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Gerontological Nursing Chapter 9.(Complete
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Gerontological Nursing Chapter 9.docx Chapter 09: Ethical Aspects of Gerontological Nursing Eliopoulos: Gerontological Nursing, 9th Edition 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? 2.2. 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? 3.3. 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? 4.4. 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? 5.5. 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? 6.6. 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? 7.7. Which of the following phenomena have contributed to recent increases in the number and complexity of ethical dilemmas for gerontological nurses? Select all that apply. 8.8. Which of the following statements that nurses on a hospital unit made about ethical decision making is most accurate? 9.9. Which of the following statements most accurately captures an aspect of the use of ethics committees in the ethical decision-making process? 10.10. The ethics committee of a hospital has decided that it is unethical to prioritize patients who possess more comprehensive insurance plans than those with minimal or no insurance. Which of the following principles most clearly underlies this decision? 11.11. Which of the following social changes is increasing the number and complexity of ethical dilemmas that nurses face? Show Less
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