Advance Directives Quiz for Nursing Students

1. Which advance directive component specifically addresses organ and tissue donation?

Anatomical gift declaration

Healthcare power of attorney

Living will provisions

Resuscitation preferences

Submit

4. What is the nurse's role in advance directive implementation?

Advocate for patient wishes, coordinate care, and ensure documentation

Convince patients to change their directives

Enforce physician orders regardless of directives

Limit family involvement in decision-making

5. True or False: A patient must be terminally ill to create a valid advance directive.

True

False

6. A patient with advanced dementia has a valid advance directive requesting no heroic measures. The family demands aggressive treatment. The nurse should:

Advocate for honoring the advance directive while supporting the family

Implement aggressive treatment to satisfy the family

Refuse to care for the patient

Request the patient sign a new directive

7. Which element is NOT typically included in a comprehensive advance directive?

Patient's investment portfolio preferences

Preferences for artificial nutrition and hydration

Healthcare proxy designation

Organ donation wishes

8. What should a nurse do if a family member requests care contrary to the patient's advance directive?

Respect the advance directive and involve ethics consultation if needed

Comply with the family request to maintain relationships

Delay implementing the directive pending physician review

Allow the family to modify the directive verbally

9. A patient lacks capacity and has no advance directive. Who typically makes healthcare decisions?

Family members or surrogate decision-makers per state law

The hospital ethics committee exclusively

The attending physician without consultation

The patient's employer or insurance company

10. True or False: Advance directives are legally binding in all U.S. states with identical requirements.

True

False

11. What is an advance directive?

A legal document stating patient healthcare preferences if unable to communicate

A physician's order to resuscitate all patients

A hospital policy on medication administration

Insurance documentation for emergency care

12. A competent patient verbally expresses wishes different from their written advance directive. How should the nurse proceed?

Follow the current verbal wishes and document the change

Strictly adhere to the written directive

Wait for family consensus before acting

Consult only the attending physician

13. What is the primary purpose of the Patient Self-Determination Act?

Ensure patients are informed about advance directives and their rights

Require all patients to complete advance directives

Prohibit end-of-life discussions in hospitals

Allow physicians to override patient preferences

14. True or False: A healthcare proxy can override a patient's documented advance directive.

True

False

15. Which situation requires immediate implementation of a DNR order?

Patient experiences cardiac or respiratory arrest

Patient requests pain medication

Patient's family visits the hospital

Physician rounds on the patient

16. A patient with capacity revokes their advance directive. What is the nurse's responsibility?

Document the revocation and notify the healthcare team

Ignore the request and follow the original directive

Contact the family before acknowledging the change

Obtain a physician's signature before accepting revocation

17. When should advance directive discussions ideally occur?

During routine healthcare visits before critical illness

Only when the patient is terminally ill

After the patient loses decision-making capacity

During emergency department admission

18. What does DNR stand for in end-of-life care?

Do Not Resuscitate

Daily Nursing Report

Diagnostic Needs Review

Direct Nurse Referral

19. A living will primarily addresses which aspect of care?

Life-sustaining treatment preferences

Financial asset distribution

Organ donation decisions

Child custody arrangements

20. Which document allows a patient to designate someone to make healthcare decisions?

Power of attorney for healthcare

Will and testament

Insurance policy

Medical record release form

Advance Directive Quiz: Can You Honor the Wishes?

1. Which advance directive component specifically addresses organ and tissue donation?

2.

What first name or nickname would you like us to use?

2. The ethical principle of ________ requires respecting patient autonomy and their documented healthcare wishes.

3. A state recognizes a ________ as a legally authorized decision-maker when no advance directive exists.

4. What is the nurse's role in advance directive implementation?

5. True or False: A patient must be terminally ill to create a valid advance directive.

6. A patient with advanced dementia has a valid advance directive requesting no heroic measures. The family demands aggressive treatment. The nurse should:

7. Which element is NOT typically included in a comprehensive advance directive?

8. What should a nurse do if a family member requests care contrary to the patient's advance directive?

9. A patient lacks capacity and has no advance directive. Who typically makes healthcare decisions?

10. True or False: Advance directives are legally binding in all U.S. states with identical requirements.

11. What is an advance directive?

12. A competent patient verbally expresses wishes different from their written advance directive. How should the nurse proceed?

13. What is the primary purpose of the Patient Self-Determination Act?

14. True or False: A healthcare proxy can override a patient's documented advance directive.

15. Which situation requires immediate implementation of a DNR order?

16. A patient with capacity revokes their advance directive. What is the nurse's responsibility?

17. When should advance directive discussions ideally occur?

18. What does DNR stand for in end-of-life care?

19. A living will primarily addresses which aspect of care?

20. Which document allows a patient to designate someone to make healthcare decisions?