HOW TO OBTAIN CONTINUING EDUCATION UNITS BY READING THIS ISSUE
Instructions: Registered nurses may receive two contact hours by reading the article noted below and successfully answering the questions in the following post-test. Licensed practical nurses who pass the post-test can petition their state LPN board for acceptance of the CE credits. To obtain continuing education unit credit:
1. Read the article "Resolving Ethical Problems in Long-Term Care" on pages 20-26, carefully noting the tables and other illustrative materials that are provided to enhance your knowledge and understanding of the content.
2. Read each question ano record your answer on the registration form provided.
3. Type or print your full name and address and your social security number in the spaces provided on the registration form.
4. Forward the completed form with your check or money order for $1 5 made out to University of Maryland. Quizzes are accepted up to 12 months from date of issue.
Continuing Education Units: The University of Maryland School of Nursing is accredited as a provider of continuing education in nursing by the American Nurses Credentiaiing Center's Commission on Accreditation. SLACK Inc. and University of Maryland School of Nursing are co-providers of this continuing education home study program.
Answers to the post-test will be graded and you will be advised that you have passed or failed within 60 days of receipt of your completed test. A score of 70% or above will comprise a passing grade. A certificate will be awarded to participants who successfully complete the test.
Ten contact hours of participation in an educational offering is awarded one CEU. A contact hour is 50 minutes of instruction. Contact hour verification can be awarded only at the completion of a program. Contact hour units received for successful completion of the post-test may be used for certification or recertification credit.
Objectives: After studying the article "Resolving Ethical Problems in Long-Term Care* in this issue, the participant will:
1. List the key players and potential decision-makers involved in ethical dilemmas.
2. Identify five actions nurses may implement when dealing with end of life decision -making.
3. Explain criteria that should be considered when formulating ethical policies in long-term care settings.
4. Describe the role of an Ethics Committee in a long-term care setting.
5. Describe the various ethical theories influencing ethical decision- ma king.
Directions: Circle the letter of the best answer on the registration form provided.
1 . Autonomy and right to refuse treatment are important considerations when:
A. Family members agree on the course of action.
B. Institutional policies outline the agency's legal responsibility
C. The patient is able to participate in decision-making.
D. The physician assumes ethical responsibility for the patient's care.
2. The most common reason cited for nurses to compromise their ethical values is:
A. Their role as patient advocate.
B. The cost of the treatment ordered.
C. Their knowledge of the patienfs wishes.
D. A physician's request.
3. Which of the following individuals acts as a liaison between the family and facility to promote family directives?
A. Director of nursing.
B. Director of social services.
C. Nursing home ombudsman.
D. Nursing home administrator.
4. Physicians may order life-prolonging treatment to:
A. Attract new patients.
B. Demonstrate power and control.
C. Fulfill an obligation to the patient.
D. Prevent future litigation by the family.
5. Which of the following individuals is noi considered to be a key player in patient decision-making?
6. Which of the following approaches should the nurse use to encourage the physician to reconsider his position regarding Bob's care?
A. Ask the social worker to schedule weekly meetings with the family.
B. Arrange a meeting witfi the family and the physician to discuss Bob's care.
C, Discuss Bob's case using the Patient's Bill of Rights and related literature.
D. Encourage nursing staff to question the physician's plan of care.
7. Which of the following statements regarding respect as a critenon to consider when constructing ethical policies is true?
A. Respect is based on the values and goals of the patient.
B. Respect contradicts the ethical principle of beneficence.
C. Respect ensures the treatment plan ensures quality of life.
D. Respect rules out paternalism of health care professionals.
8. The ethical principle of beneficence requires that the:
A. Artificial nutrition and hydrafion measures are initiated.
B. Patient is able to participate in decision-making.
D. The family approves the treatment plan.
9. What is the most important component of the ethical príncipe of fairness?
A. Coercion is to be avoided at ail times.
B. Decisions are based on egoism.
C. Moral significance is a priority.
D. Not inflicting harm on the patient while meeting his basic needs.
10. According to utilitarianism theory, decision-making logic is xised on:
A. Considering the Patient's Bill of Rights.
B. Evaluating statistical futility.
C. Inflicting the least harm for the greatest number of people.
D. Promoting the welfare of the health care system.