Advance Directives: Healthcare Treatment Decisions Quiz
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Questions and Answers

What is the main difference between quantitative futility and qualitative futility?

  • Quantitative futility is decided by the patient, while qualitative futility is decided by the health professional.
  • Quantitative futility is more common in medical practice than qualitative futility.
  • Quantitative futility involves interventions with very little chance of benefiting the patient, while qualitative futility involves interventions with a very insignificant benefit. (correct)
  • Quantitative futility is related to the patient's values, while qualitative futility is related to the family's values.

Who typically issues a medical certificate of death to the family?

  • The registrar of births, deaths, and marriages
  • The doctor (correct)
  • The coroner
  • The police officer

What is the role of a coroner?

  • Determining if a death is due to natural or supernatural causes
  • Issuing death certificates to the family of the deceased
  • Ordering and conducting inquests into the circumstances of death (correct)
  • Providing medical care to deceased individuals

In what situations might an investigation into the cause of death be carried out?

<p>When the person died in suspicious circumstances or the cause of death is not apparent (C)</p> Signup and view all the answers

What does a coroner have the authority to order as part of an inquest?

<p>Post-mortem examination (D)</p> Signup and view all the answers

What happens when a death is considered suspicious?

<p>The coroner will order and conduct an inquest into the circumstances of death. (B)</p> Signup and view all the answers

Who has the responsibility to register a death with the relevant authority?

<p>The family member of the deceased (C)</p> Signup and view all the answers

What is the purpose of a death certificate?

<p>To record officially that somebody has died (B)</p> Signup and view all the answers

What might be the reason for a post-mortem examination ordered by a coroner?

<p>To establish the circumstances surrounding the cause of death (B)</p> Signup and view all the answers

How does a coroner's decision regarding an inquest depend?

<p>It depends on jurisdiction and surrounding circumstances. (B)</p> Signup and view all the answers

When might a medical certificate of death be issued to the family by a doctor?

<p>Only when there are no suspicious circumstances surrounding the death. (C)</p> Signup and view all the answers

In what cases might a coroner's decision be made personally rather than by a jury?

<p>If the cause of death is apparent and uncontested. (C)</p> Signup and view all the answers

What is an advance directive?

<p>A directive made in advance by a person with decision-making capacity outlining their will and preferences for any healthcare treatment decisions (C)</p> Signup and view all the answers

When does an advance directive come into effect?

<p>When the directive-maker lacks decision-making capacity to consent to or to refuse treatment (B)</p> Signup and view all the answers

What can be set out in an advance directive?

<p>Both a refusal and a request for treatment (D)</p> Signup and view all the answers

What happens if a person has made a valid and applicable advance directive to refuse treatment?

<p>It is legally binding and must be respected by the healthcare professionals (A)</p> Signup and view all the answers

Under what conditions can healthcare professionals withhold life-saving or life-prolonging treatment based on an advance directive?

<p>The treatment to be refused and the circumstances are clearly identified in the advance directive, and the directive-maker lacks decision-making capacity to overrule the advance directive (B)</p> Signup and view all the answers

What are advance healthcare directives sometimes referred to as?

<p>&quot;Living wills&quot; (C)</p> Signup and view all the answers

What is the legal status of a DNAR form in England and Wales?

<p>It is not a legally binding document. (B)</p> Signup and view all the answers

What is the difference between an advance care plan and a Do Not Attempt Resuscitation (DNAR) form?

<p>Advance care plans focus on future care while DNAR forms are only relevant to current care. (B)</p> Signup and view all the answers

Under what circumstances should a health professional transfer care of a patient to another health professional?

<p>If the patient's request is against the health professional's conscience. (A)</p> Signup and view all the answers

What does 'medical futility' refer to?

<p>Interventions that are not likely to produce any significant benefit for the patient. (C)</p> Signup and view all the answers

In which situations can interventions such as mechanical ventilation or artificial hydration be withdrawn?

<p>At any time, even without an advance care plan or directive (D)</p> Signup and view all the answers

What is the main purpose of a Do Not Attempt Resuscitation (DNAR) form?

<p>To instruct medical personnel not to attempt CPR for the patient (D)</p> Signup and view all the answers

Who can develop an advance care plan if the person lacks capacity to express their own preferences?

<p>Those closest to the person, with input from healthcare professionals (B)</p> Signup and view all the answers

What is the difference between medical futility and withdrawal of treatment?

<p>'Medical futility' refers to interventions unlikely to benefit the patient, while withdrawal of treatment refers to discontinuing interventions that are burdensome or ineffective. (C)</p> Signup and view all the answers

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