Ch 9 & 10

Question 1

Autonomy

Answer 1

is the personal freedom to direct one’s own life
as long as it does not infringe on the rights of others.

Question 2

Competency

Answer 2

legal term that refers to the ability to fulfil
one’s role and handle one’s affairs in a responsible manner.

Question 3

Decision making capacity

Answer 3

is a measure of a person’s ability
to make an informed and logical decision about a particular
aspect of his or her health care. It is a clinical term that
describes the person’s ability to understand, make, and be
responsible for the consequences of health care decisions.

Question 4

For a person to have a decision making capacity they must be able to

Answer 4

Understand and process information that is relevant to the
decisions about diagnosis, prognosis and treatment options
@ Weigh the relative risks, benefits and outcomes of
decisions in relation to one’s own situation
@ Apply personal values to the situation
e Arrive at a decision that is consistent over time
@ Communicate the decision to others`

Question 5

Mental capcity

Answer 5

the ability to understand the information
needed to make a decision and to appreciate the consequences
of that decision

Question 6

Is decision making capacity fixed?

Answer 6

No, can fluctuate day to day as influenced by stresss, sleep, polypharamcy etc.

Question 7

executive control functions`

Answer 7

cognitive skills involved in successfully planning
and carrying out goal-oriented behaviour, such as self-care
tasks.

Question 8

Living will

Answer 8

a type of advance directive whose purpose
is to guide decisions about care that is provided or withheld
under certain circumstances, usually at the end of life
or when the person is considered terminally ill

Question 9

POLST

Answer 9

Physicians Orders for Life-Sustaining Treatment (MOST aka)

medical directives are effective for ensuring that patient preferences
are known and honoured in all settings and situations,
including emergencies and long-term care

Question 10

Partial vs full guardianship

Answer 10

partial: the incompetent person continues to make limited
decisions.
* Full guardianship: the person loses all his or her rights to make decisions

Question 11

Trusteeship

Answer 11

applies when an older adult no longer has the capacity to make a
decision on financial matter

Question 12

Major ethical issues in gerontological nursing

Answer 12

Use of restraints
Artificial Nutrition and hydration

Question 13

Role of a nurse regarding legal and ethical issues

Answer 13

Promote Advance Care
Planning
* Implement Advance
Directives
* Facilitate Decisions
about Care
* Promoting Caregiver
Wellness

Question 14

How to begin dialogue with older audlt regarding adanced are direcrives when none are indicated?

Answer 14

“Who do you talk to about your health care decisions?”

Question 15

In which situation would a living will provide clear direction to the care and treatment of the individual involved?

Answer 15

When an individual suddenly becomes unresponsive, and is unlikely to survive

Question 16

Two examples of advanced directives

Answer 16

Medical Orders for Scope of Treatment
Rep Agreement/Living Will

Question 17

Role of RN in MAID

Answer 17

• limited to aiding a physician or
  nurse practitioner in the provision
  of medical assistance in dying.

NO prescribing, administering, dispensing, or compounding MAID substances

Question 18

Reasons elder abuse is difficult for staff to report

Answer 18

Fear of revenge, getting involved, lack of support

Lack of knowledge about abuse, what can be. done, the Law etc.

Question 19

Must you know for certain that abuse has occurred to report it

Answer 19

Know, you only must suspect

Question 20

Upon discovering of an apparantly neglected elder, the primary step is

Answer 20

determing the older adults decision making competency

Question 21

What is the primary issue to be solved when discovering a hurt adult who has been abused

Answer 21

Caring for their physicallity