Public Health Quiz #19: Advanced Directives

1. A 70-year-old man with advanced Alzheimer's disease is admitted to the hospital with pneumonia. He is unable to communicate his wishes regarding treatment. His daughter presents an advance directive indicating he does not wish for any form of resuscitation or invasive treatment. What is the most appropriate next step in his care? 

Question 1 of 4

2. A 55-year-old woman with terminal ovarian cancer has an advance directive stating no use of life-sustaining treatments, including mechanical ventilation. She now presents to the emergency department in respiratory distress and is unable to communicate. Her spouse insists on intubation. What action should the healthcare team take? 

Question 2 of 4

3. A 45-year-old man with no significant medical history is brought to the emergency department after a severe car accident. He is unconscious and in critical condition. A search of his belongings reveals a do-not-resuscitate (DNR) order. There is no available information about the context of this DNR order. What is the most appropriate action?

Question 3 of 4

4. A 60-year-old man with end-stage heart failure has an advance directive that refuses any form of mechanical ventilation. He is currently conscious and alert but is experiencing increasing difficulty breathing. He verbally requests intubation to relieve his distress. What is the most appropriate action? 

Question 4 of 4


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