Author Question: Which of the following phenomena have contributed to recent increases in the number and complexity ... (Read 34 times)

natalie2426 · **on:** Jul 11, 2018

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.

A) The scope of practice goes beyond simply following doctors' orders.
B) Nurses' levels of responsibility are higher than in past years.
C) Medical technology has made significant advances.
D) The Internet has made patients and their families more informed about health.
E) Deaths from heart disease are declining while deaths from cancer are increasing.
F) Conflicts between cost effectiveness and quality of care

Question 2

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? A) Backdating the paperwork to ensure that Mr. L does not sustain harm from having to pay or having to go without oxygen therapy.
B) Backdating the paperwork because it will clearly maximize Mr. L's well-being at a nominal cost to the insurer.
C) Refusing to backdate the paperwork because to do so would be untruthful.
D) Refusing to backdate the paperwork because to do so would be an unjust act toward the insurance company.

tsternbergh47 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, B, C, F
Feedback:
The increasing scope and responsibility that nurses bring to practice contribute to ethical dilemmas, while advances in medical technology and fiscal constraints bring a new series of issues to care. Increasingly informed patients and changes in causes of death do not directly increase the number of ethical dilemmas faced by nurses.

Answer to Question 2

C
Feedback:
The principle of veracity emphasizes truthfulness, and the nurse's refusal to lie on the insurance documentation is indicative of this principle. Consideration for the consequences to either the patient or the insurance company would be secondary.