Exam Questions and CORRECT Answers
what are advance directives? - CORRECT ANSWER - decisions regarding life-saving or
life sustaining care that are recorded in legal documents
when are advance directives used? - CORRECT ANSWER - when competent people wish
to document what medical care they want/do not want to receive if they cannot make decisions
what do advanced directives include? - CORRECT ANSWER - 1. living wills
2. durable power of attorney for health care
when are living will effective? - CORRECT ANSWER - when the physician has the
document and the patient is determined incompetent
what do living wills provide? - CORRECT ANSWER - written expressions of a patient's
wishes regarding the use of medical treatments
in what even are living wills used? - CORRECT ANSWER - in the event of a terminal
illness
when can a surrogate/healthy care proxy be used to make decisions - CORRECT
ANSWER - when the patient is rendered incompetent
what decisions does a surrogate make? - CORRECT ANSWER - decisions that are closest
to the patient's wishes, desires, and values
what are examples of things that make be included in an advance directive? - CORRECT
ANSWER - 1. do not resuscitate
2. no tube feeding
, 3. no renal dialysis
4. no antibiotics
5. no end of life treatment
what does the Patient Self-Determination Act of 1990 state? - CORRECT ANSWER - that
the rights and responsibilities of the individual to participate in all decisions regarding his/her
health
what does the Patient Self-Determination Act apply to? - CORRECT ANSWER - 1.
hospice
2. hospitals
3. home health agencies
4. nursing homes
5. HMOs
how does the Patient Self-Determination Act protect health care consumers? - CORRECT
ANSWER - let's them know their right to refuse treatment and make health care decisions
what does the patient self-determination act state must be done? - CORRECT ANSWER -
1. provide written info on advance directives
2. nurses must ask if there is an AD
3. document an AD on the patient's chart
4. provide staff education about AD
define: competency - CORRECT ANSWER - the ability to fulfill one's role and handles
one's affairs satisfactorily
what is the age of competency? - CORRECT ANSWER - usually 18 (determined by state)
who determines competency? - CORRECT ANSWER - a court of law