A research study offers elderly men who have, in the past, been prison inmates $1,500 for participation in an all-day workshop at which they agree to be hypnotized and tell stories of incarceration, which are later published
The research participants are allowed to listen to the tapes of what they say under hypnosis and to withdraw permission to use any part of the information. Why is this scenario a violation of self-determination?
a. Allowing participants to withdraw permission to use part of the research information violates the study integrity and represents deception.
b. It is an example of coercion.
c. Prisoners are a vulnerable population and should not be used as research subjects.
d. What is said under hypnosis may not be true.
ANS: B
The right to self-determination is based on the ethical principle of respect for persons. This principle holds that because humans are capable of self-determination, or controlling their own destiny, they should be treated as autonomous agents who have the freedom to conduct their lives as they choose without external controls. A subject's right to self-determination can be violated through the use of (1) coercion, (2) covert data collection, and (3) deception. Coercion occurs when an overt threat of harm or excessive reward is intentionally presented by one person to another to obtain his or her compliance. In the example, offering elderly men $1,500 for one day could be considered offering an excessive reward: therefore, it is an act of coercion violating the human right to self-determination.
You might also like to view...
A patient is stuporous but reacts by withdrawing from painful stimuli. What term is most appropriate for this patient?
a. Comatose b. Lethargic c. Semicomatose d. Somnolent
A patient is recovering from a mild cerebral vascular accident (stroke)
The home care nurse notes that the patient is talking about updating a will and planning funeral arrangements. Which of the following responses is most appropriate for the nurse to make? a. "You seem to be preoccupied with dying." b. "Is there anything I can do to help you?" c. "Are you worried about dying before you get your affairs in order?" d. "Let's focus on how you are recovering rather than on your dying."
Prophylaxis of subacute bacterial endocarditis (SBE) is given before and after birth when a pregnant woman has:
1. valvular disease. 2. congestive heart disease. 3. arrhythmias. 4. postmyocardial infarction.
A 32-year-old woman is seen in the clinic because she has been unable to get pregnant after 12 months of unprotected sex
In order to determine the cause of the infertility, the clinician should question her about which of these possible causes of infertility? a. Pelvic inflammatory disease (PID) b. Oral contraceptive use for 15 years c. Early menarche d. Diet high in soy protein