2024 VERIFIED ELIOPOULOS
ETHICAL ASPECTS OF
GERONTOLOGICAL NURSING
CHAPTER 9 EXAM WITH CORRECT
ANSWERS
A nurse manager who provides leadership in a long-term care facility
prioritizes the need for residents to have current and relevant
immunizations, stating, "it's inconvenient and costly, but it provides
protection not only to the person getting the vaccine but to all those that
they're in contact with." Which of the following ethical philosophies most
likely underlies the nurse's statement?
A) Nonmaleficence
B) Absolutism
C) Utilitarianism
D) Relativism - CORRECT-ANSWERSAns: C
Feedback:
The nurse's emphasis on providing a perceived good to a maximum number
of individuals is typical of a utilitarian outlook.
When advocating the rights of patients to receive health care regardless of
ability to pay, a nurse is applying which of the following ethical principles?
A) Holistics
B) Justice
C) Fidelity
D) Autonomy - CORRECT-ANSWERSAns: B
Feedback:
Justice argues that people should be treated equally regardless of their
circumstances. Thus, medical treatments available to the rich should also be
available to the poor. The other choices are not directly related to the
situation.
Patient P refuses a blood test that Nurse N believes P desperately needs.
Nurse N ignores the patient's wishes and sends a blood sample to the lab
without P's knowledge. The ethical conflict between Patient P and Nurse N
involves:
A) P: nonmaleficence; N: veracity
B) P: beneficence; N: relativism
C) P: egoism; N: utilitarianism
, D) P: autonomy; N: paternalism - CORRECT-ANSWERSAns: D
Feedback:
P is asserting his autonomy, but N is ignoring his wishes and acting "for P's
own good" as Nurse N perceives it.
Patient R is seriously injured in an automobile accident, and his chances of
survival are slim. During his diagnostic workup, lab tests reveal that he is HIV
positive. The health care professional who decides to withhold the test
results from R is violating the ethical principle of:
A) Veracity
B) Nonmaleficence
C) Beneficence
D) Autonomy - CORRECT-ANSWERSAns: A
Feedback:
This principle is central to all nurse-patient interactions because the quality
of this relationship depends on trust and integrity. Veracity is truthfulness;
withholding information violates it.
Which of the following is the best way for nurses to minimize their struggles
in making ethical decisions?
A) Take no action unless an advance directive, will, and other legally binding
documents are in effect
B) Act on the recommendations of a patient's healthcare provider, friends,
and family members
C) Consult the guidelines of the American Nurses Association and the
institution's ethics committee
D) Maintain nursing's traditional focus on following physicians' orders and
providing care and comfort for the patient - CORRECT-ANSWERSAns: C
Feedback:
Although legal documents and the views of family members should be taken
into account, a nurse may be called on to make ethical decisions without
them or occasionally in opposition to them. Retreating into a "care-only'
mode does not resolve ethical dilemmas. The best choice among those listed
is to seek guidance from professional organizations and committees charged
with establishing ethical guidelines for institutions.
In which of the following cases is the ethical conflict between cost
containment and quality care most obvious?
A) The termination of an incompetent aide who is the sole support of his
family
B) The conversion of a community playground into a senior citizen center
C) An insurance company that denies reimbursement for dialysis of patients
older than age 70
D) The decision to remove the feeding tube from a comatose patient -
CORRECT-ANSWERSAns: C
Feedback:
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