Nursing For Wellness in Older Adults 6th Edition by Carol Miller
Nursing For Wellness in Older Adults 6th Edition by Carol Miller
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Chapter 9- Legal and Ethical Concerns
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A Hispanic woman, age 75, has been admitted to the hospital. There are no advance directives in her chart. Which of the following questions will best prepare you to begin a dialogue with this patient about advance directives? | |
| A) | “Who do you talk to about your health care decisions?” | |
| B) | “How many hours of sleep do you usually get each night?” | |
| C) | “Would you prefer not to discuss making decisions about your care?” | |
| D) | “Where do you live? Do you live with anyone?” | |
| 2. | A nurse is reviewing medical directives with a group of older adults at the senior citizens’ center. Which of the following statements made by a member of the group indicates a need for further teaching about medical directives? | |
| A) | “Advance directives focus on the right to refuse treatment in a health care facility.” | |
| B) | “It is helpful to see an attorney before completing a durable power of attorney.” | |
| C) | “Advance directives provide legal assurances that a person’s preferences will be considered.” | |
| D) | “A durable power of attorney cannot be instituted before a person is incapacitated.” | |
| 3. | A 75-year-old woman has a history of depression and hypothyroidism. She was recently diagnosed as having breast cancer. Her daughter tells her health care provider that her mother cannot participate in decision making about her care because she is too old. Which of the following statements is true about decision-making capacity? | |
| A) | Determination of decision-making capacity is based on the older adult’s diagnosis and chronologic age. | |
| B) | The older adult has decision-making capacity if she understands most of the risks and benefits of medical treatment. | |
| C) | The older adult needs to understand the issues involved in decision making and communicate about them. | |
| D) | Decision-making capacity of older adults is always determined by a mental health judge. | |
| 4. | An older woman of Filipino heritage has been having rectal bleeding for several months. Her physician has told the woman and her daughters that she has advanced colon cancer. Her daughters want to obtain hospice services but the patient is reluctant and does not want to discuss what she feels is “beyond her control.” Which of the following concerns is this patient most likely experiencing? | |
| A) | Entrenched optimism | |
| B) | Individual autonomy | |
| C) | Impaired cognition | |
| D) | Cultural taboo to discuss death | |
Answer Key
| 1. | A |
| 2. | D |
| 3. | C |
| 4. | D |
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