National Association of Boards of Long Term Care Administrator (NAB) CORE Practice Exam

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Which of the following is an alternative to an advance directive?

Living will, Healthcare Power of Attorney, and Do Not Resuscitate (DNR) order
Durable Power of Attorney, living trust, and last will and testament
Right of survivorship, Do Not Resuscitate (DNR) order, and appointment of executor
Living trust, living will, and medical order for life-sustaining treatment

The correct answer is: Living will, Healthcare Power of Attorney, and Do Not Resuscitate (DNR) order

An advance directive is a legal document that outlines an individual's preferences for medical treatment in the event that they become unable to communicate their wishes. The correct option includes various forms that serve similar purposes and fulfill the role of guiding healthcare decisions when a person is incapacitated. A living will specifically details the types of medical treatments a person wishes or does not wish to receive under specific circumstances. A Healthcare Power of Attorney designates an individual to make healthcare decisions on behalf of someone else, ensuring that their wishes are respected. A Do Not Resuscitate (DNR) order is a specific directive that instructs medical personnel not to perform CPR if a person's breathing or heartbeat stops. These documents collectively form an alternative to a general advance directive by providing specific instructions and designations concerning healthcare decisions. They allow individuals to communicate their preferences clearly, thereby aligning their medical care with their values and desires, even when they cannot communicate them directly. The other choices either contain unrelated legal instruments or do not focus on healthcare decision-making, which means they do not serve as alternatives to advance directives in the same context. For instance, living trusts and last wills are more concerned with managing and distributing a person's estate after their death rather than addressing immediate healthcare decisions.