Gero Exam 2 questions and answers
100% correct already passed
doing good - correct answer ✔✔beneficence
doing no harm - correct answer ✔✔non-maleficence
self-determination, freedom - correct answer ✔✔autonomy
fairness and equal tx to all people - correct answer ✔✔justice
honoring your promise or word - correct answer ✔✔fidelity
truth-telling - correct answer ✔✔veracity
-serving as a liaison between pt receiving health care and the health care system
-recognizing conflicts in values and beliefs
-mediating, negotiating, clarifying, explaining, intervening (*important to determine
competency of elder's understanding*)
-assuring respect, equality/fairness, and right of human dignity - correct answer ✔✔patient
advocacy
-developing and implementing *nursing* diagnosis, exercising good patient judgement,
monitoring care given to patients by physicians and nursing staff
-duty to report medical care or orders that jeopardize care of patients
,-*failure to function in this "independent role" as a professional nurse is recognized as "failure
to act"* - correct answer ✔✔role of the nurse in "patient advocacy"
terms used by medical practitioners to distinguish legal designation of competence vs.
incompetence - correct answer ✔✔decisional capacity vs. incapacity
-have an "ordinary" conversation
-observe person's behavior
-talk with family, friends, or staff - correct answer ✔✔how to determine decisional ability of a
person
-mini-mental state examination
-mini cog
-montreal cognitive assessment
-geriatric depression scale - correct answer ✔✔screening tools that may measure decision-
making capacity
bodily injury, physical restraints, etc. - correct answer ✔✔physical elder abuse
unwanted touching, assault, rape, etc. - correct answer ✔✔sexual elder abuse
insults, threats, harassment, etc. - correct answer ✔✔psychological elder abuse
illegal or improper use of funds or assets - correct answer ✔✔financial elder abuse
-failure to provide care or meet own basic needs
-may be due to diminished capacity - correct answer ✔✔self neglect
,-unwanted treatments or procedures
-chemical restraints *(sedatives are most common!)* - correct answer ✔✔caregiver neglect
-most abuse occurs in the home (90%)
-committed by adult children or spousal caregivers - correct answer ✔✔most abuse occurs
WHERE and is committed by WHO?
-observe for s/s
-assess when perpetrator is *absent*, don't confront
-assess for decisional capacity
-mandatory report to Adult Protective Services (anonymous)
-if in immediate danger, police should be notified
-discuss findings with supervisor, social worker, or ombudsman who may make the call - correct
answer ✔✔role of the nurse when abuse is suspected or determined
-a surrogate decision-maker
-might be seriously incapacitated in decision-making but might retain the ability to designate an
appropriate surrogate so *allow him/her the choice to name the surrogate person* - correct
answer ✔✔individuals who clearly lack capacity should have...
-escalating medical costs with scarce public resources
-increasing use of high technology for procedures and tx
-rationing of healthcare (society vs. medical professionals) - correct answer ✔✔ethical issues in
care of the elderly
-adult patient the right to provide instructions about his/her wishes for or against medical
treatment in the event of becoming incapacitated (Advance Directives)
, -health care facilities receiving Medicare & Medicaid reimbursement required to provide
information to patients about Advance Directives - correct answer ✔✔Patient Self-
Determination Act, 1991
-written statement that directs health care providers concerning consent or refusal of tx when
the individual patient does not possess decision-making capacity
-legally binding document stating wishes while competent
-state laws generally allow recognition of AD during life threatening conditions while out-of-
state - correct answer ✔✔advance directive
-directive to physician/living will
-medical power of attorney for healthcare/healthcare proxy
-do not resuscitate (DNR) - correct answer ✔✔types of advance directives
document states your wishes about which medical tx you would accept or refuse if your life is
threatened and you are unable to make your wishes known due to illness or injury - correct
answer ✔✔directive to physician/living will
document gives the person you name as your agent the authority to make health care decisions
for you in accordance with your wishes when you are no longer capable - correct answer
✔✔medical power of attorney for healthcare aka healthcare proxy
-document instructs health care professionals to forgo resuscitation attempts if a patient's
breathing stops or if the patients heart stops beating
-patient allowed to have a natural death with peace and dignity - correct answer ✔✔do not
resuscitate (DNR)
-don't perform endotracheal intubation in event of cardiac arrest or respiratory failure
-don't resuscitate by chemical, electrical, or manual means
100% correct already passed
doing good - correct answer ✔✔beneficence
doing no harm - correct answer ✔✔non-maleficence
self-determination, freedom - correct answer ✔✔autonomy
fairness and equal tx to all people - correct answer ✔✔justice
honoring your promise or word - correct answer ✔✔fidelity
truth-telling - correct answer ✔✔veracity
-serving as a liaison between pt receiving health care and the health care system
-recognizing conflicts in values and beliefs
-mediating, negotiating, clarifying, explaining, intervening (*important to determine
competency of elder's understanding*)
-assuring respect, equality/fairness, and right of human dignity - correct answer ✔✔patient
advocacy
-developing and implementing *nursing* diagnosis, exercising good patient judgement,
monitoring care given to patients by physicians and nursing staff
-duty to report medical care or orders that jeopardize care of patients
,-*failure to function in this "independent role" as a professional nurse is recognized as "failure
to act"* - correct answer ✔✔role of the nurse in "patient advocacy"
terms used by medical practitioners to distinguish legal designation of competence vs.
incompetence - correct answer ✔✔decisional capacity vs. incapacity
-have an "ordinary" conversation
-observe person's behavior
-talk with family, friends, or staff - correct answer ✔✔how to determine decisional ability of a
person
-mini-mental state examination
-mini cog
-montreal cognitive assessment
-geriatric depression scale - correct answer ✔✔screening tools that may measure decision-
making capacity
bodily injury, physical restraints, etc. - correct answer ✔✔physical elder abuse
unwanted touching, assault, rape, etc. - correct answer ✔✔sexual elder abuse
insults, threats, harassment, etc. - correct answer ✔✔psychological elder abuse
illegal or improper use of funds or assets - correct answer ✔✔financial elder abuse
-failure to provide care or meet own basic needs
-may be due to diminished capacity - correct answer ✔✔self neglect
,-unwanted treatments or procedures
-chemical restraints *(sedatives are most common!)* - correct answer ✔✔caregiver neglect
-most abuse occurs in the home (90%)
-committed by adult children or spousal caregivers - correct answer ✔✔most abuse occurs
WHERE and is committed by WHO?
-observe for s/s
-assess when perpetrator is *absent*, don't confront
-assess for decisional capacity
-mandatory report to Adult Protective Services (anonymous)
-if in immediate danger, police should be notified
-discuss findings with supervisor, social worker, or ombudsman who may make the call - correct
answer ✔✔role of the nurse when abuse is suspected or determined
-a surrogate decision-maker
-might be seriously incapacitated in decision-making but might retain the ability to designate an
appropriate surrogate so *allow him/her the choice to name the surrogate person* - correct
answer ✔✔individuals who clearly lack capacity should have...
-escalating medical costs with scarce public resources
-increasing use of high technology for procedures and tx
-rationing of healthcare (society vs. medical professionals) - correct answer ✔✔ethical issues in
care of the elderly
-adult patient the right to provide instructions about his/her wishes for or against medical
treatment in the event of becoming incapacitated (Advance Directives)
, -health care facilities receiving Medicare & Medicaid reimbursement required to provide
information to patients about Advance Directives - correct answer ✔✔Patient Self-
Determination Act, 1991
-written statement that directs health care providers concerning consent or refusal of tx when
the individual patient does not possess decision-making capacity
-legally binding document stating wishes while competent
-state laws generally allow recognition of AD during life threatening conditions while out-of-
state - correct answer ✔✔advance directive
-directive to physician/living will
-medical power of attorney for healthcare/healthcare proxy
-do not resuscitate (DNR) - correct answer ✔✔types of advance directives
document states your wishes about which medical tx you would accept or refuse if your life is
threatened and you are unable to make your wishes known due to illness or injury - correct
answer ✔✔directive to physician/living will
document gives the person you name as your agent the authority to make health care decisions
for you in accordance with your wishes when you are no longer capable - correct answer
✔✔medical power of attorney for healthcare aka healthcare proxy
-document instructs health care professionals to forgo resuscitation attempts if a patient's
breathing stops or if the patients heart stops beating
-patient allowed to have a natural death with peace and dignity - correct answer ✔✔do not
resuscitate (DNR)
-don't perform endotracheal intubation in event of cardiac arrest or respiratory failure
-don't resuscitate by chemical, electrical, or manual means
