STEP 1
STEP 2
STEP 3
STEP 4
STEP 5 & Obstacles
100

What is the first step in advance care planning?

THINK ABOUT YOUR TREATMENT PREFERENCES

100

What is step 2?

CHOOSE SOMEONE TO SPEAK FOR YOU IF NEEDED

100

What is the third step in advance care planning?

COMPLETE ADVANCE CARE DOCUMENTS

100

What is step 4?

SHARE YOUR CHOICES WITH OTHERS

100
What is the fifth step in advance care planning?

MAKE UPDATES WHEN NEEDED

200

What is a question you may want to reflect upon when making important decisions?

WHAT DO YOU CONSIDER TO BE QUALITY OF LIFE?
200

Typically, who is chosen as the healthcare proxy?

CHILD or SPOUSE

200

Although each state is different, what are the two documents that make up the advance care documents?

ADVANCE DIRECTIVE (or living will) and DURABLE POWER OF ATTORNEY 

200

Name one of the persons who should receive a copy of your advance directive.

HEALTHCARE AGENT
PCP
MEDICAL SPECIALIST
HOSPITAL
FAITH LEADER

200

Name a scenario that may require an update to advance care documents.

CHANGING YOUR MIND ABOUT CARE
CHANGE IN HEALTH STATUS
CHANGE IN RESIDENCY
CHANGE IN HEALTHCARE AGENT
DIVORCE OR DEATH OF HEALTHCARE AGENT
ADVANCING TO NEXT DECADE OF LIFE

300

After you think about what you value and want, the next step is to document your wishes and make them _ _ _ _ _.

KNOWN

300

The healthcare proxy should be someone who is _ _ _ _ during a crisis.

CALM

300

Your advance directive has to do with your medical care and not what?

YOUR PROPERTY

300

When sharing with your healthcare agent, how long is it suggested to meet for?

1 HOUR 

300

TRUE OR FALSE:

If it makes you uncomfortable, don't worry about advance care planning.

FALSE

400

Name a type of treatment option.

CPR
VENTILATOR
ARTIFICIAL NUTRITION/HYDRATION
PALLIATIVE CARE

400

TRUE or FALSE?

The title/position of a healthcare agent, a healthcare proxy, and a surrogate are essentially the same.

TRUE

400

When does an advanced directive go into effect?

PERMANENTLY UNCONSCIOUS 

400

Your loved ones need to be aware of your chosen healthcare representative as well as your _ _ _-_ _-_ _ _ _ care wishes.

END-OF-LIFE

400

TRUE or FALSE?

Planning in advance can help promote peace amongst loved ones.

TRUE

500

What does CPR stand for?

CARDIOPULMONARY RESUSCITATION

500

Ask someone who is familiar with your _ _ _ _ _ _ and _ _ _ _ _ _

Values and wishes

500

A licensed _ _ _ _ _ _ _ _ in your state can help you with any questions and completing the documents.

ATTORNEY

500

What is a helpful conversation starter that can ensure your loved ones understand your decisions about your personal concerns, values, spiritual beliefs or views about what makes life worth living.

DEALTH OF FRIEND/COLLEAGUE
FAMILY GATHERINGS
FUNERAL/MEMORIAL SERVICE
MOVIES/TV SHOWS
NEWSPAPER/MAGAZINE ARTICLE

500

TRUE or FALSE?

It is suggested to complete all steps of advanced care planning all at once.

FALSE

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