Final Exam Chapter 11-16

Ultrasound is a medical imaging technique that uses high-frequency sound waves to create images of the inside of the body. It is commonly used during pregnancy to monitor the growth and development of the fetus. Ultrasound can accurately determine the size and gestational age of the fetus, as well as detect any potential abnormalities or anomalies. It is a safe and non-invasive procedure that provides valuable information for healthcare professionals to ensure the well-being of both the mother and the baby.

Screening for PKU, a congenital disease, is a type of genetic screening and testing that is required or compulsory. This means that it is mandatory for individuals to undergo this screening, as it is necessary to detect and diagnose PKU early on in order to prevent potential health complications. Mandatory genetic screening and testing helps ensure the overall health and well-being of individuals and the population as a whole.

The statement is true because the Quinlan and Schiavo cases are well-known examples of situations where conflicts arise due to the lack of clear instructions from the clients regarding their medical wishes. In both cases, the clients' families and medical professionals had disagreements, leading to legal battles and prolonged suffering for the individuals involved. These cases highlight the importance of having explicit and documented instructions regarding medical decisions to avoid such difficulties.

The explanation for the given correct answer is that the AMA's Council on Ethical and Judicial Affairs recommends that physicians should only take ethically appropriate criteria into consideration when making allocation decisions of scarce medical resources. These criteria include the quality of life, benefit and duration of benefit, and urgency of need. Therefore, it is true that physicians should only consider these factors when making allocation decisions.

Oregon passed the first program for rationing health care in the United States.

Healthcare professionals are required to respect and comply with the wishes of their clients as long as those wishes fall within the legal boundaries. This means that healthcare professionals must prioritize the autonomy and decision-making rights of their clients, ensuring that they receive the care and treatment they desire. However, it is important to note that there are legal limitations that may restrict certain actions or treatments based on ethical and legal considerations.

Fear is often a traumatic psychological aspect of dying. This statement is true because dying is often accompanied by feelings of fear and anxiety. The fear of the unknown, fear of pain or suffering, fear of losing control, and fear of what happens after death are common psychological aspects that individuals may experience when facing their own mortality. These fears can be traumatic and have a significant impact on a person's mental well-being during the dying process.

In the context of grief, the "denial" stage refers to the initial reaction of disbelief and refusal to accept the reality of a loss. Contradicting this stage can be counterproductive as it may hinder the grieving process. It is important to allow individuals to experience and process their emotions at their own pace. By acknowledging and supporting their denial, they can gradually move towards acceptance and healing. Therefore, it is best not to try to contradict the "denial" stage of grief.

The explanation for the given correct answer is that Purnell's and Paulanka's book Transcultural Health Care asserts that the four stages of culturally sensitive care are continuous. This means that these stages are ongoing and should be consistently practiced in order to provide effective healthcare that is sensitive to diverse cultural backgrounds.

Genetic testing is indeed commonly utilized in the treatment of certain lung cancers to assess the effectiveness of specific drugs or combinations of drugs. By analyzing the genetic makeup of the cancer cells, doctors can identify specific mutations or genetic alterations that may influence the response to treatment. This information helps them tailor the treatment plan to the individual patient, increasing the chances of a favorable outcome. Therefore, the statement "Genetic testing is often used in treating certain lung cancers to determine how well a cancer will respond to a particular drug or combination of drugs" is true.

In order for a power of attorney to be valid, the person signing it must have the legal capacity and understanding to do so. This means that they must be competent and capable of making decisions for themselves. By requiring competence, the law ensures that the person giving power of attorney understands the implications and consequences of their actions. Therefore, the statement "A person must be competent to sign a power of attorney" is true.

This statement suggests that a person's attitude and perception towards health and illness is influenced by their cultural background. It implies that cultural factors such as beliefs, values, and practices play a significant role in shaping an individual's reaction to health and illness. Therefore, the statement is true as it highlights the comprehensive nature of cultural components in influencing how people respond to health-related issues.

Life experiences, as a cultural component, shape how individuals adjust to life's challenges. This means that the experiences a person goes through in their life, combined with their cultural background, influence how they respond and adapt to difficult situations. These experiences can include personal triumphs, failures, relationships, and encounters with different cultures and beliefs. They provide individuals with valuable lessons, perspectives, and skills that shape their resilience, problem-solving abilities, and overall approach to life's challenges.

The correct answer is elderly (Medicare). The sentence states that those without adequate health care coverage are the elderly who rely on a federal program. This program is increasing in costs and decreasing in coverage, despite recently providing Part D for medication coverage. This suggests that the elderly who rely on Medicare are facing challenges in accessing affordable and comprehensive health care.

Ultrasound is a commonly used imaging technique that utilizes high-frequency sound waves to create images of the inside of the body. In the context of needle placement during procedures such as CVS (chorionic villus sampling) and amniocentesis, ultrasound is used to guide the needle to the desired location with precision and accuracy. This helps to minimize the risk of complications and ensures that the procedure is performed safely and effectively. Therefore, the statement that ultrasound is used in conjunction with CVS and amniocentesis for needle placement is true.

A large portion of Americans without adequate health care coverage are children. This means that a significant number of children in the United States do not have access to proper health care. This could be due to various reasons such as financial constraints or lack of insurance coverage. Ensuring that children have adequate health care coverage is essential for their well-being and overall development.

The term "quickening" is indeed used to describe the feeling of life. It refers to the first movements felt by a pregnant woman from the fetus in her womb. This sensation is often described as a fluttering or gentle tapping, and it signifies the beginning of fetal movements and the presence of life. Therefore, the statement "Quickening is the term used to describe the feeling of life" is true.

Embryonic cells can indeed come from frozen "in vitro" fertilization. In vitro fertilization (IVF) involves the process of fertilizing an egg with sperm outside of the body. Sometimes, during IVF, multiple embryos are created, and not all of them are implanted into the woman's uterus. These extra embryos can be frozen and stored for future use. These frozen embryos contain embryonic cells that can be used for various purposes, such as research or fertility treatments. Therefore, the statement is true.

The Patient Self-Determination Act is a federal law that requires healthcare providers to inform patients about their rights to make decisions about their own medical care, including the right to refuse treatment. This law applies to all states in the United States, ensuring that patients across the country have the same protections and opportunities to exercise their autonomy in healthcare decision-making.

Every exchange with a client is considered cross-cultural because clients come from diverse backgrounds, cultures, and experiences. This means that there will always be differences in communication styles, values, and expectations between the client and the service provider. Recognizing and understanding these cultural differences is essential for effective communication and building strong relationships with clients. Therefore, it is true that every exchange with a client is a cross-cultural one.

The medications given to those who are suffering and are dying help to relieve pain. This implies that these medications are primarily used to alleviate the pain experienced by the patients. It does not suggest that they provide rest and sleep, are used for depression, or are given for specific disease conditions. While these medications may have additional benefits, the main purpose is to provide relief from pain.

The question asks for examples of a cultural component, and the correct answer is "ethnic background." One's national heritage, race, tribe, clan, and language are all aspects of a person's ethnic background, which refers to their cultural and ancestral origins. These factors contribute to a person's cultural identity and can shape their traditions, beliefs, and values.

The statement is true because the time of viability, which refers to the point at which a fetus can survive outside the womb, is not universally agreed upon. It can vary depending on factors such as gestational age, medical advancements, and individual circumstances. Some sources consider viability to be around 24 weeks of gestation, while others may argue for an earlier or later timeframe. Therefore, there is no definitive consensus on the exact time of viability.

The term "in vitro" literally means "in glass" in Latin. In the context of fertilization, "in vitro" refers to the process of fertilizing an egg with sperm outside of the body, typically in a laboratory dish or test tube. This method is commonly known as in vitro fertilization (IVF). The term "fertilization in glass" is a colloquial way of describing IVF, emphasizing the fact that the fertilization process occurs outside of the body in a controlled environment.

Genetic testing is used for carrier screening, which involves identifying individuals who carry a gene mutation that could be passed on to their children. It is also used for prenatal diagnostic testing, which helps detect genetic disorders or abnormalities in a fetus before birth. Additionally, genetic testing can be used for presymptom testing, which involves identifying genetic mutations that may increase the risk of developing certain diseases later in life. Therefore, the correct answer is "All of the above" as genetic testing can be utilized for all these reasons.

The correct answer is suction abortion or curettage. This method is commonly used for abortions that are less than 7 weeks from the last menstruation. It involves using suction to remove the contents of the uterus, or using a curette to scrape the lining of the uterus. This procedure is considered safe and effective for early pregnancies.

The correct answer is "Make a gift of all or any part of their body for transplantation, science, or therapy." The Uniform Anatomical Gift Act is a law that allows individuals to donate their organs or body parts after death for the purpose of transplantation, scientific research, or medical therapy. This act is applicable in all 50 states, not just 38 states. It does not pertain to writing a Death with Dignity Document or determining monetary gifts after death.

Physicians can refuse to perform an abortion based on their personal beliefs or moral values. There are laws and regulations in many countries that protect the rights of healthcare professionals to conscientiously object to certain medical procedures, including abortions. This means that physicians have the right to decline providing abortion services if it conflicts with their personal or religious beliefs. However, it is important to note that there may be exceptions in cases where the life or health of the pregnant person is at risk.

The correct answer is "All the above". Hospice care can provide a place for the care of the terminally ill, whether it be in a hospice facility or in the patient's own home. Hospice also discourages certain medical interventions such as CPR, intravenous therapy, nasogastric tubes, and antibiotics, as the focus is on providing comfort and improving the quality of life for the terminally ill. Therefore, all the statements mentioned in the question are true for hospice care.

An individual's choices in dying are influenced by various factors such as culture, religious beliefs, and legal ramifications. Culture plays a significant role in shaping one's attitudes and beliefs towards death and dying, which in turn influence their choices. Religious beliefs also play a crucial role, as different religions have different perspectives on end-of-life decisions. Additionally, legal ramifications vary from one jurisdiction to another, and laws surrounding issues like euthanasia, assisted suicide, and advance directives can impact an individual's choices in dying. Therefore, it is evident that these factors have a significant influence on an individual's choices in dying.

The statement is false because not all persons who are dying experience the same psychological experiences. Each individual's experience of dying is unique and can be influenced by various factors such as their personal beliefs, values, and coping mechanisms. Some may experience fear, sadness, or anxiety, while others may feel a sense of acceptance or peace. The psychological experiences of dying can vary greatly from person to person.

The statement that a person's age does not influence the reaction to death is false. Age can have a significant impact on how individuals perceive and cope with death. Younger individuals may have less experience and understanding of death, making it more challenging for them to process and accept. On the other hand, older individuals may have experienced loss more frequently and have developed coping mechanisms over time. Additionally, cultural and religious beliefs surrounding death can also vary with age, further influencing reactions. Therefore, age plays a crucial role in how individuals react to death.

The correct answer is "All of the above" because values are indeed morals or standards that are acceptable in a culture, they are also the standards that are practiced in a culture, and they are determined by family, religious beliefs, and culture. This means that all three options provided in the answer are accurate descriptions of values.

When identifying abortion issues, it is important to consider factors such as economics, culture, religion, age, and health of the client. The economic situation of the individual or family involved may influence their decision-making process. Cultural and religious beliefs can also play a significant role in shaping attitudes towards abortion. Additionally, the age and health of the client are crucial factors to consider, as they may impact the risks and potential complications associated with the procedure. Therefore, the correct answer is A and C, as both economics, culture, and religion, as well as age and health of the client, are important factors to consider when identifying abortion issues.

Kübler-Ross's five stages of grief are identified as denial, anger, bargaining, depression, and acceptance. This means that these are the specific stages that individuals may go through when experiencing grief. It is important to note that these stages may not necessarily be experienced in the exact order described by Kübler-Ross. However, understanding these stages can help individuals and their loved ones navigate the grieving process and provide support accordingly.

There is no legal requirement for a spouse to be informed in abortion procedures. The decision to have an abortion is ultimately a personal one and does not require spousal consent or notification. This is to protect the autonomy and privacy of the individual seeking the abortion.

Living wills and/or physician's directives allow clients to have control over their choices in dying. These documents may dictate whether and when extraordinary means should be used to preserve life. It is important for these documents to be made available to health care providers and family members so that the client's wishes can be respected and followed. Therefore, the correct answer is "All the above."

This statement is false because role models and mentors can vary significantly among different cultures. Different cultures have different values, beliefs, and societal norms, which can influence the qualities and characteristics that are considered desirable in a role model or mentor. For example, in some cultures, individuals may look up to religious leaders or community elders as role models, while in other cultures, athletes or celebrities may be seen as role models. Similarly, the qualities and skills that are valued in a mentor can also differ across cultures. Therefore, it is incorrect to assume that role models and mentors remain the same among all cultures.

The encoding of genes allows for the investigation of ways to prevent or cure diseases because by understanding the genetic makeup of individuals, scientists can identify specific genes that may be associated with certain diseases and develop targeted treatments or preventive measures. Additionally, it allows individuals to trace where they really come from because genetic information can be used to determine ancestral origins and understand one's genetic heritage. Therefore, the correct answer is A and B.

AIH (Artificial Intelligence in Healthcare) raises more ethical and legal issues than AID (Artificial Intelligence in Development). This is because AIH involves the use of AI technologies in healthcare, which raises concerns about patient privacy, data security, and the potential for biased decision-making. Additionally, AIH raises questions about the responsibility of healthcare providers and the impact on the doctor-patient relationship. On the other hand, AID refers to the use of AI technologies in various fields of development, which may have ethical and legal implications but not to the same extent as AIH in the healthcare sector. Therefore, the statement is false.

The durable power of attorney for health care allows a designated medical proxy to make health care decisions on behalf of another person. This legal document grants the proxy the authority to make medical decisions when the person is unable to do so themselves. It is important to note that this power of attorney may not be recognized in all states. However, once established, it does not require the client's signature for validity.

This statement is an example of the cultural component of gender. The teenager is making assumptions about the sexual behavior of girls based on their gender, implying that girls from his country are expected to be virgins. This stereotype reflects cultural beliefs and expectations surrounding gender roles and sexuality.

Chorionic villus sampling is a prenatal test that involves taking a small sample of cells from the placenta to detect genetic defects in the fetus. It is typically performed between 10 and 13 weeks of pregnancy and can help identify chromosomal abnormalities such as Down syndrome, as well as certain genetic disorders. This procedure allows healthcare providers to gather genetic information about the fetus and provide appropriate counseling and medical care to the parents.

A durable power of attorney for health care can be revoked once in effect. This legal document allows an individual to appoint someone to make medical decisions on their behalf if they become incapacitated. However, the person who granted the power of attorney can revoke it at any time, as long as they are mentally competent to do so. Therefore, the statement that a durable power of attorney for health care cannot be revoked once in effect is false.

The correct answer is 45 million. This number represents the estimated amount of people in the United States who do not have health insurance coverage. This can be due to a variety of reasons, such as being unable to afford it or not being eligible for certain programs. The high number of uninsured individuals highlights the ongoing issue of healthcare accessibility and affordability in the country.

The International Human Genome Sequencing Consortium was formed in 2004 to complete the encoding of genes. This organization was responsible for the Human Genome Project, which aimed to identify and map all the genes in the human genome. By completing the sequencing of the human genome, the consortium provided valuable information for further research in genetics and medicine.

The statement is false because the American Medical Association has not supported government health reform.

The legal implications of genetic engineering are extensive and involve multiple aspects. Informed consent is necessary to ensure that all parties involved are fully aware of the risks and benefits of the procedures. Confidentiality is crucial to protect the privacy and personal information of those involved. Additionally, payment for procedures is an important consideration to ensure fair compensation for the services provided. Therefore, all of the mentioned options (informed consent, confidentiality, and payment) are potential legal implications of genetic engineering.

The correct answer is A and B. Euthanasia literally means "good death" and has come to refer to actions that take the life of another. This implies that euthanasia involves intentionally ending someone's life, which can be considered as a form of assisted suicide or mercy killing. The statement "Is a personal choice that does not affect healthcare providers" is incorrect because euthanasia involves the participation of healthcare providers who administer the lethal dose or perform the act.

Oregon is the correct answer because it is the only state that has a Death with Dignity Act, which allows terminally ill patients to request medication from their physicians to end their lives. This act, also known as physician-assisted suicide, is legal in Oregon under specific conditions and safeguards. Washington, California, and Florida do not have Death with Dignity Acts, making Oregon the only state with this legislation.