Long-Term Care Settings: Decision Making in Healthcare

Question 1

In long-term care settings, which ethical principle is crucial for guiding decision-making?

Accepted Answer

Respecting patients' rights to decide on their own care

Answer

Always adhering to institutional policies

Answer

Prioritizing healthcare professionals' interests over patients' interests

Question 2

Precise Question: Which ethical principle should be prioritized in decision-making for long-term care residents?

Accepted Answer

Respect for patient autonomy

Answer

Beneficence: promoting well-being

Answer

Non-maleficence: avoiding harm

Answer

Justice: fairness and equity

Question 3

In long-term care settings, which of the following ethical principles is paramount?

Accepted Answer

Patient autonomy

Answer

Optimizing well-being

Answer

Preventing needless suffering

Answer

Distributing scarce resources fairly

Question 4

When making healthcare decisions in long-term care settings, which principle should serve as the guiding force?

Accepted Answer

Patient autonomy

Answer

Maximizing patient satisfaction

Answer

Minimizing financial costs

Answer

Protecting healthcare providers from legal liability

Question 5

In long-term care settings, how can healthcare professionals ensure that end-of-life care decisions are both ethical and respectful of patient autonomy?

Accepted Answer

Engage in open communication with the patient and loved ones, involving them in decision-making.

Answer

Prioritize family members' opinions over the patient's wishes.

Answer

Strictly adhere to legal guidelines without considering the patient's circumstances.

Answer

Avoid discussions about end-of-life care to prevent discomfort or distress.

Question 6

Within a long-term care facility, who holds the primary legal obligation to uphold established laws and care standards?

Accepted Answer

The care provider

Answer

The resident

Answer

The healthcare staff

Answer

The government

Question 7

Which of the following is a foundational ethical principle in decision-making in long-term care settings?

Accepted Answer

Respecting the patient's autonomy and self-determination

Answer

Prioritizing the best interests of the patient

Answer

Ensuring the quality of life for the patient

Answer

Considering cost-effectiveness in decision-making

Question 8

What is the primary role of the multidisciplinary team in decision-making in long-term care settings?

Accepted Answer

To provide diverse perspectives and expertise

Answer

To make healthcare decisions on behalf of the patient

Answer

To ensure that decisions comply with legal requirements

Answer

To execute the decisions made by the patient

Question 9

Which of the following is a core principle of patient-centered care in long-term care settings?

Accepted Answer

Respecting the patient's values, preferences, and wishes

Answer

Focusing solely on the patient's physical health

Answer

Making decisions without involving the patient

Answer

Prioritizing cost-effective care over patient preferences

Question 10

What are the key elements of a comprehensive assessment in long-term care settings?

Accepted Answer

Medical history, functional abilities, cognitive status, psychosocial well-being, and patient preferences

Answer

Physical examination only

Answer

Patient preferences and values

Answer

Opinions from family members

Question 11

Which ethical principle places primary importance on respecting the patient's wishes, even if the healthcare provider disagrees with them?

Accepted Answer

Patient Autonomy

Answer

Provider Convenience

Answer

Cost Containment

Answer

Institutional Reputation

Question 12

In a long-term care setting, who is typically authorized by law to make healthcare decisions for a resident who is unable to do so?

Accepted Answer

Legally appointed guardian

Answer

Resident's family

Answer

Attending physician

Answer

Facility administrator

Question 13

In long-term care settings, which of the following is a fundamental challenge in providing patient-centered care?

Accepted Answer

Balancing individual resident needs with the limitations of the facility's resources

Answer

Insufficient staffing levels

Answer

Resistance from family members

Answer

Limited access to advanced technology

Question 14

What is the primary function of a social worker in a long-term care facility?

Accepted Answer

Providing emotional and practical support to residents and their families

Answer

Coordinating discharge planning

Answer

Managing medical treatments

Question 15

Which type of long-term care setting offers the highest level of medical supervision and skilled nursing care?

Accepted Answer

Skilled nursing facility

Answer

Residential care home

Answer

Continuing care retirement community

Answer

Assisted living facility

Question 16

Which ethical principle requires healthcare providers to avoid causing harm to patients?

Accepted Answer

Non-maleficence

Answer

Beneficence

Answer

Justice

Answer

Autonomy

Question 17

What is the primary purpose of an advance directive in long-term care settings?

Accepted Answer

To document a patient's preferences for future medical treatment in the event they become incapacitated

Answer

To ensure financial coverage for healthcare expenses

Answer

To transfer legal responsibility to another individual

Question 18

Which of the following is a potential consequence of failing to involve residents in healthcare decision-making?

Accepted Answer

Diminished quality of life for residents

Answer

Legal liability for the facility

Answer

Increased workload for staff

Answer

Closure of the facility

Question 19

What is the primary role of a physician assistant in a long-term care setting?

Accepted Answer

Providing medical care under the supervision of a licensed physician

Answer

Conducting research studies

Answer

Managing administrative operations

Question 20

Which type of long-term care setting is designed for individuals who require assistance with daily living activities, but not skilled nursing care?

Accepted Answer

Assisted living facility

Answer

Residential care home

Answer

Skilled nursing facility

Answer

Continuing care retirement community

Question 21

Which of the following is NOT a type of residential long-term care setting?

Accepted Answer

Acute care hospital

Answer

Nursing home

Answer

Residential care home

Question 22

What is the primary role of healthcare professionals in a long-term care facility?

Accepted Answer

To provide patient-centered care that promotes their well-being

Answer

To conduct research

Answer

To manage the daily operations of the facility

Question 23

Which ethical principle should be given the highest priority when making decisions in a long-term care setting?

Accepted Answer

Autonomy (respect for the resident's right to make their own choices)

Answer

Justice (treating all residents fairly and equitably)

Answer

Non-maleficence (avoiding harm to the resident)

Answer

Beneficence (doing what is in the resident's best interests)

Question 24

When faced with an ethical dilemma in a long-term care setting, what is the most appropriate approach to resolving it?

Accepted Answer

Using a multidisciplinary team approach that involves the resident, their family, healthcare professionals, and an ethics committee (if available)

Answer

Relying solely on the patient's wishes

Answer

Making the decision based on personal values

Answer

Consulting only with the patient's family

Question 25

What is the primary responsibility of the Care Quality Commission (CQC) in regulating long-term care services in the United Kingdom?

Accepted Answer

To monitor, inspect, and rate the quality of care services to ensure they meet fundamental standards of quality and safety

Answer

To train healthcare professionals in long-term care settings.

Answer

To provide funding for long-term care services

Question 26

What is the main benefit of advance care planning in long-term care settings?

Accepted Answer

It enables individuals to express their wishes and preferences for future care, ensuring their values and choices are respected

Answer

It reduces the burden on family members

Answer

It guarantees that individuals will receive the care they want

Question 27

Which of the following is a fundamental principle of person-centered care in long-term care settings?

Accepted Answer

Treating individuals with dignity and respect, valuing their unique needs, preferences, and life experiences

Answer

Providing care that is efficient and cost-effective

Answer

Following standardized protocols without considering individual preferences

Answer

Relying on family members to make decisions for individuals