NR 601 Week 8 HAM Final Exam Review - Questions and Answers

8. Dementia is a relatively common condition in the geriatric population. It becomes more common as people age. Which is the most appropriate description of “personhood” as it relates to people with dementia? a. Personhood is a universal concept that is defined the same way in all cultures. b. The ability to relate to others as people, rather than preserving cognitive independence, is an important aspect of “personhood.” c. The ability to recognize family members by name is an important aspect of “personhood.” d. A deterioration in cognitive function demonstrates the decreasing value of older adults in society. 9. Immigrant families bring cultural traditions into healthcare decisions. With regard to older adults, which of the following is true? a. End-of-life care is particularly sensitive to cultural beliefs and should be explored carefully with the patient and family, as appropriate. b. Clinicians should assume that all cultures value autonomy of the individual over the family unit. c. It is considered rude to offer interpreters when talking to patients who do not speak English, when family members are present. d. Most cultures outside of the United States believe that life support should not be used after age 65 years. Test Question Answers 1. c 2. d 3. b 4. a 10. Which of the following statements is true? a. Decision-making capacity can be determined only by a psychiatrist. b. A diagnosis of dementia precludes competent decision making. and Dr. Smith is concerned that this might indicate the presence of carcinoma of the colon. Mr. Jones is able to recite back to Dr. Smith what a colonoscopy is, how it is done, and that a colonoscopy is performed to look for cancer. He then tells Dr. Smith that he is refusing the procedure; he knows he does not have cancer because he has not experienced any bleeding. Of the following required elements for Mr. Jones’s decision-making capacity, which is impaired? a. Understanding b. Appreciation c. Ability to express a choice 15. George Hall is a 91-year-old man visiting his physician to receive the results of a recent computed tomography scan of his abdomen. He is cognitively intact and still works 2 days a week. He is accompanied by his daughter Eleanor. She takes the doctor aside before the appointment and says, “Please do not tell my father any bad news. It would just kill him.” If the physician were to agree, which ethical principles might this violate? a. Paternalism b. Autonomy c. Authenticity d. None of the above e. Answers a, b, and c 16. Lenore White is an 80-year-old woman who smokes two packs of cigarettes per day. She is hospitalized for pneumonia because she has presenting symptoms of cough and fever. On her second day of hospitalization, she asks the nurse to please wheel her outside so she can smoke a cigarette. The nurse feels uncomfortable agreeing to this and speaks to her clinical nurse manager. What two ethical principles are in conflict? a. Beneficence and community b. Nonmaleficence and justice