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Advance Care Planning and Directives in End-of-Life Care

Description: This quiz assesses your knowledge of Advance Care Planning and Directives in End-of-Life Care.
Number of Questions: 15
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Tags: advance care planning end-of-life care directives
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What is the primary purpose of advance care planning?

  1. To ensure that a person's wishes for end-of-life care are known and respected.

  2. To reduce the burden on family members and healthcare providers.

  3. To save money on healthcare costs.

  4. To avoid legal disputes.


Correct Option: A
Explanation:

Advance care planning is a process of communication and decision-making that allows a person to express their wishes for end-of-life care and to appoint a healthcare proxy to make decisions on their behalf if they are unable to do so.

Which of the following is NOT a common advance care planning directive?

  1. Living will

  2. Durable power of attorney for healthcare

  3. Do-not-resuscitate (DNR) order

  4. Organ donation declaration


Correct Option: D
Explanation:

Organ donation declaration is not a common advance care planning directive. It is a separate document that allows a person to specify their wishes for organ donation after their death.

Who can serve as a healthcare proxy?

  1. A spouse or partner

  2. A child

  3. A friend

  4. A healthcare provider


Correct Option:
Explanation:

A healthcare proxy can be a spouse or partner, a child, a friend, or a healthcare provider. The person must be at least 18 years old and competent to make healthcare decisions.

When should a person consider advance care planning?

  1. When they are diagnosed with a serious illness

  2. When they are elderly

  3. When they are pregnant

  4. All of the above


Correct Option: D
Explanation:

Advance care planning is important for people of all ages and health conditions. It is especially important for people who are diagnosed with a serious illness, who are elderly, or who are pregnant.

What is the difference between a living will and a durable power of attorney for healthcare?

  1. A living will only applies to end-of-life care, while a durable power of attorney for healthcare applies to all healthcare decisions.

  2. A living will is only valid in certain states, while a durable power of attorney for healthcare is valid in all states.

  3. A living will is more specific than a durable power of attorney for healthcare.

  4. A living will is less specific than a durable power of attorney for healthcare.


Correct Option: C
Explanation:

A living will is a document that outlines a person's specific wishes for end-of-life care, such as whether they want to be resuscitated or whether they want to receive artificial nutrition and hydration. A durable power of attorney for healthcare is a document that gives someone the authority to make healthcare decisions on behalf of another person.

What is a do-not-resuscitate (DNR) order?

  1. An order that directs healthcare providers not to perform CPR on a patient if their heart stops

  2. An order that directs healthcare providers to stop all life-sustaining treatment on a patient

  3. An order that directs healthcare providers to provide only comfort care to a patient

  4. An order that directs healthcare providers to transfer a patient to a hospice facility


Correct Option: A
Explanation:

A do-not-resuscitate (DNR) order is an order that directs healthcare providers not to perform CPR on a patient if their heart stops. It is a legal document that must be signed by the patient or their healthcare proxy.

What is the purpose of a POLST form?

  1. To document a patient's wishes for end-of-life care

  2. To provide guidance to healthcare providers on how to care for a patient with a serious illness

  3. To help patients make informed decisions about their healthcare

  4. All of the above


Correct Option: D
Explanation:

A POLST form (Physician Orders for Life-Sustaining Treatment) is a document that documents a patient's wishes for end-of-life care, provides guidance to healthcare providers on how to care for a patient with a serious illness, and helps patients make informed decisions about their healthcare.

Who should be involved in advance care planning?

  1. The patient

  2. The patient's family and friends

  3. The patient's healthcare providers

  4. All of the above


Correct Option: D
Explanation:

Advance care planning is a collaborative process that should involve the patient, their family and friends, and their healthcare providers. All of these individuals can provide valuable input and support.

What are some of the benefits of advance care planning?

  1. It can help to ensure that a person's wishes for end-of-life care are known and respected.

  2. It can help to reduce the burden on family members and healthcare providers.

  3. It can help to save money on healthcare costs.

  4. It can help to avoid legal disputes.

  5. All of the above


Correct Option: E
Explanation:

Advance care planning can provide a number of benefits, including ensuring that a person's wishes for end-of-life care are known and respected, reducing the burden on family members and healthcare providers, saving money on healthcare costs, and avoiding legal disputes.

What are some of the challenges of advance care planning?

  1. It can be difficult to talk about death and dying.

  2. People may not be aware of their options for end-of-life care.

  3. Healthcare providers may not be familiar with advance care planning.

  4. All of the above


Correct Option: D
Explanation:

Advance care planning can be challenging because it can be difficult to talk about death and dying, people may not be aware of their options for end-of-life care, and healthcare providers may not be familiar with advance care planning.

How can I learn more about advance care planning?

  1. Talk to your doctor or other healthcare provider.

  2. Contact a local hospice or palliative care organization.

  3. Visit the website of the National Institute on Aging.

  4. All of the above


Correct Option: D
Explanation:

There are a number of resources available to help people learn more about advance care planning, including talking to their doctor or other healthcare provider, contacting a local hospice or palliative care organization, and visiting the website of the National Institute on Aging.

What is the difference between a living will and a medical directive?

  1. A living will is a document that outlines a person's wishes for end-of-life care, while a medical directive is a document that gives someone the authority to make healthcare decisions on behalf of another person.

  2. A living will is only valid in certain states, while a medical directive is valid in all states.

  3. A living will is more specific than a medical directive.

  4. A living will is less specific than a medical directive.


Correct Option: A
Explanation:

A living will is a document that outlines a person's specific wishes for end-of-life care, such as whether they want to be resuscitated or whether they want to receive artificial nutrition and hydration. A medical directive is a document that gives someone the authority to make healthcare decisions on behalf of another person.

What is the importance of discussing advance care planning with family members and friends?

  1. It can help to ensure that everyone is aware of the person's wishes for end-of-life care.

  2. It can help to reduce the burden on family members and friends.

  3. It can help to avoid conflict and disagreements.

  4. All of the above


Correct Option: D
Explanation:

Discussing advance care planning with family members and friends can help to ensure that everyone is aware of the person's wishes for end-of-life care, reduce the burden on family members and friends, and avoid conflict and disagreements.

What are some of the ethical issues that arise in advance care planning?

  1. The right to self-determination

  2. The duty to preserve life

  3. The allocation of scarce resources

  4. All of the above


Correct Option: D
Explanation:

Advance care planning raises a number of ethical issues, including the right to self-determination, the duty to preserve life, and the allocation of scarce resources.

What are some of the legal issues that arise in advance care planning?

  1. The validity of advance directives

  2. The liability of healthcare providers

  3. The rights of family members

  4. All of the above


Correct Option: D
Explanation:

Advance care planning raises a number of legal issues, including the validity of advance directives, the liability of healthcare providers, and the rights of family members.

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