CMD CMD Ethics & Medical Decision-Making

Question 1

Which ethical principle requires a Medical Director to act in the best interest of residents even when their preferences conflict with family wishes?

Accepted Answer

Beneficence

Answer

Non-maleficence

Answer

Justice

Answer

Autonomy

Question 2

A resident with intact decision-making capacity refuses a recommended antibiotic. The Medical Director's ethically correct action is to:

Accepted Answer

Document the refusal and respect the resident's decision

Answer

Administer the antibiotic anyway to prevent harm

Answer

Transfer the resident to a hospital immediately

Answer

Consult with the family to override the refusal

Question 3

Which document legally authorizes a designated person to make healthcare decisions for an incapacitated long-term care resident?

Accepted Answer

Durable power of attorney for healthcare

Answer

Living will

Answer

DNR order

Answer

Advance beneficiary notice

Question 4

When a family demands aggressive life-sustaining treatment that the care team believes is medically futile, the Medical Director should FIRST:

Accepted Answer

Convene an ethics committee consultation

Answer

Immediately comply with all family demands

Answer

Discharge the resident to a hospital

Answer

Issue a unilateral DNR order

Question 5

Under OBRA regulations, a long-term care facility must inform residents of their right to formulate advance directives. This requirement reflects which ethical principle?

Accepted Answer

Autonomy

Answer

Justice

Answer

Non-maleficence

Answer

Fidelity

Question 6

A Medical Director discovers a physician colleague has been prescribing controlled substances inappropriately for nursing home residents. The first required step is to:

Accepted Answer

Report findings to the facility administrator and follow facility policy

Answer

Ignore it if no immediate harm is evident

Answer

Personally confront the colleague publicly

Answer

Contact the DEA directly without notifying administration