Podcast
Questions and Answers
Who can authorize the release of information and medical records for a principal?
Who can authorize the release of information and medical records for a principal?
- Any family member
- The appointed surrogate (correct)
- The principal's spouse
- The attending physician
What is required for a living will to be valid?
What is required for a living will to be valid?
- It must be approved by a guardian
- It must be notarized
- It must be signed by two witnesses (correct)
- It must be filed with the court
What must happen if the principal is unable to sign the living will due to physical limitations?
What must happen if the principal is unable to sign the living will due to physical limitations?
- One of the witnesses must sign for the principal (correct)
- The principal must verbally direct the witnesses
- A guardian must be appointed
- The living will is invalidated
What happens if a court appoints a guardian after a surrogate has been designated?
What happens if a court appoints a guardian after a surrogate has been designated?
What should the principal do to ensure their living will is recognized by health care providers?
What should the principal do to ensure their living will is recognized by health care providers?
In what situations may an individual create a living will?
In what situations may an individual create a living will?
What is a living will intended to establish regarding a principal's wishes?
What is a living will intended to establish regarding a principal's wishes?
If the principal fails to designate a surrogate, what impact does that have on the living will?
If the principal fails to designate a surrogate, what impact does that have on the living will?
What does 'informed consent' require from a patient?
What does 'informed consent' require from a patient?
Which of the following best defines 'health care decision'?
Which of the following best defines 'health care decision'?
What is included in the definition of incapacity?
What is included in the definition of incapacity?
What constitutes a 'living will'?
What constitutes a 'living will'?
Which facilities are categorized as 'health care facilities'?
Which facilities are categorized as 'health care facilities'?
What does 'life-prolonging procedure' specifically exclude?
What does 'life-prolonging procedure' specifically exclude?
What is a 'health care provider' according to the definitions given?
What is a 'health care provider' according to the definitions given?
Which of the following defines 'anatomical gift'?
Which of the following defines 'anatomical gift'?
Which of the following procedures must be documented and signed by the examining physicians before life-prolonging procedures can be withheld or withdrawn?
Which of the following procedures must be documented and signed by the examining physicians before life-prolonging procedures can be withheld or withdrawn?
What does withholding or withdrawing life-prolonging procedures in accordance with an advance directive NOT constitute?
What does withholding or withdrawing life-prolonging procedures in accordance with an advance directive NOT constitute?
In the absence of an advance directive, who has the highest priority in making health care decisions for an incapacitated patient?
In the absence of an advance directive, who has the highest priority in making health care decisions for an incapacitated patient?
Which of the following individuals is NOT listed as an option to make health care decisions if an incapacitated patient has not designated a surrogate?
Which of the following individuals is NOT listed as an option to make health care decisions if an incapacitated patient has not designated a surrogate?
Which individuals may be selected by the provider's bioethics committee as a proxy for health care decisions?
Which individuals may be selected by the provider's bioethics committee as a proxy for health care decisions?
If the patient has multiple adult children available for consultation, what is required for health care decisions?
If the patient has multiple adult children available for consultation, what is required for health care decisions?
What is the legal status of mercy killing or euthanasia according to the outlined guidelines?
What is the legal status of mercy killing or euthanasia according to the outlined guidelines?
Which of the following best describes how health care decisions are prioritized in the absence of a designated surrogate?
Which of the following best describes how health care decisions are prioritized in the absence of a designated surrogate?
What does a persistent vegetative state indicate about an individual's condition?
What does a persistent vegetative state indicate about an individual's condition?
Which definition describes a 'surrogate' in health care decision-making?
Which definition describes a 'surrogate' in health care decision-making?
What defines a 'terminal condition' in medical terms?
What defines a 'terminal condition' in medical terms?
What fundamental right is recognized for competent adults regarding their health care decisions?
What fundamental right is recognized for competent adults regarding their health care decisions?
What is the role of a 'proxy' in health care decision-making?
What is the role of a 'proxy' in health care decision-making?
What is the primary focus of palliative care?
What is the primary focus of palliative care?
Who is considered a 'principal' in the context of advance directives?
Who is considered a 'principal' in the context of advance directives?
Which of the following is NOT a characteristic of a persistent vegetative state?
Which of the following is NOT a characteristic of a persistent vegetative state?
Under what condition may a person face civil or criminal liability for not acting on an amendment or revocation?
Under what condition may a person face civil or criminal liability for not acting on an amendment or revocation?
What happens when a patient previously incapacitated regains the ability to consent?
What happens when a patient previously incapacitated regains the ability to consent?
How must an amendment or revocation take effect?
How must an amendment or revocation take effect?
Who can seek judicial intervention if they believe the proxy's decision is not aligned with the patient's known desires?
Who can seek judicial intervention if they believe the proxy's decision is not aligned with the patient's known desires?
What must an advance directive not affect according to the law?
What must an advance directive not affect according to the law?
Can life insurance be impaired if life-prolonging procedures are withdrawn in accordance with an advanced directive?
Can life insurance be impaired if life-prolonging procedures are withdrawn in accordance with an advanced directive?
Is a person required to create an advance directive to receive insurance or healthcare services?
Is a person required to create an advance directive to receive insurance or healthcare services?
What can trigger a judicial review of a surrogate or proxy's decision?
What can trigger a judicial review of a surrogate or proxy's decision?
What is required for a health care surrogate to have the authority to provide consent for medical decisions?
What is required for a health care surrogate to have the authority to provide consent for medical decisions?
Which of the following actions may a surrogate NOT consent to without express written authority from the principal?
Which of the following actions may a surrogate NOT consent to without express written authority from the principal?
What must be true for the execution of a document designating a health care surrogate to be valid?
What must be true for the execution of a document designating a health care surrogate to be valid?
What is the role of an alternate surrogate in the event the original surrogate is unable to perform their duties?
What is the role of an alternate surrogate in the event the original surrogate is unable to perform their duties?
Which of the following individuals is NOT allowed to act as a witness when executing a health care surrogate document?
Which of the following individuals is NOT allowed to act as a witness when executing a health care surrogate document?
If a principal has not designated an alternate surrogate, what happens to the original designation?
If a principal has not designated an alternate surrogate, what happens to the original designation?
What happens if both the designated surrogate and the alternate surrogate are unable to make health care decisions?
What happens if both the designated surrogate and the alternate surrogate are unable to make health care decisions?
In which scenario can a principal designate a separate surrogate for mental health treatment?
In which scenario can a principal designate a separate surrogate for mental health treatment?
Flashcards
Persistent Vegetative State
Persistent Vegetative State
A permanent and irreversible state of unconsciousness where the individual lacks voluntary action, cognitive behavior, and the ability to interact with the environment.
Physician
Physician
A person licensed to practice medicine, typically under state laws.
Principal
Principal
A competent adult who creates an advance directive and whose medical decisions are to be made.
Proxy
Proxy
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Surrogate
Surrogate
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Terminal Condition
Terminal Condition
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Right to Self-Determination in Healthcare
Right to Self-Determination in Healthcare
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Palliative Care
Palliative Care
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Health Care Decision
Health Care Decision
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Health Care Facility
Health Care Facility
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Health Care Provider
Health Care Provider
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Incapacity
Incapacity
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Informed Consent
Informed Consent
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Life-prolonging Procedure
Life-prolonging Procedure
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Living Will
Living Will
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Anatomical Gift
Anatomical Gift
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Advance Directive
Advance Directive
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Surrogate/Proxy
Surrogate/Proxy
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Health Care Surrogate Designation
Health Care Surrogate Designation
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Consent
Consent
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Advance Directive
Advance Directive
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Autonomy
Autonomy
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Executing an Advance Directive
Executing an Advance Directive
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Abortion
Abortion
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Who can create a living will?
Who can create a living will?
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How to execute a living will?
How to execute a living will?
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Where should a living will be kept?
Where should a living will be kept?
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What happens if a person with a living will has no surrogate?
What happens if a person with a living will has no surrogate?
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What can a surrogate do?
What can a surrogate do?
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What is the legal effect of a living will
What is the legal effect of a living will
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Liability for Failure to Act on Advance Directive Changes
Liability for Failure to Act on Advance Directive Changes
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Revoking Proxy Authority after Regaining Capacity
Revoking Proxy Authority after Regaining Capacity
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Effective Date of Advance Directive Changes
Effective Date of Advance Directive Changes
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Reviewing Proxy Decisions
Reviewing Proxy Decisions
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Advance Directive and Life Insurance
Advance Directive and Life Insurance
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Valid Life Insurance with Advance Directives
Valid Life Insurance with Advance Directives
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Advance Directive Requirement
Advance Directive Requirement
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Immunity from Liability for Advance Directive Actions
Immunity from Liability for Advance Directive Actions
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Withholding or Withdrawal of Life-Prolonging Procedures
Withholding or Withdrawal of Life-Prolonging Procedures
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Mercy Killing / Euthanasia
Mercy Killing / Euthanasia
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Suicide
Suicide
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Appointment of Proxy
Appointment of Proxy
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Bioethics Committee
Bioethics Committee
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Choosing a Proxy by Provider's Bioethics Committee
Choosing a Proxy by Provider's Bioethics Committee
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Study Notes
Nursing Home Administrator Licensure Exam Review Course - Florida Exam
- The course material is a 3-week, independent study program for Florida nursing home administrator licensure.
- Student progress is tracked through email communication with the instructor.
- The instructor does not guarantee a passing score on the exam.
- Exam preparation relies on personal experience, academic background, and dedicated study time.
- The student is responsible for exam registration and fees.
Chapter 765 - Advanced Directives
- Definitions: Terms like "advance directive," "attending physician," "close personal friend," "end-stage condition," "health care decision," "health care facility," "health care provider," "incapacity," "informed consent," "life-prolonging procedure," "living will," and "persistent vegetative state" are defined.
- Existing Advanced Directives: Existing directives are explained.
- Amending/Revoking Directives: Methods for amending or revoking directives are provided.
- Reviewing Proxy/Surrogate Decisions: Review procedures for proxy/surrogate decisions are outlined.
- Effect on Insurance: Advance directives' effect on insurance is clarified.
- Providing Patient Info on Directives: Required methods to inform patients of their advance directive rights are explained.
- Pain Management & Palliative Care: Discussions regarding pain management and palliative care.
- Transferring Patients: Procedures for transferring patients using directives.
- Falsifying/Destroying Directives: Consequences of falsifying or destroying directives are noted.
- Restrictions on Providing Consent: Limits on consent outlined.
- Designation of Health Care Surrogate: Process for appointing a health care surrogate.
- Capacity of Principal: Definition of "capacity" and its impact on directives.
- Responsibility of Surrogate: Surrogate's responsibilities and actions.
- Making a Living Will: Process of creating a living will.
- Procedures for Living Will: Specific procedures related to living wills.
- Absence of Living Will: Procedures if a living will is not present.
- Determination of Patient Condition: How a patient's condition is determined and what physicians are involved.
- Mercy Killing/Euthanasia: These actions are explicitly forbidden.
- Appointment of Proxy: Appointing a proxy in absence of a living will or surrogate.
- Persistent Vegetative State: Procedures and conditions associated with persistent vegetative state.
- Advanced Directives from Other States: Validity of advance directives from other states.
- Review of Surrogate/Proxy's Decision: Reviewing a surrogate's decisions concerning advance directives.
- Effect of Advance Directive on Insurance: Laws protecting insurance policies when advance directives are used.
- Immunity from Liability: Protection from legal action for those following advance directives.
- Information on Advanced Directives: Clarification on providing information to patients about advanced directives, documentation, and forms/records.
Exam Preparation
- Speed Reader: Use this to familiarize yourself with the material before the module exams. Repeatedly read it.
- Exam Packet: Complete practice exams until a score of 100% is achieved. Record your results. Cross-reference each question to the speed reader for improvement.
Contact Information
- Stan Mucinic, LNHA: Contact information for the instructor.
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Description
This independent study program prepares you for the Florida Nursing Home Administrator Licensure Exam over three weeks. It focuses on key concepts such as advanced directives and their definitions, amending and revoking procedures, and ensures students engage actively with the material through email support. Note that passing the exam is not guaranteed.
