PAR Advance Directives and Patient Consent 3

Question 1

Which of the following best describes the PAR's responsibility regarding advance directives in their facility's documentation system?

Accepted Answer

The PAR scans or flags the existence of an advance directive in the patient's record and alerts the clinical team

Answer

The PAR creates advance directives for patients who are unable to complete them independently

Answer

The PAR withholds advance directive information from patients who appear confused

Answer

The PAR interprets advance directive language to advise physicians on treatment decisions

Question 2

What is a healthcare proxy?

Accepted Answer

A person legally designated to make healthcare decisions on behalf of an incapacitated patient

Answer

A licensed social worker assigned by the hospital to manage patient affairs

Answer

A physician who covers for a patient's primary care doctor during hospitalization

Answer

An insurance coordinator who approves treatments on behalf of the payer

Question 3

Under HIPAA, who may access a patient's advance directive documents stored in the medical record?

Accepted Answer

Authorized healthcare providers involved in the patient's care and individuals with proper authorization

Answer

Any hospital employee involved in billing or collections

Answer

Only the patient's insurance company for preauthorization purposes

Answer

Any family member who requests a copy at the front desk

Question 4

A patient with a guardianship order has been admitted. Who makes healthcare decisions for this patient?

Accepted Answer

The court-appointed guardian, within the scope defined by the guardianship order

Answer

The patient, because adults always retain medical decision-making rights

Answer

The patient's closest living relative, regardless of the guardianship

Answer

The hospital's attending physician, who assumes responsibility for all decisions

Question 5

A patient's existing advance directive on file conflicts with what their healthcare proxy now requests. What is the appropriate first step for the PAR or care team?

Accepted Answer

Escalate the conflict to the attending physician and potentially the hospital ethics committee for resolution

Answer

Follow the advance directive because it was created first and is therefore the controlling document

Answer

Automatically defer to the healthcare proxy because they have more recent information

Answer

Contact the patient's insurance company to determine the covered course of action

Question 6

Which of the following is NOT typically included in a hospital's required advance directive education for incoming patients?

Accepted Answer

Instructions on how to file a claim with their insurance for advance directive preparation costs

Answer

The patient's right to accept or refuse treatment

Answer

The patient's right to execute an advance directive

Answer

Information on the state's specific advance directive laws

Question 7

What is the purpose of a Five Wishes document?

Accepted Answer

A consumer-friendly advance directive that addresses medical, personal, emotional, and spiritual end-of-life wishes

Answer

A federal government form used to apply for Medicare hospice benefits

Answer

A hospital billing form capturing five key financial preferences of the patient

Answer

A quality-of-life survey completed by patients after discharge