Chapter·Patient SafetyEnd-of-life care

Advance directivesDownloads

10Questions
5Flashcards
2Tables & Flowcharts

Study Materials

Practice

Sample Questions

1

A 29-year-old man is admitted to the emergency department following a motorcycle accident. The patient is severely injured and requires life support after splenectomy and evacuation of a subdural hematoma. Past medical history is unremarkable. The patient’s family members, including wife, parents, siblings, and grandparents, are informed about the patient’s condition. The patient has no living will and there is no durable power of attorney. The patient must be put in an induced coma for an undetermined period of time. Which of the following is responsible for making medical decisions for the incapacitated patient?

AThe spouse

BAn older sibling

CPhysician

DLegal guardian

EThe parents

2

A 28-year-old woman dies shortly after receiving a blood transfusion. Autopsy reveals widespread intravascular hemolysis and acute renal failure. Investigation reveals that she received type A blood, but her medical record indicates she was type O. In a malpractice lawsuit, which of the following elements must be proven?

ADuty, breach, causation, and damages

BOnly duty and breach

COnly breach and causation

DDuty, breach, and damages

3

An 85-year-old man with terminal stage colon cancer formally designates his best friend as his medical durable power of attorney. After several courses of chemotherapy and surgical intervention, the patient’s condition does not improve, and he soon develops respiratory failure. He is then placed on a ventilator in a comatose condition. His friend with the medical power of attorney tells the care provider that the patient would not want to be on life support. The patient’s daughter disputes this and says that her father needs to keep receiving care, in case there should be any possibility of recovery. Additionally, there is a copy of the patient’s living will in the medical record which states that, if necessary, he should be placed on life support until full recovery. Which of the following is the most appropriate course of action?

AWithdraw the life support since the patient’s chances of recovery are very low

BContact other family members to get their input for the patient

CAct according to the patient’s living will

DThe durable medical power of attorney’s decision should be followed.

EFollow the daughter’s decision for the patient

+ 7 more in the PDF

More End-of-life care downloads

Browse all chapters

View all