Medical Ethics Health Exam Daily Practice-2020 Tianjin Healthcare [2020.1.15]

1. The most important significance of establishing a good doctor-patient relationship is to:

A. Promote the recovery of patients

B. Reduce or avoid doctor-patient disputes

C. Improve the working atmosphere of healthcare workers

D. Promote social harmony

2. The principle of do no harm places demands on healthcare workers that do not include:

A. Cultivate the motivation and intention to look out for the interests and health of the patient and to eliminate intentional and responsible harm

B. Avoid causing any harm to the patient

C. Provide the best possible care and diagnostic and treatment to guard against unintentional but unknowing harm

D. Minimize unavoidable but controllable harm

3. Since ancient times, many famous doctors have taken the principle of ? using medicine as if it were a disease? ,? Use medicine as if you were tortured? to caution and demand themselves. Which of the following categories of medical ethics is embodied:

A. Duty

B. Conscience

C. Reason

D. Audacity

E. Prudence

4. Liu Mou, who recently had a sudden onset of severe pain on the right side of his tonsils and took the initiative to seek medical treatment, the doctor prescribed medication for Liu and asked him to come back for a review after a week, and after a week, the inflammation was reduced. Liu's inflammation was reduced and he actively cooperated with the retest. This model of doctor-patient relationship is:

A. Active-passive type

B. Guidance-cooperative type

C. *** with participation type

D. Mutual cooperation type

E. Active-initiative type

5. The most important reason for the tendency of decomposition of the doctor-patient relationship is:

A. Doctors' reliance on physical and chemical B. the analysis and study of human beings from a biological point of view

C. the increasing specialization of hospitals and the increasing specialization of doctors

D. the emergence of barriers in the communication between doctors and patients

E. the segmentation of diseases and patients, and the division of the natural man from the social man, and the physical man from the man with a mind

6 . A. Intermedical relationship refers to the relationship between medical personnel in medical practice

B. The relationship between medical personnel is characterized by collaboration, equality, homogeneity, and respect

C. To handle intermedical relationship well, medical personnel need to respect each other's personality, support each other at work, and adhere to the truth academically

D. Intermedical relationship is the relationship between medical personnel and the patient, which is characterized by the relationship between the patient and the patient, which is characterized by the relationship between the patient and the patient, and the relationship between the patient and the patient. p> D. Interdoctoral relationship can also be a conflict of interest

E. Handling interdoctoral relationship is conducive to the establishment of a harmonious doctor-patient relationship

Reference Answer and Analysis

1. Reference Answer A. Explanation: The doctor-patient relationship is a kind of professional relationship, and a good doctor-patient relationship can help the patient's health and promote his recovery. A: A good doctor-patient relationship is a professional relationship.

2. B. Analysis: The principle of non-harm is relative non-harm, not absolute non-harm. The process of medical treatment is one in which there is bound to be harm, and the health care provider is trying to minimize these bound to be harmed, and this is non-harm.

3. Reference answer E. Analysis: obligation refers to the moral responsibility to society, the collective and others that people realize and voluntarily undertake (A wrong). Conscience is the reflection of certain social and moral relations, the unity of human moral cognition, emotion, and will in self-consciousness, and the core mechanism of moral evaluation and regulation of one's own behavior (B wrong). Reason is the necessary medical moral rational cultivation of medical personnel, including the lower level of medical moral cognitive quality and self-control ability, as well as the higher level of medical moral decision-making ability and wisdom quality (C wrong). Boldness refers to people's courage and ability to take risks in the process of dealing with things and to be good at resolving risks (D wrong). Prudence refers to people in the behavior before the careful thinking and behavior in the process of careful and serious. (1)The meaning of medical prudence: medical personnel are prudent, rigorous, thorough, accurate and error-free in the process of serving patients. (2) the role of prudence: ① can protect the physical and mental health of patients and life safety; ② can ensure that the correct diagnosis in a timely manner; ③ can choose the most optimal treatment plan; ④ is conducive to the establishment of a good doctor-patient relationship. Prudence is an indispensable medical ethics of medical personnel (E right). According to the status of doctors and patients, role, etc., is divided into active-passive, guidance-cooperative, *** with the participation type. (1) Active-passive type: a traditional type of doctor-patient relationship, this model is common in modern medical practice, such as surgery, anesthesia, antimicrobial therapy. This model is applicable to emergency treatment, severe trauma, hemorrhage, or shock coma. (2) Guidance-cooperation type: it is a model of the basis of modern doctor-patient relationship. There is an interaction between the doctor and the patient, where the patient actively seeks the doctor's help for certain symptoms, such as an acute infection. The doctor, in turn, tells the patient what to do and expects the patient to be obedient and cooperative with the directed treatment. The doctor does not like it when the patient asks questions or expresses disagreement or fails to fulfill medical instructions that should be accepted. This relationship gives the patient some status and initiative, but on the whole the rights of the doctor and patient are still unequal. (3) ****same participatory: the doctor and the patient have approximately equal rights and status. The doctor helps the patient to self-medicate. Almost all psychotherapies belong to this model, which is also applicable to most chronic diseases.

5. Reference answer C. Analysis: the trend of the decomposition of the doctor-patient relationship: due to the more and more detailed division, doctors are increasingly specialized, so that the formation of a doctor is only responsible for a certain kind of disease or the patient's lesions in a certain part of the body (organs, systems), but not the whole patient is responsible for the situation; the other side due to the emergence of hospitals, the patient is concentrated in the hospital for treatment, the kind of a doctor and a patient's stable link, decomposition of the past, the patient's relationship with a doctor, and the patient's relationship with the patient is not a stable link. A patient's stable contact in the past, broken down into dozens or even more doctors and a patient's contact, so that the emotional connection between doctors and patients is relatively thin (C right). Doctors on the physical, chemical and other means of detection and diagnosis of dependence, so that in the doctor-patient relationship will be introduced to the third party media, doctors and patients less emotional, ideological exchanges between doctors and patients, the relationship between doctors and patients is somehow objectified, is the doctor-patient relationship appeared in the trend of objectification of the most important reason (A, D is wrong). Modern medicine is based on biology, and thus only analyzes and studies human beings from a biological point of view. In order to understand a certain disease and its pathogenic factors, and to explore the pathogen of a certain disease, it is required to separate the causative factors of a certain disease from the patient as a whole, while at the same time shedding the social and psychological factors of the patient. The doctor has only blood, urine, cellular and molecular forms in his test tubes, under the microscope, and in the images of various modern testing equipment. In this way, the disease and the patient are divided, the natural man is cut off from the social man, the physical man from the man with a mind, and is the cause of the tendency to separate the patient from the disease (B and E are wrong). Therefore, the question is C.

6. Reference answer B. Analysis: Intermedical relations refers to the relationship between medical personnel in medical practice. Medical staff relations are characterized by: collaboration, equality, homogeneity, and competition (B wrong). To deal with good inter-medical relations between the medical staff need to respect each other's personality, work to support each other, academic truth, dealing with good inter-medical relations is conducive to the development of the medical cause, is conducive to the overall effect of the hospital, is conducive to the success of the medical staff, and is conducive to the establishment of a harmonious relationship between doctors and patients (C, E is right). The main causes of inter-doctoral conflict: (1) the slippage of medical ethics; (2) management problems; (3) conflict of interest; (4) the role of traditional concepts; (5) the influence of social injustice; inter-doctoral relations can also be due to conflict of interest (D right). Therefore, the question choose B.

?