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Advance Care Planning – Assessment

Advance Care Planning – Assessment

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Question 1 of 14

1. Question

What is Advance Care Planning (ACP)?

ACP is a financial plan for covering future medical expenses.
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ACP is only for people who are already in intensive care or at the end of life.
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ACP is a legal contract that forces patients to accept all recommended treatments.
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Advance Care Planning (ACP) is a process that enables individuals to discuss and document their values, preferences, and wishes for future healthcare, in case they become unable to communicate those decisions later.
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Question 2 of 14

2. Question

How does ACP support person-centred care?

By requiring patients to follow standard treatment plans without considering personal preferences.
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By focusing on medical staff preferences rather than the patient’s choices.
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By ensuring that an individual’s values, preferences, and wishes guide future healthcare decisions.
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By reducing healthcare costs.
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Question 3 of 14

3. Question

Why is it important to begin ACP conversations early? (Select all correct answers)

To guarantee that future changes to the person's end-of-life care will not be necessary.
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It allows time for thoughtful discussion and informed decision-making.
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To help ensure the person’s wishes are known before they lose decision-making capacity.
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Early ACP conversations eliminate the need for family involvement later.
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Question 4 of 14

4. Question

Which of the following is a key indicator for initiating an ACP conversation? (Select all correct answers)

The person has a life-limiting or progressive illness.
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The person is completely healthy with no foreseeable health issues.
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ACP only applies to people over 65 years old.
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The person expresses concerns or preferences about future care.
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Question 5 of 14

5. Question

Which of the following should be applied to respectfully close an ACP conversation? (Select all correct answers)

Summarise what was discussed and confirm understanding.
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Thank the person for sharing their thoughts and feelings.
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Explain the next steps and how their wishes will be documented or revisited.
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Offer an opportunity for questions or to revisit the conversation later.
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Question 6 of 14

6. Question

Which of the following is commonly explored in ACP conversations? (Select all correct answers)

Daily meal choices and exercise routines.
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Preferences for future medical treatments.
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Preferred place of care or death.
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Personal values and goals for care
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Question 7 of 14

7. Question

Why is asking ‘What matters to you?’ important in ACP? (Select all correct answers)

It aligns care with personal values and goals.
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It improves quality of care and reduces unnecessary interventions.
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It reduces stress and conflict for families and care teams.
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It promotes dignity and autonomy.
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Question 8 of 14

8. Question

A person with motor neuron disease has a deteriorating swallow. They have previously expressed that they do not want artificial nutrition in the future. How could you support them? (Select all correct answers)

Respect their wishes and ensure their care plan reflects their decision, focusing on comfort and quality of life.
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Liaise with a senior clinician to support the patient in completing an Advance Decision to Refuse Treatment (ADRT).
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Respectfully listen to their wishes, but proceed with a feeding tube when swallowing becomes impossible.
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Encourage them to reconsider agreeing to artificial nutrition for safety.
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Question 9 of 14

9. Question

What is the Universal Care Plan (UCP)?

The Universal Care Plan is a national policy for all care homes.
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The Universal Care Plan is a mandatory treatment protocol that all patients must follow.
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The Universal Care Plan is a digital care planning tool used for people in the London area. It shares a person’s health and care preferences across different health and social care services to ensure coordinated, person-centred care.
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The Universal Care Plan is a national insurance scheme for healthcare costs.
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Question 10 of 14

10. Question

Select the key professional responsibilities when completing an ACP? (Select all correct answers)

Document the conversation accurately and share it with relevant professionals.
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Check the person’s understanding and provide opportunities for questions.
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Ensure the person’s values and preferences are central to the discussion.
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Make decisions on behalf of the person to speed up the process.
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Question 11 of 14

11. Question

Scenario: You are working with a multidisciplinary team supporting a person with complex health needs. Their ACP is documented in the Universal Care Plan system and includes a preference to remain at home if their condition worsens. What should you do to uphold your professional responsibilities?

Ignore the ACP and follow standard hospital admission protocols when their condition deteriorates.
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Work with the team to ensure care planning aligns with the person’s documented preference to remain at home, and coordinate resources to make this possible.
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Decide independently to keep the person at home without consulting the team or reviewing clinical risks.
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Encourage the person to change their preference to hospital care for convenience.
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Question 12 of 14

12. Question

When would DNACPR become applicable?

During treatment for reversible conditions.
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As soon as the person is admitted to hospital, regardless of their wishes.
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When a person experiences cardiac or respiratory arrest and has a valid DNACPR decision in place.
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Whenever the person becomes seriously ill, even if they still have decision-making capacity.
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Question 13 of 14

13. Question

What are the two types of LPA? (Select all correct answers)

Health and welfare
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Property and financial affairs
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Business and commercial
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Education and Training
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Question 14 of 14

14. Question

Scenario: You are supporting a person with deteriorating dementia, their daughter has an LPA in place for health. When can they use this?

Only after a doctor gives written permission to use the LPA.
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Whenever the daughter disagrees with the person’s choices.
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As soon as the LPA is registered, regardless of the person’s capacity.
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When the person no longer has mental capacity to make health and welfare decisions themselves.
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