1. What is the main difference between a Living Will and a Durable Power of Attorney (DPOA)?
    A. A Durable Power of Attorney allows for an individual to make healthcare decisions for the client even if they are not incapacitated
    B. A Living Will does not designate a specific individual to make decisions on the client’s healthcare
    C. A Living Will includes information on the client’s wishes and instructions for funeral services and asset distribution after their death
    D. There are no differences, they refer to the same document
  2. What is required for a lawful designation of a Durable Power of Attorney (DPOA)?(Choose all that apply)
    A. The designation must be in writing as well as signed and witnessed by two witnesses
    B. The patient advocate must sign the acceptance prior to implementation of the DPOA for healthcare
    C. The witnesses of the designation must include at least one close acquaintance or relative
    D. The patient must be of sound mind at the time of designation
    E. The patient advocate must be 18 years or older
    F. The patient must have a foreseeable or current disability that renders them unable to participate in medical decision making
  3. What is required of Pines in terms of written and oral requirements when it comes to informing adult clients of Advance Directives? (Choose all that apply)
    A. We must provide all clients with written information regarding their right to accept or reject medical/surgical treatment and the right to execute an Advance Directive under Michigan law
    B. We must ask the client at intake and periodically thereafter if they have executed a form of Advance Directive and document their response in the clinical record
    C. We must ask a client that does have an Advance Directive if it’s a Living Will, DPOA, or another form of Advance Directive
    D. If the individual does have an Advance Directive, Pines must obtain a copy and maintain it within that client’s clinical record
    E. We must provide written information on the policies of Pines that respect the right to accept or reject health care treatment
  4. What is required of Pines in terms of compliance and education requirements when it comes to informing adult clients of Advance Directives? (Choose all that apply)
    A. Pines is required to ensure that the patient or resident has complied with the state legal requirements regarding Advance Directives
    B. Pines is required to ensure that the proper form is used and the Advance Directive is properly executed
    C. Pines is required to educate, through written information, a client/medicaid member of their rights to make decisions concerning healthcare and their right to formulate an Advance Directive
    D. Pines must educate a patient advocate of their responsibilities under a client’s DPOA
    E. Pines must educate staff on Advance Directive regulations and issues
  5. True or False.
    The following responsibility is under the patient advocate’s authority: “The patient advocate will exercise the DPOA powers, concerning the patient’s care custody and medical treatment, even if the patient is able to participate in the decision of their medical care.”
    A. True
    B. False
  6. True or False.
    The following responsibility is under the patient advocate’s authority: “The patient advocate can delegate his or her powers to another individual without prior authorization by the patient.”
    A. True
    B. False
  7. True or False.
    The following responsibility is under the patient advocate’s authority: “The patient advocate shall take reasonable steps to follow the desires, instruction, or guidelines given by the patient while the patient was able to participate in care, custody, or medical treatment decisions.”
    A. True
    B. False
  8. As Pines staff, what must we ensure when it comes to the client’s clinical records and Advance Directives? (Choose all that apply)
    A. The designated patient advocate must be identified as a primary contact in the clinical record
    B. We must identify in the clinical record if the client has been asked if they have an Advance Directive DPOA for healthcare
    C. We must request a copy of the Advance Directive and maintain it in the client’s record
    D. Documentation must be in a prominent part of the clinical record and must be updated regularly
    E. We must include questions and concerns the client has about their Advance Directive

Answer Keys

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