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Bioethics Midterm 2 Questions with Correct Answers | Updated (100% Correct Answers)

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Bioethics Midterm 2 Questions with Correct Answers | Updated (100% Correct Answers)

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Bioethics Midterm 2 Questions with Correct
Answers | Updated (100% Correct Answers)
Who "represents" waiver of informed consent? Answer: Insoo Hyun

what is the problem we face with informed consent? Answer: Due
to cultural differences, providers that are unaware of such variable
expectations may inadvertently transgress the cultural

integrity and personal dignity of some of their minority

patients through well-meaning efforts to obtain informed

consent in the usual, patient-centered manner—contravening,

in the process, the very principle of respect for persons that

the doctrine of informed consent was meant to protect.

What is the "easy" solution to the problem of informed consent
Answer: "waiver of informed consent":

providers broaden their view of autonomy to accommodate the

cultural values ethnically diverse patients might bring to medical

decision-making, including a preference to waive their right to
informed



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,2
consent and relinquish decision-making authority to their families.

What is the problem with the "easy solution" Answer: it rests on an
inadequate conception of personal autonomy and ignores the
possibility that some patients' values might not be authentic for

them, in the sense of being free of coercive formative influences

What is Hyun's "authenticity condition of individual autonomy"?
Answer: In order to act autonomously, one must not

simply act on the values one happens to have; one must act on
those

values that may be called "one's own" in a morally relevant sense."

(act on your own values, not just the ones you've been taught)

What is Hyun's main thesis? Answer: provide a fuller explanation of

the authenticity condition, along with an

analysis of the general conditions under which

a patient's waiver of informed consent would

be non-autonomous and ethically problematic,

even in certain cases where the patient might



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,3
actually want to defer to the family's wishes.

Why is family the best unit of analysis for informed consent
according to the 4 aspects? Answer: 1) "First, families are where
many cultural traditions are taught,

practiced, and internalized, making families powerful SOCIAL
CONDUITS

for culture."

2) "Second, through the customs and projects they pass to the
young and

the manner in which they focus their energies and resources,
families

also cultivate and sustain what might be regarded as an overall

"FAMILIAL CHARACTER."

3) "Third ... it is also largely, and usually, within the bounds of the

family that individuals acquire and maintain a SUBJECTIVE SENSE OF
IDENTITY."

4) "Last, families are important because they help support some
unique



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, 4
and intrinsically valuable ends, such as shared personal affection
and

a keen sense of EMOTIONAL ENRICHMENT. Families are capable of

harboring a degree of LOVE AND INTIMACY rarely found in other

segments of society." (p. 16)

How can families be unjust in regards to informed consent?
Answer: *Not all families are the ideal, happy cozy bunch that all
get along: The reality is that many

families today, both Western and non-Western, are unjustly

structured: they operate under morally questionable power

dynamics and traditions ... that fail to honor equally the inherent

moral worth of each member. Injustice in the family can range

from physical and emotional abuse to less tangible injustices, such

as the family's acceptance of sexist attitudes about the proper

role of women in society.

What are the three senses of autonomy regarding informed
consent? Answer: - narrow autonomy (prevalent)



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