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Texas Jurisprudence Exam Part 8
This deck covers key questions and answers related to the Texas Jurisprudence Exam, focusing on medical ethics, legal requirements, and procedures in Texas.
When can you withhold treatment to an infant?
If chronically and irreversibly comatose or terminally ill and further treatment would be futile
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Key Terms
Term
Definition
When can you withhold treatment to an infant?
If chronically and irreversibly comatose or terminally ill and further treatment would be futile
Can you withhold nutrition/hydration from a terminally ill infant?
No
Is the mental health directive an advanced directive act?
Yes, but with differences
What are the requirements for mental health directive? What are requirements for witnesses?
Age 18 or not a legal minor, not incapacitated; 2 witnesses both of who cannot be related, beneficiaries, attending physician, or employees of hospita...
Does a mental health directive have an expiration date?
Yes, 3 years or until revoked
What happens if on the expiration date of a mental health directive, the patient is incapacitated?
It continues until competent
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| Term | Definition |
|---|---|
When can you withhold treatment to an infant? | If chronically and irreversibly comatose or terminally ill and further treatment would be futile |
Can you withhold nutrition/hydration from a terminally ill infant? | No |
Is the mental health directive an advanced directive act? | Yes, but with differences |
What are the requirements for mental health directive? What are requirements for witnesses? | Age 18 or not a legal minor, not incapacitated; 2 witnesses both of who cannot be related, beneficiaries, attending physician, or employees of hospital |
Does a mental health directive have an expiration date? | Yes, 3 years or until revoked |
What happens if on the expiration date of a mental health directive, the patient is incapacitated? | It continues until competent |
When can you use restraints? When can you use behavioral measures? | If there is danger of harm to self or others and other measures have failed; never |
Does the donor have rights of a parent in artificial insemination? Does the husband? | Donor NO, husband YES |
What prenatal maternal tests must a physician check? | HIV, hepB, syphilis |
How many times must a physician check prenatal maternal tests? | Twice; upon first examination and on admission for delivery |
Are prenatal maternal tests confidential and anonymous? | Confidential; anonymous upon request |
Does the physician have to tell the mother that he/she will do prenatal maternal tests? What if she wants anonymous testing? | Yes, must inform but not specifically consent; if anonymous is wanted must refer patient to anonymous testing center; patient can refuse |
If prenatal maternal tests are positive, what must the physician do? | Refer for treatment, provide counseling, and provide information about diseases |
How long does a physician have to keep prenatal maternal test results? | For 9 months |
What institutions do not need licensing for birthing centers? | Licensed hospitals, nursing homes, and ambulatory surgery centers |
What does the federal case Roe v. Wade say about abortion? | Abortions are legal |
Under what circumstance can you perform a third trimester abortion in Texas? | In emergency to save mother's life or if fetus has severe irreversible abnormality |
After third-trimester abortion, how many days does the physician have to notify the Department of Health? | 30 days |
What is the cut-off gestational age to do an abortion in the office? | 16 weeks |
What specific health risk must you inform the patient about during consent for abortion (4 categories)? | Infection, hemorrhage, infertility, breast cancer |
What specific economic-related issues must you talk about during consent for abortion? Do you need to document in writing that you talked about these issues? | Medical assistance, father's liability for support; yes |
How long before the abortion must you tell patients about risks and economic issues? | 24 hours |
When can you perform an abortion on a minor? Can you do it without calling the parents? | To save mother's life, court order, consent of parents; yes, only court ordered |
How much time prior to an abortion on a minor must you give notification to parents? If they agree, can you do it earlier? | 48 hours; yes |
What happens if you cannot find a parent to notify of abortion? | Mail certified letter 48 hours prior |
Is there any way for a minor to have abortion without notifying the parents? | Yes, can petition court if minor is mature, informed and notification may be harmful (abuse) |
To perform emergency abortion on a minor, what must you do? What kind of form to fill out? | Assure that it is necessary; notify TDDHS on prepared form |
What facility must be licensed to do abortions in Texas? | If they do > 50/year |
How often do abortion facilities have to report to the DPH? | Yearly |
Do abortion facilities' reports include the physician and patient names? | No, neither |
Can you force a physician to perform an abortion? | No |
With what and for what do you have to treat all newborns? | Ophthalmia neonatorum, tetracycline, erythromycin, or silver nitrate ophthalmic solution |
What genetic test must you do on all newborns? How many times? Who can do them? Can the parents object? | PKU, galactose-1-phosphate uridyltransferase deficiency, sickling hemoglobinopathies, congenital adrenal hyperplasia, hypothyroidism; twice (at birth, 2 weeks later); physician or person attending birth; parents can object on religious grounds |
Do hospitals have to give hearing test to all newborns? | Yes |
Within what time period does insurance have to pay for newborn hearing screen? When do they have to pay for follow-up care with regard to hearing? | From birth until 30 days; up to 2 years of age |
For what time period must an insurance cover a mother + newborn? | 48 hours normal delivery, 96 hours C-section; longer for complicated delivery |
Who must review immunization history? | Every physician |
Until when must insurance pay for immunizations? | Up to age 6 |
Who must submit the birth certificate? | Physician, midwife, or person attending birth |
How many days do you have to submit the birth certificate? | 5 days |