Nursing Home Admin Exam Review - Florida
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Questions and Answers

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?

  • 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?

  • 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?

    <p>The surrogate continues to make health care decisions</p> Signup and view all the answers

    What should the principal do to ensure their living will is recognized by health care providers?

    <p>Notify the attending physician about the existence of the living will</p> Signup and view all the answers

    In what situations may an individual create a living will?

    <p>When they have a terminal condition or are in a persistent vegetative state</p> Signup and view all the answers

    What is a living will intended to establish regarding a principal's wishes?

    <p>A rebuttable presumption of clear and convincing evidence of the principal's wishes</p> Signup and view all the answers

    If the principal fails to designate a surrogate, what impact does that have on the living will?

    <p>It has no effect on the validity of the living will</p> Signup and view all the answers

    What does 'informed consent' require from a patient?

    <p>Voluntary consent after sufficient explanation</p> Signup and view all the answers

    Which of the following best defines 'health care decision'?

    <p>Informed consent, refusal, or withdrawal of consent regarding health care</p> Signup and view all the answers

    What is included in the definition of incapacity?

    <p>The inability to communicate a knowing health care decision</p> Signup and view all the answers

    What constitutes a 'living will'?

    <p>A written document outlining preferences regarding life-prolonging procedures</p> Signup and view all the answers

    Which facilities are categorized as 'health care facilities'?

    <p>Hospitals, nursing homes, hospices, and health maintenance organizations</p> Signup and view all the answers

    What does 'life-prolonging procedure' specifically exclude?

    <p>Medication to alleviate pain</p> Signup and view all the answers

    What is a 'health care provider' according to the definitions given?

    <p>Any licensed individual authorized to administer health care</p> Signup and view all the answers

    Which of the following defines 'anatomical gift'?

    <p>A voluntary decision to donate organs or tissues after death</p> Signup and view all the answers

    Which of the following procedures must be documented and signed by the examining physicians before life-prolonging procedures can be withheld or withdrawn?

    <p>Findings of medical examinations</p> Signup and view all the answers

    What does withholding or withdrawing life-prolonging procedures in accordance with an advance directive NOT constitute?

    <p>Suicide</p> Signup and view all the answers

    In the absence of an advance directive, who has the highest priority in making health care decisions for an incapacitated patient?

    <p>The patient's spouse</p> Signup and view all the answers

    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?

    <p>The patient's neighbor</p> Signup and view all the answers

    Which individuals may be selected by the provider's bioethics committee as a proxy for health care decisions?

    <p>A licensed clinical social worker</p> Signup and view all the answers

    If the patient has multiple adult children available for consultation, what is required for health care decisions?

    <p>A majority agreement among the adult children</p> Signup and view all the answers

    What is the legal status of mercy killing or euthanasia according to the outlined guidelines?

    <p>Not authorized or condoned</p> Signup and view all the answers

    Which of the following best describes how health care decisions are prioritized in the absence of a designated surrogate?

    <p>Following a specified order of priority</p> Signup and view all the answers

    What does a persistent vegetative state indicate about an individual's condition?

    <p>The individual is in a permanent and irreversible state of unconsciousness.</p> Signup and view all the answers

    Which definition describes a 'surrogate' in health care decision-making?

    <p>A competent adult selected by a principal to make decisions on their behalf.</p> Signup and view all the answers

    What defines a 'terminal condition' in medical terms?

    <p>A condition expected to cause death without treatment.</p> Signup and view all the answers

    What fundamental right is recognized for competent adults regarding their health care decisions?

    <p>The right to refuse participation in medical treatment.</p> Signup and view all the answers

    What is the role of a 'proxy' in health care decision-making?

    <p>A competent adult who can decide for an incapacitated individual without designation.</p> Signup and view all the answers

    What is the primary focus of palliative care?

    <p>To address the comprehensive needs of patients, including psychological and spiritual.</p> Signup and view all the answers

    Who is considered a 'principal' in the context of advance directives?

    <p>A competent adult making advance medical decisions for themselves.</p> Signup and view all the answers

    Which of the following is NOT a characteristic of a persistent vegetative state?

    <p>Presence of voluntary actions.</p> Signup and view all the answers

    Under what condition may a person face civil or criminal liability for not acting on an amendment or revocation?

    <p>If they have actual knowledge of the amendment</p> Signup and view all the answers

    What happens when a patient previously incapacitated regains the ability to consent?

    <p>They may amend or revoke the authority of their medical proxy</p> Signup and view all the answers

    How must an amendment or revocation take effect?

    <p>When communicated in writing or orally in presence of a third person</p> Signup and view all the answers

    Who can seek judicial intervention if they believe the proxy's decision is not aligned with the patient's known desires?

    <p>Any person who could be affected by the proxy's decision</p> Signup and view all the answers

    What must an advance directive not affect according to the law?

    <p>The sale or issuance of life insurance policies</p> Signup and view all the answers

    Can life insurance be impaired if life-prolonging procedures are withdrawn in accordance with an advanced directive?

    <p>No, it cannot be legally impaired or invalidated</p> Signup and view all the answers

    Is a person required to create an advance directive to receive insurance or healthcare services?

    <p>No, it should not be a condition for these services</p> Signup and view all the answers

    What can trigger a judicial review of a surrogate or proxy's decision?

    <p>Ambiguity in the advance directive or patient’s changed mind</p> Signup and view all the answers

    What is required for a health care surrogate to have the authority to provide consent for medical decisions?

    <p>The principal must include an explicit written delegation of authority.</p> Signup and view all the answers

    Which of the following actions may a surrogate NOT consent to without express written authority from the principal?

    <p>Electroshock therapy for a mental health condition.</p> Signup and view all the answers

    What must be true for the execution of a document designating a health care surrogate to be valid?

    <p>It must be signed by the principal in the presence of two witnesses.</p> Signup and view all the answers

    What is the role of an alternate surrogate in the event the original surrogate is unable to perform their duties?

    <p>The alternate surrogate may assume duties if explicitly designated.</p> Signup and view all the answers

    Which of the following individuals is NOT allowed to act as a witness when executing a health care surrogate document?

    <p>The principal's spouse.</p> Signup and view all the answers

    If a principal has not designated an alternate surrogate, what happens to the original designation?

    <p>It remains valid despite the lack of an alternate designation.</p> Signup and view all the answers

    What happens if both the designated surrogate and the alternate surrogate are unable to make health care decisions?

    <p>The health care facility may seek the appointment of a proxy.</p> Signup and view all the answers

    In which scenario can a principal designate a separate surrogate for mental health treatment?

    <p>When a guardian advocate is appointed by a court.</p> Signup and view all the answers

    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.

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