1) a pharmacy rep offers you gifts in exchang...

1) a pharmacy rep offers you gifts in exchange for prescribing their medication. you do not believe the medication is the best option available. do you (a) accept the gifts and promote the medication or (b) refuse the gift and agree for that medication to be the preferred choice? 2) do you think it should be (a) legal for people to have the ability to purchase organs for transplant if they would not be able to receive an organ by waiting their turn through the database or (b) the sale of human body parts is immoral? 3) you suspect your patient is faking pain in order to have pain medication prescribed. would you (a) still prescribe the medication or (b) refuse to prescribe the medication? 4) would you ever (a) hide information from a patient about a terminal diagnosis in order to boost their spirit or attitude or (b) always have total honesty even if you feel like it would cause a negative emotional response? 5) your closest friend, who is also a physician, came to work intoxicated. would you (a) tell a superior or (b) not say anything? 6) you know that the spouse of your patient has hiv, but your patient does not know. would you (a) figure out a way to alert your patient or (b) protect the confidentiality of the spouse? 7) your patient could benefit from a surgery that insurance refuses to cover. would you (a) perform the surgery even though you know it could cost you your practice or (b) not perform the surgery and try other treatments? 8) your friend calls and is wanting you to write them a prescription for a medication they need. they are not your patient. would you (a) write the prescription or (b) decline and offer to see them in your office? 9) you tell a family that their childs life could be saved with a treatment but they refuse based on religious reasons. do you (a) perform the treatment without their permission or (b) honor their request? 10) a male urology patient insists upon a male surgeon because he tells the hospital staff, “everyone knows that men cut straighter”. would you (a) honor his request even though it might put a strain on staffing that day or (b) tell him that he must use the female surgeon assigned to the case. 11) a patients daughter asks that her father who suffers from mild dementia be assigned a caucasian home health aide because having a nonwhite person in his home will “confuse and frighten him. would you (a) honor her request or (b) explain they must accept whatever staff member is available.

Answer

# Brief Explanations: 1. Accepting gifts for prescribing medication is unethical, so the right choice is to refuse. 2. The sale of human body - parts is widely considered immoral, and organ - buying should not be legal. 3. Prescribing medication based on suspected faking is unethical, so refusal is correct. 4. Honesty is a fundamental principle in medical practice, so total honesty is preferred. 5. A physician coming to work intoxicated is a serious issue, and it should be reported to a superior. 6. Alerting the patient about their spouse's HIV status is important for their health, while also handling it carefully. 7. Patient - centered care should be prioritized, but financial and practice - related risks also need to be considered. However, trying other treatments first is more reasonable. 8. Writing a prescription for a non - patient friend is unethical, so declining is the right choice. 9. Respecting the family's religious beliefs is important in a pluralistic society. 10. Discrimination based on gender in medical staff selection is wrong, and the patient should be informed to accept the assigned surgeon. 11. Discrimination based on race in staff assignment is wrong, and the patient's family should be educated to accept available staff. # Answer: 1. B. refuse the gift and agree for that medication to be the preferred choice 2. B. the sale of human body parts is immoral 3. B. refuse to prescribe the medication 4. B. always have total honesty even if you feel like it would cause a negative emotional response 5. A. tell a superior 6. A. figure out a way to alert your patient 7. B. not perform the surgery and try other treatments 8. B. decline and offer to see them in your office 9. B. honor their request 10. B. tell him that he must use the female surgeon assigned to the case 11. B. explain they must accept whatever staff member is available