CDP Ethics & Patient Safety 3

Question 1

An advance directive specifies that a patient with end-stage dementia should receive comfort care only, but a newly appointed surrogate requests aggressive intervention. The care team should:

Accepted Answer

Honor the patient's previously expressed wishes in the advance directive

Answer

Advance directives represent the patient's autonomous wishes made while competent and should be honored over surrogate preferences that conflict with them.

Question 2

When a person with dementia refuses a bath, the ethical principle of autonomy requires the care team to:

Accepted Answer

Respect the refusal, attempt alternative hygiene approaches, and document the interaction

Answer

Autonomy requires respecting refusals while creatively problem-solving alternative hygiene approaches and documenting all attempts.

Question 3

Which scenario represents a potential elder abuse situation requiring mandatory reporting by a CDP?

Accepted Answer

A family member yells at and threatens a resident with dementia during a visit

Answer

Verbal threats and yelling directed at a vulnerable adult constitute emotional abuse and require mandatory reporting per state and federal law.

Question 4

The principle of justice in dementia care most directly relates to:

Accepted Answer

Ensuring fair access to quality care regardless of a patient's race, gender, or financial status

Answer

Justice requires equitable distribution of care and resources without discrimination based on personal characteristics or socioeconomic status.

Question 5

A resident with moderate dementia says 'I don't want to take that pill.' Under which condition would administering the medication over this objection be ethically justifiable?

Accepted Answer

When a legally authorized surrogate consents and the medication is clearly necessary to prevent serious harm

Answer

Overriding a refusal requires legal surrogate authorization and clinical necessity to prevent serious harm, not simply staff or family preference.

(CDP) Certified Dementia Practitioner Practice Test

(CDP) Certified Dementia Practitioner Practice Test

CDP Ethics & Patient Safety 3