Eliopoulos Chapter 9- Ethical Aspects of Gerontological Nursing Questions And Answers
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Eliopoulos Chapter 9- Ethical Aspects of
Gerontological Nursing Questions And
Answers
3. Despite the wishes of her family and the recommendations of the care team, a 70-year-old
client with a diagnosis of congestive heart failure, but who is otherwise healthy, wants to have a
no-code order...
Eliopoulos Chapter 9- Ethical Aspects of
Gerontological Nursing Questions And
Answers
3. Despite the wishes of her family and the recommendations of the care team, a 70-year-old
client with a diagnosis of congestive heart failure, but who is otherwise healthy, wants to have a
no-code order in place. Which of the following statements by the care team most clearly
prioritizes the patient's autonomy?
A) "If this is what is best for everyone then we need to go ahead with the order."
B) "Provided it can be demonstrated that she has a potentially poor prognosis, we should
certainly consider doing this."
C) "It's best that social work get involved at this point to reconcile the family's and the patient's
wishes."
D) "If that's what she wants, then ultimately we're obliged to respect her wishes." Ans: D
Feedback:
Answer D most clearly prioritizes the patient's individual freedom, preference, and rights in this
case, and these considerations would override the family's or the care team's conflicting interests.
4. Nurse H is providing care in the hospital for a 71-year-old male patient who is in the late
stages of cancer and who has painful bone metastases. The client is non-responsive but groans
and grimaces intermittently. Nurse H is drawing up a breakthrough dose of morphine for the
patient, but Nurse R cautions that, "sure, that will address his pain, but it could depress his
, Eliopoulos Chapter 9- Ethical Aspects of
Gerontological Nursing Questions And
Answers
respiratory drive and actually kill him at this stage." Which of the following ethical principles is
Nurse R prioritizing?
A) Nonmaleficence
B) Justice
C) Beneficence
D) Fidelity Ans: A
Feedback:
Nurse R's emphasis on preventing harm to the patient, even during an act that may be motivated
by altruism, is characteristic of the principle of nonmaleficence.
5. Nurse T promised an 81-year-old female client that he would liaise with the physiotherapy
team and ensure that her rehabilitation would commence soon, since it was apparent that she was
being overlooked. Due to a busy shift during which another patient declined rapidly, the nurse
did not follow up. Which ethical principle has Nurse T most clearly violated?
A) Beneficence
B) Fidelity
C) Veracity
D) Justice Ans: B
, Eliopoulos Chapter 9- Ethical Aspects of
Gerontological Nursing Questions And
Answers
Feedback:
Central to the principle of fidelity is respecting words and duties to patients, such as following
up when promised. The nurse's actions are less indicative of deficits in beneficence, veracity
(since he did not overtly lie to the patient), or justice.
6. Mr. L's health insurance has just expired though he is still in the recovery stages of a serious
exacerbation of his chronic obstructive pulmonary disease. Backdating the paperwork by only 2
days will spare Mr. L the out-of-pocket expense of home oxygen therapy. The nurse who is
organizing Mr. L's care on discharge has chosen a course of action that prioritizes the principle of
veracity. Which of the following courses of action best exemplifies this principle?
A) Backdating the paperwork to ensure that Mr. L does not sustain harm from having to pay or
having to go without oxygen therapy.
B) Backdating the paperwork because it will clearly maximize Mr. L's well-being at a nominal
cost to the insurer.
C) Refusing to backdate the paperwork because to do so would be untruthful.
D) Refusing to backdate the paperwork because to do so would be an unjust act toward the
insurance company. Ans: C
Feedback:
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