Legal Implication in Geriatric Care in Nursing
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| Which describes Autonomy? A. Personal freedom to direct one's life. B. Fulfill one's role and handle one's affairs. C. Ability to consent or refuse. D. Role of a guardian as it relates to decision making. | A
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| The personal freedom to direct one's own life as long as it does not infringe on the rights of others defines | Autonomy
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| Decision-making capacity is best determined based on which criterion? A. Medical dx on admin? B. Chronological age? C. Ability to understand issues? D. Feelings of the surrogate? | C
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| A person's ability to make a decision should be based on admitting disease processes? T or F? | False
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| Decision-making should be based on careful and detailed evaluation of patient understanding of relevant issues? T or F? | True
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| Which is a limitation of a living will? A. It allows surrogate to manage care? B. It is not a legal document? C. It applies only to terminal illness? D. It cannot be revoked? | C
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| This document is used to dictate health care management when a person has the potential for a broad range of diseases. LW or AD? | Advance Directives
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| This document dictates health care management when a person has the potential only for a terminal illness. LW or AD? | Living will
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| Balancing rights of residents with institutional needs can violate which patient right? | Autonomy
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| What does the 1980 act OBRA oversee? | Minimum standards of care in nursing homes. Documented assessments and care plans!!!
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| Name three benefits of the OBRA legislation. | Decreased indwelling catheter use.
Reduced restraints.
Fewer PUs and dehydration.
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| What is not an ethical issue in long-term care settings? A. Promotion of self-care? B. Use of physical restraints? C. Refusal of treatment? D. Accommodation of sexual activity | A
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| Half of Americans older than 65 die in hospitals although the majority of older adults state they would prefer to die in their home. T or F? | True
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| Preferences for end-of-life care are not strongly influenced by the availability of resources in the community. T or F? | False
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| Doctor's practice habits, availability of hospice service, and proportion of open hospital beds in community influence care received by patients. T or F? | True
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| Hospice care cannot be provided in the home, freestanding inpatient care centers, nursing homes, or the hospital? T or F? | False
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| Including family members in their loved ones' dying process ultimatly has a positive impact on the experience. T or F? | True
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