CMD Ethics & Medical Decision-Making Flashcards

Which ethical framework evaluates the morality of an action solely based on its outcomes or consequences?

Answer: Utilitarianism

Utilitarianism judges actions by whether they produce the greatest good for the greatest number.

The concept of 'double effect' in medical ethics is most relevant when:

Answer: Pain management may hasten death as an unintended side effect

The doctrine of double effect justifies an action with both good and unintended harmful effects, such as high-dose opioids for comfort care.

When obtaining informed consent for a clinical procedure on a nursing facility resident, which element is MOST critical?

Answer: Ensuring the resident understands risks, benefits, and alternatives

Valid informed consent requires that the resident comprehends material information including risks, benefits, and alternatives.

A Medical Director is asked to certify a resident as unable to make decisions solely to allow a family-preferred treatment. This action would violate which principle?

Answer: Fidelity and honesty

Falsely certifying incapacity violates the duty of fidelity and professional honesty owed to the resident.

In long-term care, the principle of justice as it applies to resource allocation MOST closely means:

Answer: Resources are distributed fairly based on clinical need and established criteria

Justice in healthcare requires equitable distribution of resources according to need and transparent criteria.

A resident with early-stage dementia expresses a wish to return home, but the care team believes this is unsafe. The Medical Director should:

Answer: Perform a formal capacity assessment and involve the ethics committee if needed

A formal capacity assessment is required before overriding a resident's expressed preference, even with cognitive impairment.