Patient Education: Advance Directives

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Questions and Answers

What is needed if no advance directive has been prepared?

  • Court-appointed guardian
  • Authorized surrogate recognized by state law (correct)
  • Primary care physician
  • Psychiatrist for evaluation

When does an advance directive become effective in most states?

  • After incapacity is determined (correct)
  • At birth
  • Upon hospital admission
  • Before incapacity is determined

What is recommended for clinicians to do with a patient's living will and durable power of attorney?

  • Share it on social media
  • Obtain a copy, review with the patient, and make it part of the medical record (correct)
  • Keep it private
  • Discard it after one year

According to United States federal law, where must hospitals document whether an individual has an advance directive?

<p>In a prominent part of the patient's medical record (A)</p> Signup and view all the answers

Who should patients provide a copy of the durable power of attorney for health care to?

<p>Their appointed agent and close family or friends involved during serious illness (B)</p> Signup and view all the answers

What do an increasing number of states offer for recording advance directives?

<p>Optional electronic registries (C)</p> Signup and view all the answers

When do living wills typically go into effect?

<p>When the patient loses the ability to make their own health care decisions (C)</p> Signup and view all the answers

What is the purpose of a durable power of attorney for health care?

<p>To name someone to make financial decisions (D)</p> Signup and view all the answers

Who typically becomes legally authorized to make health care decisions when a durable power of attorney for health care is in place?

<p>The patient's agent or proxy (B)</p> Signup and view all the answers

What is a key requirement for a document to serve as reliable evidence of a patient's wishes?

<p>Complying with state law requirements for living wills (A)</p> Signup and view all the answers

Can a health care professional involved in a patient's care act as a witness to a living will in most states?

<p>No, they cannot be a witness in most states (C)</p> Signup and view all the answers

What action confirms and documents the loss of decisional capacity and the medical condition in relation to living wills?

<p>State law provides a specific process (C)</p> Signup and view all the answers

What is the purpose of advance directives?

<p>To extend control over health care decisions after incapacitation (B)</p> Signup and view all the answers

Which term is commonly used to refer to a surrogate decision maker in advance directives?

<p>Healthcare agent (A)</p> Signup and view all the answers

What is the main distinction between a living will and a durable power of attorney for health care?

<p>A living will only addresses end-of-life care, while a durable power of attorney designates a surrogate decision maker (D)</p> Signup and view all the answers

Why is training advisable for healthcare professionals when communicating about end-of-life decisions?

<p>To help communicate compassionately and effectively (C)</p> Signup and view all the answers

In what way can common law and constitutional principles influence honoring patient wishes?

<p>By guiding that any clear expression of patients' wishes should be honored within medical standards (A)</p> Signup and view all the answers

Why are advance directives encouraged as a legal tool in every state in the United States?

<p>To ensure patients' wishes are expressed and honored (D)</p> Signup and view all the answers

What is the main purpose of a living will?

<p>To provide guidance for end-of-life health care decisions (D)</p> Signup and view all the answers

Why is a living will referred to as 'living'?

<p>It is in effect while the person is still alive (C)</p> Signup and view all the answers

What is a potential limitation of a living will completed long before experiencing a life-limiting disorder?

<p>Many people change their preferences as circumstances change (C)</p> Signup and view all the answers

What is one aspect that can be just as helpful, if not more so, than specific treatment wishes in a living will?

<p>Core values relating to end-of-life care (D)</p> Signup and view all the answers

Can a living will force health care professionals to provide medically or ethically unwarranted care?

<p>No, never (A)</p> Signup and view all the answers

What is required for a living will to be legally valid?

<p>Compliance with state law (D)</p> Signup and view all the answers

What is the main advantage of a durable power of attorney for health care?

<p>Enables immediate decision-making by the agent (A)</p> Signup and view all the answers

How can a principal override the decisions made by the agent in a durable power of attorney for health care?

<p>By revoking the power of attorney (A)</p> Signup and view all the answers

What is a common recommendation for individuals who have both a living will and a durable power of attorney for health care?

<p>Stipulate which document should be followed in case of conflict (D)</p> Signup and view all the answers

In most states, who is generally not allowed to serve as an agent for health care matters?

<p>A health care professional providing care for the patient (C)</p> Signup and view all the answers

What does combining a living will and a durable power of attorney for health care into an advance directive achieve?

<p>Provides clear guidance for potential conflicts (D)</p> Signup and view all the answers

What authority does an agent have in making decisions about medical facts and prognosis according to the text?

<p>Equivalent to what the principal would have had if not incapacitated (B)</p> Signup and view all the answers

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