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Ethical and Legal Considerations Flashcards

7 cards from real CCTC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Ethical and Legal Considerations flashcards as text

  1. A family member insists on donating a kidney to a relative but privately tells the coordinator they feel coerced by other family members. What is the ethically appropriate next step?

    Answer: Arrange an independent psychosocial evaluation and ensure private counseling

    An independent evaluation ensures voluntariness of consent and protects the potential donor from coercion.

  2. Under UNOS policy, which of the following best describes the concept of 'medical urgency' in organ allocation?

    Answer: The likelihood that a candidate will die or become too sick to benefit without a transplant

    Medical urgency reflects how critically ill a candidate is and how urgently they need a transplant to survive.

  3. A brain-dead patient's legally designated healthcare proxy consents to donation, but adult children object. Who has legal authority to authorize donation?

    Answer: The designated healthcare proxy, as legally authorized decision-maker

    A legally designated healthcare proxy holds decision-making authority and supersedes next-of-kin objections.

  4. Which federal law requires hospitals to notify their Organ Procurement Organization of all deaths and imminent deaths?

    Answer: The Conditions of Participation (CoP) for Medicare/Medicaid

    CMS Conditions of Participation require hospitals to notify the OPO of all deaths to maximize donor identification.

  5. A transplant candidate asks the coordinator to keep a serious medication non-adherence history from the transplant team. How should the coordinator respond?

    Answer: Inform the patient that material clinical information must be shared with the team

    The coordinator has a duty to share clinically relevant information with the transplant team to ensure safe and equitable allocation.

  6. Which ethical principle most directly supports offering a transplant to an older candidate with lower expected graft survival over a younger candidate with higher expected survival?

    Answer: Justice

    Justice demands fair access to transplantation regardless of age, balancing utility with equitable distribution.

  7. A coordinator discovers that a colleague falsified a recipient's lab values to improve their organ allocation score. What is the most appropriate immediate action?

    Answer: Report the incident to institutional leadership and the OPO compliance department

    Falsifying allocation data is a serious ethical and legal violation requiring immediate reporting to institutional and OPO compliance channels.