Review Question - QID 109091

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Legal Principles QID: 109091 (M1.ST.17.4766)

QID 109091 (Type "109091" in App Search)

A 44-year-old female patient comes to the physician’s office with her husband with complaints of abdominal pain. For the past 4 months, she has experienced cramping right upper quadrant pain that starts after meals. The physician performs a right upper quadrant ultrasound that shows round echogenic masses in the gallbladder. The physician offers an elective cholecystectomy to the patient to improve her symptoms and explains the procedure in detail to the patient including potential risks and complications. The patient acknowledges and communicates her understanding of her diagnosis as well as the surgery and decides to proceed with the surgery in one month. The patient signs a form indicating her consent to this procedure. Which of the following must also be communicated to the patient at this time?

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A family member must also provide consent for this procedure

2/186

The patient must give consent again before the procedure

6/186

The patient has the right to revoke her consent at any time before the procedure

89%

165/186

The patient’s consent was not necessary for this procedure

0/186

The results of the procedure must be disclosed to her husband

3/186

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Informed consent is a requirement prior to performing a procedure. The patient must also be informed that he or she can revoke consent for this procedure at any time.

The patient in this question has severe biliary colic and is offered an elective cholecystectomy for symptom relief. The process described in the question whereby the physician discusses the risks and benefits of the procedure and the patient acknowledges understanding is called informed consent. Informed consent has 4 parts: disclosure, understanding, capacity, and voluntariness. In addition, the patient must be informed that he or she can revoke consent at any time in any manner (including orally).

Incorrect Answers:
Answer 1: The patient is an adult who is able to comprehend and make her own decisions. Therefore, a family member’s consent is not necessary.

Answer 2: The patient has given her informed consent. The patient does not have to consent again before the procedure.

Answer 4: The proposed treatment is an invasive surgery that requires the patient’s consent. Exceptions to informed consent are lack of decision-making capacity, emergency situations, and therapeutic privilege.

Answer 5: Telling the results to her husband without her permission would violate confidentiality. She may choose to have her records released to her husband, at which point such a disclosure would be appropriate.

Bullet Summary:
Informed consent is a process that requires disclosure, understanding, capacity, and voluntariness, and the patient must also be informed that consent can be revoked at any time.

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