Advance Directives

1.

Advance Directives are legal forms that state a person's preferences about their future medical and mental health care.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Advance Directives are legal forms that allow individuals to communicate their preferences regarding their future medical and mental health care. These documents provide instructions to healthcare providers and family members about the individual's treatment choices, including decisions about life-sustaining measures, resuscitation, and organ donation. By completing an Advance Directive, individuals can ensure that their wishes are respected and followed even if they become unable to communicate or make decisions for themselves. Therefore, the statement that Advance Directives are legal forms that state a person's preferences about their future medical and mental health care is true.

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2.

South Carolina recognizes the following Advance Directive Documents: Living Will, Health Care Power of Attorney, and Five Wishes.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
South Carolina recognizes the following Advance Directive Documents: Living Will, Health Care Power of Attorney, and Five Wishes. This means that individuals in South Carolina have the legal right to create and use these documents to express their healthcare preferences and appoint a trusted person to make medical decisions on their behalf if they become unable to do so. These documents provide individuals with the opportunity to have their wishes respected and ensure that their healthcare decisions are made according to their own values and beliefs.

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3.

Patients can complete either a state advance directive form or a VA form, but not both.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Patients can complete a state advance directive form, a VA form, or both.

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4.

State Authorized Portable Orders are specialized forms or identifiers (bracelet/necklace) authorized by state law that translate a patient’s preferences with specific end-of-life treatment decisions into portable medical orders.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
State Authorized Portable Orders are specialized forms or identifiers that are authorized by state law. These orders translate a patient's preferences regarding end-of-life treatment decisions into portable medical orders. This means that these forms or identifiers allow healthcare providers to understand and honor the patient's wishes for their end-of-life care, regardless of where the patient is receiving treatment. Therefore, the statement that State Authorized Portable Orders are specialized forms or identifiers authorized by state law that translate a patient's preferences with specific end-of-life treatment decisions into portable medical orders is true.

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5.

DNR template note is completed by the nurse and the orders will be scanned into the medical record.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
DNR template note is completed by physician and the orders will be scanned into the medical record.

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6.

Nursing will be responsible for assuring that patients have been provided with written information about Advance Directive documents upon admission.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Nursing will be responsible for assuring that patients have been provided with written information about Advance Directive documents upon admission. This means that it is the responsibility of the nursing staff to ensure that patients are given written information about Advance Directive documents when they are admitted to the healthcare facility. This is important because Advance Directive documents allow patients to communicate their healthcare preferences and decisions in advance, ensuring that their wishes are respected in the event that they are unable to make decisions for themselves. Therefore, the statement is true.

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7.

In the event the patient or surrogate changes their mind after the DNR order has been written, the order will be rescinded immediately by a physician; the Healthcare Unit Coordinator/Nurse taking off the rescinded order will send an Outlook or VISTA e-mail to change the title of the DNR note to “Rescission of DNR.”
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
If the patient or surrogate changes their mind after the DNR order has been written, a physician will immediately rescind the order. The Healthcare Unit Coordinator/Nurse will then send an Outlook or VISTA e-mail to change the title of the DNR note to "Rescission of DNR." This indicates that the DNR order has been revoked. Therefore, the statement "True" is correct.

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8.

On admission, all patients will be asked by the admitting nurse if they have an Advance Directive; the nurse will document the reply in the Nursing Admission Assessment in CPRS.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The explanation for the given correct answer is that it is standard procedure for the admitting nurse to ask patients if they have an Advance Directive. This is important information to have in order to ensure that the patient's wishes regarding their medical treatment are respected. The nurse will document the patient's reply in the Nursing Admission Assessment in CPRS, which is a comprehensive electronic medical record system. Therefore, it is true that all patients will be asked about their Advance Directive upon admission.

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9.

If the patient does not have an Advance Directive and would like more information, providing verbal education will suffice.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
If a patient is requesting additional information on Advance Directive, give the patient an Advance Directive packet.

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10.

Nursing in Primary Care does not need to inquire if a patient has an Advance Directive.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Nursing in Primary Care inquires annually if patient has and Advance Directive.

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Advance Directives

Advance Directives are legal forms that state a person's preferences about their future medical and mental health care.

South Carolina recognizes the following Advance Directive Documents: Living Will, Health Care Power of Attorney, and Five Wishes.

Patients can complete either a state advance directive form or a VA form, but not both.

State Authorized Portable Orders are specialized forms or identifiers (bracelet/necklace) authorized by state law that translate a patient’s preferences with specific end-of-life treatment decisions into portable medical orders.

DNR template note is completed by the nurse and the orders will be scanned into the medical record.

Nursing will be responsible for assuring that patients have been provided with written information about Advance Directive documents upon admission.

On admission, all patients will be asked by the admitting nurse if they have an Advance Directive; the nurse will document the reply in the Nursing Admission Assessment in CPRS.

If the patient does not have an Advance Directive and would like more information, providing verbal education will suffice.

Nursing in Primary Care does not need to inquire if a patient has an Advance Directive.