End-of-Life Ethics: Benefits and Burdens

~ Exam ~

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This test has 24 questions.

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1. The goal of health care is to
  a. promote health
  b. prevent disease
  c. avoid premature death
  d. all 3
2. The values of the __ are to inform medical treatment decisions.
  a. physician
  b. patient
  c. family
  d. society
3. The right to decide what will be done with him or her is called
  a. autonomy
  b. privacy
  c. truthfulness
  d. all 3
4. An Advance Directive is a legal document to assure ___health care choices.
  a. difficult
  b. past
  c. present
  d. future
5. You will receive__medical care if you do not have an advance directives.
  a. little
  b. full
  c. no
  d. reluctant
6. A persons expected and acceptable Quality of Life usually
  a. changes with time
  b. stays the same
  c. becomes irrelevant
7. A common reason why treatment may be withheld is
  a. the patient's own choice
  b. an undesirable resulting quality of life
  c. the treatment just prolongs dying
  d. all 3
8. Life-sustaining treatment may be
  a. curative
  b. palliative
  c. both curative and palliative
  d. curative but not palliative
9. To allow a patient to experience unbearable pain is
  a. sometimes needed
  b. unethical
  c. ethical
  d. lawful
10. When patients are seriously ill, CPR may
  a. not work
  b. only partially work
  c. leave the patient brain damaged
  d. all 3
11. Physicial assisted suicide is legal
  a. in Washington
  b. nowhere
  c. in Oregon
  d. in California
12. An examination of __data may help determine if a given treatment is futile.
  a. diagnostic
  b. prognostic
  c. admission
  d. historical
13. Employees shall put forth _____ effort in the performance of their duties (Federal Principles of Ethical Conduct).
  a. energetic
  b. honest
  c. full
  d. much
14. Place a copy of the advance directive document in the patient's chart and make it available to the attending
  a. physician
  b. nurse
  c. health care proxy
  d. all 3
15. In _____, antibiotic treatment is commonly withheld in pneumonia patients with severe dementia who are especially frail.
  a. Canada
  b. USA
  c. the Netherlands
  d. Germany
16. A ___ order by a physician states that if there is a cardiopulmonary arrest, resuscitation will not be started and is actually prohibited.
  a. DMR

  b. DNP

  c. DNR
  d. DNF
17. A do-not-resuscitate order tells medical professionals not to
  a. prolong suffering
  b. give fluids
  c. perform CPR
  d. give oxygen
18. Do-not-resuscitate __ are available.
  a. forms
  b. bracelets
  c. necklaces
  d. all 3
19. "Terminal illness" shall be defined as a ____ condition which is considered to be medically incurable or untreatable in terms of currently available technology, and which can be expected to cause death.
  a. debilitating
  b. serious
  c. terminal
  d. deadly
20. In the USA, under ___ circumstances shall "do not resusitate" orders be written to facilitate request for "assisted suicide" or voluntary euthanasia.
  a. no
  b. a few
  c. some
  d. select
21. Euthanasia is intentional causing of a painless and easy death of a patient suffering from an incurable or painful disease. It is usually the injection of a lethal dose of a medication which then causes the patient's death. The American Nursing Association Code of Nurses _____ nurses to participate in it.
  a. permits
  b. prohibits
  c. encourages
  d. discourages
22. Appropriate _____ care may eliminate the suffering of patients and eliminate the need for assisted suicide.
  a. nursing
  b. hospice
  c. palliative
  d. medical
23. Medical futility usually deals with issues of ____ versus burdens of treatment and the communication of that information.
  a. outcome
  b. complexity
  c. benefits
  d. difficulty
24. Cases of "medical futility" rarely if ever arise in the treatment of mental illness and
  a. heart disease
  b. cancer
  c. substance abuse
  d. all 3