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Navy Medicine Education and Training Command: JKO 101 Bioethics 1 and 2-JMESI Test | JMESI-US002 Bioethics 1 and 2-JMESI.

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JMESI-US002 Bioethics 1 and 2-JMESI 1. What term describes guidance on behavior for clinicians and managers? A. Common morality B. Principles D. Ethical theory 2 Which of the following ... ethical philosophies or theories can be summarized in one simple statement: “one should do good and avoid evil”? A. Divine law B. Deontology C. Utilitarianism 3 Of the following, which is not considered an “Army Value”? B. Honor C. Duty D. Respect 4 What term describes the approach that seeks to answer the question of “How should people act?” B. Common morality C. Natural law D. Deontology/Kantianism 5 What term describes the study of standards of conduct and moral judgment? B. Ethical theory C. Deontology/Kantianism D. Normative ethics 6 What ethical approach or concept purports that the moral rightness of a decision is based on whether it brings more good than other alternatives? A. Justice C. Causistry D. Beneficence 7 A small-town physician conducted a research study on his female patients without their awareness or formal consent. He took blood samples from all his patients and told them that it was simply routine blood work. (The blood samples were used as part of the experimental research.) Given this situation, what ethical principle was not taken into consideration? A. Justice B. Beneficence C. Nonmaleficence 8 All of the following arguments (rules) are supported by the ethical principle of justice except: A. To each person according to free-market exchanges B. To each person according to need C. To each person an equal share 9 What term describes the basis for rules to make judgments in particular cases? A. Code of professional conduct C. Code of ethics D. Rules 10 Which of the following ethical philosophies or theories was developed by Thomas Hobbes and John Locke in which they stated “moral obligations come from individual rights possessed by all people”? B. Divine Rights C. Natural Law D. Utilitarianism 11 What term describes case-based reasoning to reach moral justification? B. Ethical theory C. Code of ethics D. Common morality 12 In 1932, 300 black males, most of whom were indigent farmers, were placed in a study in Tuskegee, Alabama, to examine the natural history of untreated syphilis. Researchers followed these men for 40 years until 1972 when the study was finally halted and publicly revealed. During this time, the men did not receive any treatment for the disease, even though penicillin was available 12 years after the study began. Given this situation, what ethical principle was most violated? A. Respect for autonomy C. Justice D. Nonmaleficence Bioethics 2 1 As a senior commander of an HCMO, you have determined the need for an ethics program and have started the search for an Ethics Officer. In drafting the job profile for this particular position, which one of the following statements does not accurately describe the role of an Ethics Officer? B. Investigates alleged violations of ethical principles, policies, and codes of conduct C. Responsible for the overall management of the ethics program and organizes the activities of the ethics committee D. Designs and conducts training programs 2 You have just assumed command at the MHS Community Hospital and you notice that an ethics program is not in place. The only component in evidence is consultation: when an ethical issue arises, a member of your pastoral care office responds to the provider or family member. You would like to see a comprehensive program established at MHS. Of the following, what is the first thing you would do? A. Educate the MHS staff C. Establish an Ethics Committee D. Review and develop policies 3 During an interview with a reporter, you are asked to discuss the purpose and goals of an ethics program. The next day, you glance over the article in the newspaper, and under the heading, “ Major Components of an Ethics Program,” you notice the following error in the sub-heads of the article: A. Policy on ethical issues and codes of conduct B. Devil’s advocate on ethical issues D. Education 4 As the leader of the Ethics Committee, you decide to hold an annual evaluation/audit of the HCMO’s ethics program to track progress and effectiveness of the ethics program. As part of the evaluation/audit, you should: A. Decide against doing an ethical climate survey of HCMO staff due to the fact that a number of other surveys are already being administered in the organization C. Send out letters to all members of the Ethics Committee requesting their feedback D. Write up a formal report based on your evaluation of the ethics program and submit it to other committee members for approval 5 As a new member of the HCMO Ethics Committee, you do a mental check of Baylor’s 7-Step Model for Ethical Decision Making, prior to entering the conference room for the afternoon’s committee meeting. The seven steps include all of the following except: B. Identifying and weighing alternatives C. Setting out the medical situation D. Framing the question 6 As a member of the HCMO Ethics Committee, you have been asked to speak to medical students and residents at a local hospital about ethical decision making. Of the following, which is considered a basic ethical principle in resolving ethical dilemmas? A. Evidence-based B. Honesty D. Privacy 7 As a senior leader in the HCMO, you have been asked to develop the organization’s Mission, Values, and Ethics Statements. Which one of the following principles should be addressed in any organizational ethics statement? A. Level of knowledge in ethical principles B. Professional autonomy C. Fairness D. Quality of care 8 As a member on the Ethics Committee, you have concerns regarding the effectiveness of the group interactions. This stems from an incident in which one of the members angrily stormed out of the room during a previous committee meeting because he felt dismissed by other members. What would be an appropriate step to improve the effectiveness of the Ethics Committee? A. Appointing a Committee Chair with commitment, time availability, and strong facilitation, listening, and conflict-management skills B. Having a comprehensive program, including education, policy analysis, and consultative services D. Having a direct reporting relationship to the governing body and not establishing the ethics committee as “just another medical staff committee” 9 Mrs. Patts is a 60-year-old lady who recently came into hospital for acute renal failure. The doctors have told her that she will need dialysis on a long- term basis until an appropriate kidney donor can be found. She is understandably upset by the news. She tells her doctor that she will give him and the hospital millions of dollars if her name is placed first on the kidney donor list. The doctor agrees to her request. In this case, which basic ethical principle has been breached? A. Beneficence B. Respect for autonomy C. Nonmaleficence 10 You have been the Commander of a community hospital for six months. During this time, you have successfully implemented an ethics program and recruited the help of an Ethics Officer. You now face an ethical dilemma as to whether or not to continue rehabilitative services for retirees. The problem has arisen following severe budget cuts and the transfer of two physical therapists. You and the Ethics Officer are now faced with the ethical implications of any decision you make. Of the options below, which tool would be most valuable in making your decision? A. Hosmer’s 10 Principles B. The Baylor 7-Step Model C. Decision Matrix 11 As the Chair of the Ethics Committee, in which of the following circumstances would you consider an audit or evaluation of the HCMO’s ethics program? A. Every two years, as mandated by the JCAHO Standards on “Patient Rights and Organization Ethics” B. A judge serving on the Ethics Committee for the last five years has stepped down due to illness C. A local newspaper reporter prints a story profiling all the members of the Ethics Committee to raise public awareness of the HCMO’s ethics program 12 A social worker in the community gets in touch with you regarding her interest in being a representative on the HCMO’s Institutional Ethics Committee (IEC). She states the following, “There appears to be minimal ethnic representation in your ethics committee which is why I feel it would be important for me to join.” In considering her request, you conduct an interview to assess her competency to serve on the IEC. Of the following, what are the core competencies for members, as identified by the American Society for Bioethics and Humanities (ASBH): A. Effective presentation and public-speaking skills, as well as a good knowledge of ethical subjects B. Ability to listen effectively, possess knowledge in moral reasoning and ethical theory, and have creative problem solving skills C. Ability to deal with conflict and have strong mediation/negotiation skills [Show More]

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