Navigating Ethical Dilemmas in Artificially Administered Nutrition & Hydration Quiz

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Question 1: What is the best fitting definition of the principle of bioethics known as non-maleficence?

Right of competent adults to make informed decisions

Do no harm

Work in the best interest of the patient

Fair, equitable, appropriate distribution of resources

Reference: Schwartz D., BarrocasA., Annetta M., et al. Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper. NutrClin Pract. 2021;36(2):254-267.

Question 2: True or False: The bioethics principle known as beneficence means to provide healthcare in the best interest of the caregiver.

True

False

Reference: Schwartz D., BarrocasA., Annetta M., et al. Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper. NutrClin Pract. 2021;36(2):254-267.

Question 3: True or False: Withholding and withdrawing therapy are ethically equivalent.

True

False

Reference: Vincent JL. Withdrawing may be preferable to withholding. Crit Care. 2005;9(3):226-9.

Question 4: What are communication strategies to consider when having end of life conversations with patients & caregivers?

Be honest, transparent, and respectful

Ask open-ended questions

Avoid bias and judgement

Avoid medical jargon and be clear

All of the above

Reference: Guidry-Grimes L., Sowa A., & Jankowski J. The Ethics and Practice of Communicating a Malnutrition Diagnosis. JAND. 2023;124(2):159-162.

Question 5: True or False: Artificially Administered Nutrition and Hydration (AANH) is considered a medical intervention.

True

False

Reference: Schwartz D., BarrocasA., Annetta M., et al. Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper. NutrClin Pract. 2021;36(2):254-267.

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