Nokea
Which of the following is true in relation to advance directives?
- A. Advance directives document a patient's health care preferences.
- B. An advance directive is exactly the same as a power of attorney.
- C. Advance directives are consistent between provinces and territories.
- D. An advance directive determines who can make decisions for the patient.
Correct Answer: A
Rationale: A personal directive or advance directive (or living will) enables a person, in advance of incapacity or serious illness or injury, to name a personal agent who will enforce the person's health care preferences and to outline values and beliefs that affect treatment and care.
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Which of the following is a value outlined in the Canadian Nurses Association (CNA) Code of Ethics (2017)?
- A. Preserving dignity
- B. Promoting autonomy
- C. Maintaining anonymity
- D. Maintaining social equity
Correct Answer: A
Rationale: One of the seven values outlined in the CNA Code of Ethics is preserving dignity.
It is important to have a full discussion of the patient's and family's wishes for a do not resuscitate order (DNR) when developing an end-of-life treatment plan for which of the following reasons?
- A. It will ensure that proper medications are given.
- B. It will ensure actions are consistent with the patient's and family's wishes.
- C. It will cover all of the legal issues and prevent malpractice
- D. It will support the standing orders for nursing care.
Correct Answer: B
Rationale: It is important to include a full discussion of DNR orders because too broad or narrow interpretation of those orders could result in the application of basic or advanced life support in ways that may be inconsistent with the patient's and family's wishes.
Margaret is caring for an older resident who has requested medical assistance in dying (MAID) and is awaiting the decision of the health care team. Which of the following is required in Canada before MAID would be permitted? (Select all that apply.)
- A. Financial hardship
- B. Unbearable mental or physical suffering
- C. Unable to obtain home care
- D. Grievous and irredeemable medical condition
- E. Drug addiction
- F. Natural death is foreseeable
- G. Unable to obtain home health care services
Correct Answer: B,D,F
Rationale: A grievous and irremediable medical condition is considered one in which decline cannot be reversed, there is unbearable physical or mental suffering, and natural death is reasonably foreseeable.
Which of the following situations reflects active euthanasia?
- A. Withholding of intravenous or tube feedings
- B. Withholding of intravenous or tube feedings
- C. Administering an excessive dose of barbiturates
- D. Withholding lifesaving medications
Correct Answer: C
Rationale: Euthanasia is the putting to death, by painless method, of a terminally ill or severely disabled person who has requested assistance in withholding or withdrawing life-sustaining procedure or passive euthanasia, such as the withholding of intravenous or tube feedings, or commission of an act (active euthanasia), such as intentional administration of an excessive dose of barbiturates.
Which of the following statements by a registered nurse would indicate following the Canadian Nurses Association (CNA) Code of Ethics when conscientiously objecting to providing care?
- A. I refuse to take care this of this patient because she has HIV.
- B. I am going to tell my patient I don't agree with his decision.
- C. I don't agree, but I will implement the treatment anyway.
- D. I am going to discuss this with my manager right away.
Correct Answer: D
Rationale: The CNA Code of Ethics advises nurses to notify their employers as soon as possible of their conscientious objection and to ensure that the care of patients is not compromised, which may mean transferring care, in a respectful way, to an alternative provider.