Clinical Nurse Leader Practice Exam

What is one ethical dilemma often faced in treating elderly patients with pneumonia?

1. Deciding whether to perform surgery immediately

2. Choosing between comfort care and aggressive treatments

3. Determining eligibility for long-term rehabilitation

4. Assessing the effectiveness of new medications

The correct answer is: Choosing between comfort care and aggressive treatments

Choosing between comfort care and aggressive treatments presents a significant ethical dilemma in treating elderly patients with pneumonia due to the complexity of their overall health status and the nuances of patient preferences. In many cases, elderly patients may have multiple comorbidities, which can complicate the decision-making process regarding the aggressiveness of treatment. Comfort care focuses on alleviating symptoms and enhancing the quality of life without pursuing curative measures. It is particularly relevant for elderly patients who may prioritize comfort and dignity over prolonged life, especially if the prognosis is poor or if the clinical interventions could lead to additional suffering. On the other hand, aggressive treatments may involve hospitalization, intensive monitoring, and various interventions that could significantly affect the patient's quality of life. The healthcare team must consider the patient’s wishes, their values, and the potential outcomes of each approach. This dilemma often requires sensitive discussions with the patient, family members, and the healthcare team to align the treatment plan with the patient’s goals and preferences, making it a central ethical concern in geriatric care. In contrast, the other options, while they present important considerations in caring for elderly patients, do not encapsulate the ethical complexities surrounding the patient's autonomy and quality of life to the same degree.