Progressive Care Nursing Certification (PCCN) Practice Exam

What legal document designates someone to make medical decisions for a mentally incompetent patient?

1. An advanced directive

2. A do-not-resuscitate order

3. A durable power of attorney

4. A general power of attorney

The correct answer is: A durable power of attorney

The correct answer is that a durable power of attorney designates someone to make medical decisions for a mentally incompetent patient. This legal document grants specific authority to an individual, allowing them to act on behalf of the patient in medical situations where the patient is unable to make decisions due to mental incapacity. A durable power of attorney remains effective even if the patient becomes incapacitated, ensuring continuity of care and decision-making. This contrasts with a general power of attorney, which may not be effective in cases of mental incompetence and often terminates if the individual becomes incapacitated. An advanced directive typically outlines a patient's preferences regarding medical treatment and interventions but does not designate an individual to make those decisions on their behalf if they're unable to do so. A do-not-resuscitate order specifically addresses wishes about resuscitation in the event of a cardiac or respiratory arrest, but it does not encompass broader medical decision-making authority. These nuances highlight the importance of a durable power of attorney in a healthcare context.