DWC: ADVANCE DIRECTIVES FOR MEDICAL & MENTAL HEALTH CARE

It is acceptable for providers who receive federal funds to place conditions on care and, otherwise, discriminate against consumers, based on whether or not they have executed an Advance Directive.

False

Providers receiving federal funds are not obligated to document,in the consumer's record,the date that Advance Directive information was provided.

False

The Patient Advocate CANNOT interpret the consumer's wishes as circumstances arise or change to make decisions regarding situations that were not anticipated when the Advance Directive was executed.

False

The best quantifiable measure of the success of the local mental health customer service department Advance Directive is the total number of consumers who have a written Advance Directive in their treatment record.

False

The consumer cannot require that the Health Care Proxy expire on a specified date or if certain events occur.

False

The consumer may wish to appoint three Health Patient Advocates and one Alternate Patient Advocate who can make decisions if the other Patient Advocates are unavailable or unable to function as the surrogate decision maker.

False

When seeking to change an Advanced Directive, the consumer also has the right to orally inform the health care team, family members and the Patient Advocate that the Advance Directive is revoked or cancelled.

False

When the instructions of an Advance Directive will not be followed, the care provider is not required to make the reasons clear and document this in the consumer's record.

False

Any person, age 18 or older, can be a Patient Advocate. The Patient Advocate can be the consumer's spouse, adult child, friend or other individual. The Patient Advocate should be someone who is trusted, who can handle the responsibility and who is willing to be the Patient Advocate.

True

As a matter of sound practice, the health care team may want to consult with Legal Council when uncertain or uncomfortable about any aspect of a consumer's Advance Directive.

True

Durable Power of Attorney is when, instead of having a Patient Advocate, a consumer elects to have someone appointed with "Durable Power of Attorney" over their person and/or their property.

True

If a person interested in the welfare of the consumer has reason to believe that an Advance Directive has been executed contrary to the wishes of the consumer, the interested person may petition the Probate Court where the consumer lives or where the consumer is receiving care, to have the Advance Directive and the conditions of its execution reviewed.

True

If the physician is selected as a patient advocate he or she cannot determine the consumer's capacity to make health care decisions.

True

The Advance Directive will be valid unless and until it is revoked or cancelled.

True

The consumer can give the Patient Advocate as little or as much authority as they want. The Patient Advocate can decide about all health care matters or may be limited to only certain matters.

True

The consumer has to fill out a new Advance Directive form with the necessary signatures and distribute it to the appropriate parties.

True

The consumer keep a copy of the Advanced Directive with their important papers.

True

The only exception to a consumer selecting his or her physician as their Patient Advocate, is that the physician will not be able to serve both as the Patient Advocate and the attending physician after his or her decision-making authority as the Patient Advocate begins.

True

Which of the following is NOT an example of an Advance Directive:

VCE User Guide

Do providers receiving federal funds have an obligation to inform all adult beneficiaries of their right to make decisions concerning his or her medical care, including the right to accept or refuse treatment?

Yes

Providers receiving federal funds have an obligation to:

all of the above

Copies of the Advanced Directive should be given to:

All of the above.

Which of the following are reasons that an Advance Directive should be reviewed?

Both A and B

The decision to cancel or change the Advance Directive for ________care can go into effect ________ upon informing the medical care staff.

Medical, Immediately

The consumer may elect to stipulate that cancellations or changes for the Advance Directive for ____________ care is to become effective _______ after the consumer informs the staff of their wishes.

Mental Health, Three days

If a consumer is dissatisfied with the way the staff person has handled any aspect of their Advance Directive, the consumer can file a complaint with:

Michigan Department of Community Health

Does all of the consumer's wishes be put in writing?

No, oral instructions can be given to the Patient Advocate, but it is best to provide clear, written instructions in order to avoid confusion

The Patient Advocate can be a member of the institution that is providing the consumer's medical or mental health care if they are the:

None of the above

A Conscientious Objection is when the Advance Directive conflicts with the healthcare provider's perceived legal and ethical duties to provide the specific treatment that they believe is best for the consumer and their obligation to abide by the consumer's own wishes regarding acceptance of recommended treatment.

True

A consumer can cancel their medical Advance Directive at any time, even if their mental status is impaired.

True

Two witnesses are required for the signing of an Advance Directive.

A Competent Adult Who Is Not Any of the Above

If there is a psychiatric/medical emergency endangering the consumer's life or the life of another, if the treatment requested is unavailable; or there is a conflict with court-ordered treatment, or there is a Conscientious Objection:

A mental health or medical care professional can refuse to honor the consumer's wishes concerning a specific mental health or medical treatment, location, etc.

Does the Patient Advocate have to follow the consumer's instructions?

The Patient Advocate must do their best to follow these Instructions, but if the Patient Advocate does not know the consumer's wishes or beliefs regarding a certain matter, they are legally required to act in the consumer's best interests.