CHAA Advance Directives and Patient Rights

Question 1

Which document allows a patient to designate another person to make healthcare decisions on their behalf if they become incapacitated?

Accepted Answer

Healthcare Power of Attorney

Answer

Living Will

Answer

DNR Order

Answer

Informed Consent Form

Question 2

A patient presents at registration and states they have a Do Not Resuscitate (DNR) order. What is the MOST appropriate first action for the Patient Access associate?

Accepted Answer

Place a copy of the DNR in the medical record and notify the nursing staff

Answer

Advise the patient that DNR orders must be signed by the attending physician to be valid

Answer

Proceed with registration and disregard the DNR until the physician reviews it

Answer

Contact the hospital ethics committee before proceeding

Question 3

Under the Patient Self-Determination Act (PSDA), which of the following is a REQUIRED action for hospitals at the time of admission?

Accepted Answer

Provide written information about the patient's right to accept or refuse treatment and to formulate advance directives

Answer

Require all patients to complete an advance directive

Answer

File a copy of any advance directive with the state health department

Answer

Obtain physician countersignature on all advance directives

Question 4

A living will is BEST described as:

Accepted Answer

A written record of a patient's wishes regarding specific medical treatments if unable to communicate

Answer

A legal document designating a surrogate healthcare decision-maker

Answer

A physician's order limiting resuscitation efforts

Answer

A financial document outlining the patient's ability to pay for care

Question 5

Which federal law establishes patients' rights to make decisions about their own healthcare and requires providers to maintain written policies on advance directives?

Accepted Answer

Patient Self-Determination Act (PSDA)

Answer

EMTALA

Answer

HIPAA

Answer

Stark Law

Question 6

A patient's family member arrives and demands to know the patient's diagnosis, but the patient has not listed this individual on their HIPAA authorization form. The Patient Access associate should:

Accepted Answer

Decline to share information and explain that authorization is required

Answer

Provide a summary of the diagnosis since the person is family

Answer

Ask the family member to wait while retrieving the medical record for review

Answer

Transfer the call to the attending physician to decide

Question 7

A POLST (Physician Orders for Life-Sustaining Treatment) form differs from a standard advance directive primarily because it:

Accepted Answer

Is a physician-signed medical order that is immediately actionable by emergency personnel

Answer

Only applies to patients over the age of 65

Answer

Requires notarization to be legally valid

Answer

Can only be created in an inpatient hospital setting