Eliopoulos Chapter 9- Ethical Aspects of
Gerontological Nursing
1. A nurse supervisor who affords leadership in an extended-term care facility prioritizes the
want for residents to have modern and relevant immunizations, declaring, "it is inconvenient
and highly-priced, however it affords safety not handiest to the individual getting the vaccine
but to all people who they are in touch with." Which of the following moral philosophies most
likely underlies the nurse's assertion?
A) Nonmaleficence
B) Absolutism
C) Utilitarianism
D) Relativism - ANS-Ans: C
Feedback:
The nurse's emphasis on imparting a perceived properly to a maximum number of
individuals is regular of a utilitarian outlook.
2. Due to a mattress scarcity in the location, the pinnacle nurse on a hectic geriatric
medicine unit is beneath substantial pressure to reduce client lengths of live and accelerate
discharge making plans. An older adult client who's recovering after current falls is adamant
that he isn't always geared up for discharge, and tells the nurse, "It would not remember who
or what number of human beings are ready within the emergency branch for this mattress;
I'm honestly not wholesome enough to go home yet." Of which philosophy of ethics is the
patient's assertion most indicative?
A) Absolutism
B) Relativism
C) Egoism
D) Beneficence - ANS-Ans: C
Feedback:
An emphasis on one's private interests is function of egoism.
Three. Despite the wishes of her own family and the recommendations of the care group, a
70-12 months-old purchaser with a analysis of congestive coronary heart failure, but who is
in any other case healthy, desires to have a no-code order in area. Which of the subsequent
statements via the care crew maximum sincerely prioritizes the patient's autonomy?
A) "If that is what is high-quality for every person then we want to go beforehand with the
order."
B) "Provided it could be tested that she has a doubtlessly terrible diagnosis, we need to
virtually recall doing this."
C) "It's nice that social paintings get concerned at this factor to reconcile the own family's
and the patient's wishes."
D) "If that is what she wants, then in the long run we're obliged to appreciate her desires." -
ANS-Ans: D
Feedback:
, Answer D most truely prioritizes the affected person's person freedom, preference, and
rights in this situation, and those considerations would override the circle of relatives's or the
care group's conflicting interests.
4. Nurse H is supplying care inside the health center for a seventy one-year-old male
affected person who's within the past due levels of most cancers and who has painful bone
metastases. The purchaser is non-responsive however groans and grimaces intermittently.
Nurse H is drawing up a leap forward dose of morphine for the patient, but Nurse R cautions
that, "certain, in order to address his pain, but it is able to depress his respiration drive and in
fact kill him at this stage." Which of the subsequent ethical concepts is Nurse R prioritizing?
A) Nonmaleficence
B) Justice
C) Beneficence
D) Fidelity - ANS-Ans: A
Feedback:
Nurse R's emphasis on preventing damage to the affected person, even at some stage in
an act that can be inspired by using altruism, is characteristic of the principle of
nonmaleficence.
Five. Nurse T promised an eighty one-12 months-vintage woman consumer that he might
liaise with the physiotherapy crew and make sure that her rehabilitation would start quickly,
since it become apparent that she become being unnoticed. Due to a hectic shift at some
stage in which some other patient declined swiftly, the nurse did no longer observe up.
Which ethical principle has Nurse T most honestly violated?
A) Beneficence
B) Fidelity
C) Veracity
D) Justice - ANS-Ans: B
Feedback:
Central to the principle of fidelity is respecting words and duties to sufferers, together with
following up while promised. The nurse's movements are less indicative of deficits in
beneficence, veracity (due to the fact that he did not openly lie to the affected person), or
justice.
6. Mr. L's health insurance has just expired although he's nonetheless within the recovery
tiers of a critical exacerbation of his continual obstructive pulmonary disease. Backdating the
paperwork through 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 selected a direction of
action that prioritizes the principle of veracity. Which of the subsequent publications of action
quality exemplifies this precept?
A) Backdating the paperwork to ensure that Mr. L does no longer preserve damage from
having to pay or having to move with out oxygen therapy.
B) Backdating the office work because it will actually maximize Mr. L's nicely-being at a
nominal value to the insurer.
C) Refusing to backdate the paperwork because to accomplish that might be untruthful.
D) Refusing to backdate the office work due to the fact to accomplish that would be an unjust
act toward the insurance agency. - ANS-Ans: C
Feedback:
The precept of veracity emphasizes truthfulness, and the nurse's refusal to lie at the
coverage documentation is indicative of this principle. Consideration for the effects to both
the patient or the coverage organization might be secondary.
Gerontological Nursing
1. A nurse supervisor who affords leadership in an extended-term care facility prioritizes the
want for residents to have modern and relevant immunizations, declaring, "it is inconvenient
and highly-priced, however it affords safety not handiest to the individual getting the vaccine
but to all people who they are in touch with." Which of the following moral philosophies most
likely underlies the nurse's assertion?
A) Nonmaleficence
B) Absolutism
C) Utilitarianism
D) Relativism - ANS-Ans: C
Feedback:
The nurse's emphasis on imparting a perceived properly to a maximum number of
individuals is regular of a utilitarian outlook.
2. Due to a mattress scarcity in the location, the pinnacle nurse on a hectic geriatric
medicine unit is beneath substantial pressure to reduce client lengths of live and accelerate
discharge making plans. An older adult client who's recovering after current falls is adamant
that he isn't always geared up for discharge, and tells the nurse, "It would not remember who
or what number of human beings are ready within the emergency branch for this mattress;
I'm honestly not wholesome enough to go home yet." Of which philosophy of ethics is the
patient's assertion most indicative?
A) Absolutism
B) Relativism
C) Egoism
D) Beneficence - ANS-Ans: C
Feedback:
An emphasis on one's private interests is function of egoism.
Three. Despite the wishes of her own family and the recommendations of the care group, a
70-12 months-old purchaser with a analysis of congestive coronary heart failure, but who is
in any other case healthy, desires to have a no-code order in area. Which of the subsequent
statements via the care crew maximum sincerely prioritizes the patient's autonomy?
A) "If that is what is high-quality for every person then we want to go beforehand with the
order."
B) "Provided it could be tested that she has a doubtlessly terrible diagnosis, we need to
virtually recall doing this."
C) "It's nice that social paintings get concerned at this factor to reconcile the own family's
and the patient's wishes."
D) "If that is what she wants, then in the long run we're obliged to appreciate her desires." -
ANS-Ans: D
Feedback:
, Answer D most truely prioritizes the affected person's person freedom, preference, and
rights in this situation, and those considerations would override the circle of relatives's or the
care group's conflicting interests.
4. Nurse H is supplying care inside the health center for a seventy one-year-old male
affected person who's within the past due levels of most cancers and who has painful bone
metastases. The purchaser is non-responsive however groans and grimaces intermittently.
Nurse H is drawing up a leap forward dose of morphine for the patient, but Nurse R cautions
that, "certain, in order to address his pain, but it is able to depress his respiration drive and in
fact kill him at this stage." Which of the subsequent ethical concepts is Nurse R prioritizing?
A) Nonmaleficence
B) Justice
C) Beneficence
D) Fidelity - ANS-Ans: A
Feedback:
Nurse R's emphasis on preventing damage to the affected person, even at some stage in
an act that can be inspired by using altruism, is characteristic of the principle of
nonmaleficence.
Five. Nurse T promised an eighty one-12 months-vintage woman consumer that he might
liaise with the physiotherapy crew and make sure that her rehabilitation would start quickly,
since it become apparent that she become being unnoticed. Due to a hectic shift at some
stage in which some other patient declined swiftly, the nurse did no longer observe up.
Which ethical principle has Nurse T most honestly violated?
A) Beneficence
B) Fidelity
C) Veracity
D) Justice - ANS-Ans: B
Feedback:
Central to the principle of fidelity is respecting words and duties to sufferers, together with
following up while promised. The nurse's movements are less indicative of deficits in
beneficence, veracity (due to the fact that he did not openly lie to the affected person), or
justice.
6. Mr. L's health insurance has just expired although he's nonetheless within the recovery
tiers of a critical exacerbation of his continual obstructive pulmonary disease. Backdating the
paperwork through 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 selected a direction of
action that prioritizes the principle of veracity. Which of the subsequent publications of action
quality exemplifies this precept?
A) Backdating the paperwork to ensure that Mr. L does no longer preserve damage from
having to pay or having to move with out oxygen therapy.
B) Backdating the office work because it will actually maximize Mr. L's nicely-being at a
nominal value to the insurer.
C) Refusing to backdate the paperwork because to accomplish that might be untruthful.
D) Refusing to backdate the office work due to the fact to accomplish that would be an unjust
act toward the insurance agency. - ANS-Ans: C
Feedback:
The precept of veracity emphasizes truthfulness, and the nurse's refusal to lie at the
coverage documentation is indicative of this principle. Consideration for the effects to both
the patient or the coverage organization might be secondary.
