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

Beneficence obligates the Medical Director to prioritize the resident's well-being above competing interests.

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

Respecting autonomy means a competent resident's informed refusal must be honored and documented.

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

A durable power of attorney for healthcare designates a surrogate decision-maker when the resident loses capacity.

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

Ethics committee consultation provides a structured, neutral forum to address conflicts over medically futile treatment.

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

Mandating advance directive counseling upholds autonomy by ensuring residents can direct their future care.

(CMD) Certified Medical Director Practice Test

(CMD) Certified Medical Director Practice Test

CMD CMD Ethics & Medical Decision-Making