted Answer

reduces acrimony in case of complications, Patient is more likely to cooperate in the planned intervention

Question 12

The clinician must advise patients of personnel roles (such as student, residents, etc). Can the patient refuse tx?

Accepted Answer

Yes, but the clinician can refuse to see patients who won't allow residents

Question 13

WOF describes when a patient consents through direct words (either by writing it or verbalizing it)?

Accepted Answer

Expressed consent

Question 14

WOF is a benefit of informed consent?

Accepted Answer

improve patient relationships & reduce discontent if there r complications, Pt maintains right to self-determination, clinician/patient relationship is enhanced, encourages physicians to thoroughly review treatment options

Question 15

What must be included in the documentation of informed consent?

Accepted Answer

any literature that was provided, alternative risks and benefits, proposed treatment with risks and benefits, diagnosis

Question 16

Clinicians must disclose financial conflicts of interest prior to a procedure.

Accepted Answer

True

Question 17

Who provides consent when a minor may be getting a procedure?

Accepted Answer

the pt (if emancipated through marriage, military service, or parenthood), parent, legal guardian

Question 18

Informed consent discussion and documentation should be done by

Accepted Answer

clinician who is performing the procedure

Question 19

Family members are the ideal interpreter if patient and clinician do not speak the same language

Accepted Answer

False

Question 20

how do you feel about this material?

Accepted Answer

...this is bad, easy peasy, a bit foggy, but getting there

Question 21

An oral consent requires __ witness(es), other than the clinician performing the procedure.

Accepted Answer

1

Question 22

A patient must be competent to partake in informed decision making

Accepted Answer

True

Question 23

The medical record has become a weapon in the provider's defense of lawsuits and litigation

Accepted Answer

True

Question 24

WOF refers to consent provided through a patients behavior?

Accepted Answer

implied consent

Question 25

If consent cannot be obtained d/t emergent nature of the situation, no documentation is needed

Accepted Answer

False

Question 26

It is adequate for a physician to obtain verbal consent without documenting it in the medical chart.

Accepted Answer

False

Question 27

If a patient is competent, their wishes cannot be granted if there is a document or surrogate that states otherwise

Accepted Answer

False

Question 28

Pt is getting a big lesion removed from face. Should the PA disclose availability for the nearby plastic surgeon? Why?

Accepted Answer

Cosmetic quality is different, so patient has right to know best options, Yes

Question 29

What can you be charged with if a patient consents without being informed of all risks and complications of treatment?

Accepted Answer

battery action, negligent nondisclosure

Question 30

WOF refers to a provider deviating from the standard of practice through an act or omission that can result in injury?

Accepted Answer

malpractice

Question 31

Regarding the previous question, what can the PA be charged with if they answer dishonestly?

Accepted Answer

negligent nondisclosure, misrepresentation, fraud

Question 32

A PA is doing a procedure for the 1st time. The patient is anxious and asks how many times they've done this. response?

Accepted Answer

This is my 1st time doing this procedure, but I assure you I have prepared

Question 33

Important additional things that should be discussed in an informed consent include:

Accepted Answer

when and how often they need to come in for reevaluation, additional procedures that may be necessary afterwards, duration of treatment

Question 34

A written consent is valid for ___ days.

Accepted Answer

30

Clinical Clerkship | Informed Consent and Documentation

Questions 34

Clinical Clerkship | Informed Consent and Documentation

Questions 34