Learning Activity: Consent, Capacity and Refusal of Care - Post test with answers

Consent, Capacity and Refusal of Care - Pretest

1) What are the elements of an informed consent?

 Decision-Making Capacity, Disclosure, Understanding, Voluntariness

2) What are the potential legal consequences of proceeding with an investigation or intervention without a patient's consent?

 Civil liability for assault and/or battery 

3) What is the bioethical principle that serves as the foundation for the concept of informed consent?

 Respect of Autonomy 

4) What are the elements of decision-making capacity?

Knowledge of options, aware of consequences of choice, consistency between values and choice

5) How do you decide which risks to discuss with a patient when obtaining informed consent?

Common risks, significant risks, risks a reasonable patient in a similar situation would want to know

6) What factors must be present for a physician to proceed with treatment under the emergency exception to consent?

Risk to life or limb, no advance directive, substitute decision-maker not available, reasonable patient would consent

7) At what age is a paediatric patient allowed to make a medical treatment decision for themselves?

Trick questions - presumed capable at 18 - no single age - some provinces have a lower age limit below which patient can not consent

Mature minor concept applies - if patient meets DMC criteria (K, A, CV) they can consent to treatment/investigation for the most part

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