Question 1

The first state to enact living will legislation was ___________.

Accepted Answer

A)  New York 
B)  Oregon 
C)  New Mexico 
D)  California

Question 2

If a patient has been informed that without a blood transfusion she will die, she refuses blood, and the court orders the transfusion, the order is wrong based on the patient's right ___________.

Accepted Answer

A)  to privacy 
B)  to life 
C)  to bodily self-determination 
D)  to freedom of religion

Question 3

___________ is a form of surrogate decision-making where the surrogate attempts to establish what decision the patient would have made if that patient were competent to make a decision.

Accepted Answer

A)  Living Will 
B)  Substituted judgment 
C)  Durable Power of Attorney 
D)  Do not resuscitate order

Question 4

The ___________ published a report outlining the symptoms of an irreversible coma.

Accepted Answer

A)  World medical Association 
B)  Harvard ad hoc committee on brain death 
C)  National Institute of Health 
D)  Kennedy Institute of Ethics

Question 5

An order written by a physician and placed on the medical chart of a patient, indicating that in the event of a cardiac or respiratory arrest, no resuscitative measures should be employed to revive the patient is a/an ___________.

Accepted Answer

A)  informed consent order 
B)  euthanasia order 
C)  DNR order 
D)  active euthanasia order

Question 6

Any glimmer of uncertainty as to a patient's desire in an emergency situation should be ___________.

Accepted Answer

A)  resolved by contacting family members prior to making any treatment decisions 
B)  resolved in favor of preserving life 
C)  resolved by providing a blood transfusion regardless of religion and need for such a transfusion 
D)  resolved by providing minimal care

Question 7

Physician assisted suicide became legal for the first time in ___________.

Accepted Answer

A)  Washington 
B)  Oregon 
C)  Massachusetts 
D)  Florida

Question 8

If a person is comatose and incompetent to express their right to refuse medical treatment, those appointed to render their best judgment concerning how the patient would assert that right would be doing so under ___________.

Accepted Answer

A)  the substituted judgment doctrine 
B)  designated power of attorney authority 
C)  agency authority 
D)  fiduciary authority

Question 9

The removal of nasogastric feeding tubes from a mentally competent patient to legally hasten death has been described as ___________.

Accepted Answer

A)  informed consent 
B)  passive euthanasia 
C)  active euthanasia 
D)  aiding suicide

Question 10

In a departure from the Quinlan decision, the necessity for court intervention, and an incompetent's right to refuse treatment, this case decided that judicial proceedings should take place only when medical treatment can offer a reasonable expectation of cure or relief from the illness.

Accepted Answer

A)  Saikewicz 
B)  Satz v. Perlmutter 
C)  John F. Kennedy Memorial Hospital v. Bludworth 
D)  In re Dinnerstein

Exam 16: End of Life Issues