Question

exam : dementia care: ethical considerations

1. which of the following is an important consideration when deciding to tell a person that they have alzheimer’s disease?

○ the age of the individual
○ the sex of the individual
○ if the person’s spouse has had alzheimer’s disease
○ the stage of the disease

1. which concept of moral guidelines focuses on the decision to provide or forgo treatment?

○ ordinary and extraordinary care
○ doing and accomplishing
○ acts of commission and omission
○ burdens of treatment and burdens of disease

1. what principle of ethics is broken when confidentiality is not followed?

○ autonomy
○ beneficence
○ non - maleficence
○ justice

Explanation:

Question 1

When deciding to disclose an Alzheimer’s diagnosis, the stage of the disease (e.g., early - stage patients may have more capacity to understand and process the information) is a crucial factor. Age and sex are not relevant to the decision - making of disclosing the diagnosis, and the spouse's history of Alzheimer’s doesn't relate to whether to tell the individual.

The concept of ordinary and extraordinary care is related to the decision of providing or forgoing treatment. "Doing and accomplishing" is not a relevant moral guideline concept here. "Acts of commission and omission" are about actions and inactions, not treatment decisions. "Burdens of treatment and burdens of disease" focus on the burdens rather than the decision to provide/forgo treatment.

Confidentiality is related to respecting a patient's right to privacy and control over their personal information, which is a part of the principle of autonomy (the right to self - determination and control over one's own affairs, including medical information). Beneficence is about doing good, non - maleficence about not doing harm, and justice about fairness. So when confidentiality is not followed, the principle of autonomy is broken.

Answer:

The stage of the disease

Question 2