Advance Directives
This document explains a patient’s wishes about future medical care.
What is a living will?
This order means no CPR should be performed if the heart stops.
What is a DNR order?
This ethical principle means “doing good.”
What is beneficence?
These medications are considered the gold standard for severe end-of-life pain.
What are opioids?
This is the legal standard used to define safe and competent nursing care.
What is the standard of care?
This person makes medical decisions if the patient loses decision-making capacity.
What is a Durable Power of Attorney for Health Care (DPAHC)?
Without a signed DNR order, the patient is considered this.
What is Full Code?
This ethical principle means avoiding harm.
What is nonmaleficence?
The main goal of palliative sedation is this.
What is relieving suffering?
Failing to provide appropriate pain management at end of life may be considered this.
What is negligent care?
This medical order outlines life-sustaining treatments across healthcare settings.
What is a POLST?
This order means the patient does not want intubation or mechanical ventilation.
What is DNI (Do Not Intubate)?
This principle supports a patient’s right to make healthcare decisions.
What is autonomy?
True or False: Opioids should be withheld at end of life because they may cause dependence.
What is false?
This practice intentionally causes death and is illegal in the United States.
What is euthanasia?
This federal law requires healthcare agencies to provide information about advance directives.
What is the Patient Self-Determination Act (PSDA)?
This newer phrase may better reflect comfort-focused care instead of “Do Not Resuscitate.”
What is Allow Natural Death (AND)?
Giving opioids to relieve suffering even if sedation occurs is justified by this principle.
What is the principle of double effect?
This type of care focuses on comfort and quality of life during serious illness.
What is palliative care?
In some states, physicians may legally provide medication for terminally ill patients to self-administer under these laws.
What are physician-assisted suicide or aid-in-dying laws?
Patients should discuss these documents with loved ones and keep copies available.
What are advance directives?
Chest compressions, intubation, vasopressors, and defibrillation are examples of these.
What are life-sustaining interventions?
This nursing responsibility includes advocating for comfort and compassionate end-of-life care.
What is relieving suffering?
This type of care is generally provided when curative treatment is no longer the goal.
What is hospice care?
!!! DOUBLE JEOPARDY !!!
This cardiac glycoside is used to increase myocardial contractility and control ventricular rate in atrial fibrillation, but requires close monitoring due to a narrow therapeutic index.