Autonomy and Risk Scenario Analysis

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What was the primary concern regarding Elsie's desire to return home?

Her family and friends were against it

It would be unfair to devote resources to support her

The hospital staff believed it would not be in her best interest

She would not be safe at home (correct)

What was the reason given for not admitting Elsie to extended nursing care against her wishes?

It would enhance her safety

She enjoyed better health and less stress when making her own choices (correct)

It could prolong her life

It would enhance her quality of life

What was the general agreement among health care professionals regarding Elsie's safety at home?

There was uncertainty about her safety at home

She would be safe with very major support from community health services

Her safety at home was synonymous with welfare

She would not be safe at home under any circumstances (correct)

What aspect is as important to many people as the duration of life?

Quality of life Signup and view all the answers

What does Elsie's contentedness during prolonged admissions suggest about her potential adjustment to a long-stay unit?

Likely to settle equally well Signup and view all the answers

What was the reason for not devoting a large share of limited resources to support Elsie at home?

It would be unfair to other dependent patients in the community Signup and view all the answers

What was the view on admitting someone to extended nursing care against their wishes?

It might lead to better health and less stress Signup and view all the answers

What is the relationship between safety and welfare based on the text?

Safety is more important than welfare. Signup and view all the answers

What type of people enjoy better health and suffer less from stress, according to the text?

Older people who make their own choices about events in their life. Signup and view all the answers

What does a score less than 18/30 on the MMSE often indicate?

Moderately severe dementia Signup and view all the answers

What factors greatly reduce the value of the MMSE results for Elsie?

Little formal education, difficulty reading and writing, uncorrected hearing deficits, and reluctance to cooperate Signup and view all the answers

What does the lack of carry-over from one therapy session to the next suggest about Elsie?

Significant impairment of attentiveness and short-term memory Signup and view all the answers

What did Elsie's optimism in the face of advice indicate?

Competence in reasoning about risks Signup and view all the answers

What was the main reason for Elsie's discharge home according to healthcare professionals?

Sufficient decision-making capacity and autonomy preference Signup and view all the answers

Why did Elsie refuse to acknowledge serious deficits in community support?

Incompetence in reasoning about risks Signup and view all the answers

What did Elsie's acceptance that there were risks associated with going home indicate?

Competence in reasoning about risks Signup and view all the answers

What does Elsie's refusal to acknowledge that there would be serious deficits in community support suggest?

Unrealistic perception of risk Signup and view all the answers

What does Elsie's strong views about drawbacks of living in a home indicate?

Competence to reason about treatment options and unpalatable decisions Signup and view all the answers

What did healthcare professionals doubt regarding admission to long-term care against Elsie's wishes?

Whether it would indeed be in her best interests Signup and view all the answers

Why must patients who wish to go home be allowed to do so unless incapacity is clearly proven?

Because autonomy is a good in itself, regardless of whether it advances welfare Signup and view all the answers

What was the difficulty faced by healthcare professionals regarding Elsie's case?

The decision about whether admission to long-term care against her wishes would indeed be in her best interests Signup and view all the answers

What is risk perception influenced by according to the text?

Emotions, severity of events, availability of alternative information sources, and personality traits Signup and view all the answers

What is the aim of risk assessments according to the text?

To make decisions that are smart, well-thought-out, and ultimately defendable Signup and view all the answers

What should be greater than its risks in a typical scenario?

Benefits of action Signup and view all the answers

What is the process of determining how likely it is that something bad will happen called according to the text?

Risk assessment Signup and view all the answers

Why is it important to remember that adding life to years may often be more important than adding years to life when caring for older people according to the text?

To prioritize the quality of life over longevity Signup and view all the answers

What does the text suggest about the relationship between risk and decision-making?

Risks should be considered along with the benefits before making any decision Signup and view all the answers

What does the text imply about risk assessment?

It is only as good as the data it is based on Signup and view all the answers

What influences risk perception?

Emotions and framing of risk information Signup and view all the answers

What does the text suggest about taking chances?

People are more likely to take chances when they believe there is something to gain Signup and view all the answers

What role do emotions play in risk perception according to the text?

They heavily influence how people perceive risk Signup and view all the answers

What does the text suggest about predicting the future?

It is impossible without a crystal ball Signup and view all the answers

What is important when considering any intervention according to the text?

Awareness of the advantages, dangers, and uncertainties Signup and view all the answers