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WGU D439 ACTUAL TEST STUDY GUIDE SOLVED QUESTIONS 2026 GRADED A+.

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WGU D439 ACTUAL TEST STUDY GUIDE SOLVED QUESTIONS 2026 GRADED A+.

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WGU D439 ACTUAL TEST STUDY GUIDE
SOLVED QUESTIONS 2026 GRADED A+.

⫸ When was the advance medical directive formally initiated?.
Answer: In January 1993, to clarify medical action when a client is
incapacitated and unable to make or communicate decisions.


⫸ What is an advance medical directive?. Answer: A legal document
stating the client's wishes regarding medical treatment in specific
situations when they can't decide for themselves.


⫸ Types of advance medical directives. Answer: Living Will, Health
Care Proxy (Durable Power of Attorney for Health Care)


⫸ When do advance medical directives take effect?. Answer: Only
when the client becomes incapacitated and unable to make decisions.


⫸ Can advance directives be changed?. Answer: Yes, they are subject
to change at any time by the competent client.


⫸ What is a Living Will?. Answer: A document used to decline life-
prolonging treatment and specify the circumstances and care
preferences if the person becomes hopelessly ill.


⫸ What is a Health Care Proxy (Durable Power of Attorney for
Health Care)?. Answer: A document that designates another person to

, make health care decisions if the client becomes unable to do so,
reflecting the client's known wishes.


⫸ Main difference between a Living Will and a Health Care Proxy.
Answer: Living Will = documents specific treatment wishes. Health
Care Proxy = appoints a person to make decisions consistent with the
client's wishes.


⫸ Who governs the laws surrounding advance medical directives?.
Answer: Each state, which defines the conditions, content, and
execution procedures for advance directives.


⫸ Why must home health nurses understand state laws on advance
directives?. Answer: Because legal requirements vary, and nurses
must ensure that directives are valid and enforceable in their state of
practice.


⫸ What federal law supports the use of advance directives?. Answer:
The Patient Self-Determination Act (PSDA) of 1990, part of the
Omnibus Reconciliation Act.


⫸ What does the Patient Self-Determination Act require facilities to
do?. Answer: Inform patients about their right to accept or refuse
treatment, provide written information about advance directives,
document whether patients have completed one, and keep a copy in
the patient's medical record.

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