Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 9- Ethical Aspects of Gerontological Nursing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | 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 | |
| Ans: | C | |
| Feedback: | ||
| The nurse’s emphasis on providing a perceived good to a maximum number of individuals is typical of a utilitarian outlook. | ||
| Origin: Chapter 9- Ethical Aspects of Gerontological Nursing, 2
Chapter: 9 Client Needs: A1 Cognitive Level: Analysis Difficulty: Easy Integrated Process: Communication and documentation Objective: 1 Page and Header: 113, Philosophies Guiding Ethical Thinking |
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| 2. | Due to a bed shortage in the area, the head nurse on a busy geriatric medicine unit is under significant pressure to minimize client lengths of stay and speed up discharge planning. An older adult client who is convalescing after recent falls is adamant that he is not ready for discharge, and tells the nurse, “It doesn’t matter who or how many people are waiting in the emergency department for this bed; I’m simply not healthy enough to go home yet.” Of which philosophy of ethics is the patient’s statement most indicative? | |
| A) | Absolutism | |
| B) | Relativism | |
| C) | Egoism | |
| D) | Beneficence | |
| Ans: | C | |
| Feedback: | ||
| An emphasis on one’s personal interests is characteristic of egoism. | ||
| Origin: Chapter 9- Ethical Aspects of Gerontological Nursing, 3
Chapter: 9 Client Needs: A1 Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 114, Ethical Principles |
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| 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. | ||
| Origin: Chapter 9- Ethical Aspects of Gerontological Nursing, 4
Chapter: 9 Client Needs: A1 Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 114, Ethical Principles |
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| 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 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. | ||
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