1. FREQUENTLY ASKED QUESTIONS ABOUT ADVANCED CARE PLANNING
TEST YOUR KNOWLEDGE ABOUT ACP
DIRECTIONS
Click on ‘True’ or ‘False’ to answer each question
After reviewing your answer, click ‘Next Question’ arrow to continue
Do not use ‘Enter’ button once you begin the quiz
Good Luck and Enjoy!
Next Slide

2. 1. I have the right to refuse medical treatment, even if that treatment might keep me alive longer.
TRUE
FALSE

3. CORRECT!
Some people believe that the should not undergo certain treatment if they are approaching the end of their life. This is generally because they are concerned that these treatments would only prolong the dying process, would put a burden on their family, or would keep them alive but with such a poor quality of life that it would not be worth it. Any person has the right to refuse such a treatment. The problem arises when people feel this way but are not able to speak for themselves because they are too sick. For this reason, it is important for people who feel this way to put their wishes in writing.
Next Question

4. INCORRECT
Some people believe that the should not undergo certain treatment if they are approaching the end of their life. This is generally because they are concerned that these treatments would only prolong the dying process, would put a burden on their family, or would keep them alive but with such a poor quality of life that it would not be worth it. Any person has the right to refuse such a treatment. The problem arises when people feel this way but are not able to speak for themselves because they are too sick. For this reason, it is important for people who feel this way to put their wishes in writing.
Next Question

5. 2. If my doctor believes I should undergo a treatment, then I need to undergo it, even if I do not want to.
TRUE
FALSE

6. INCORRECT
As discussed for the previous question, people have the right to decide for themselves whether or not they want to undergo treatment. Patients may think about the risks and benefits of treatment differently from their doctors.
Next Question

7. CORRECT!
As discussed for the previous question, people have the right to decide for themselves whether or not they want to undergo treatment. Patients may think about the risks and benefits of treatment differently from their doctors.
Next Question

8. 3. A living will is a document saying I would not want to be kept alive on machines if I was in a terminal state or permanently unconscious.
TRUE
FALSE

9. CORRECT!
These are the words that are included in most living wills. This is the only circumstance for which a living will limits the kind of treatment you would receive.
Next Question

10. INCORRECT
These are the words that are included in most living wills. This is the only circumstance for which a living will limits the kind of treatment you would receive.
Next Question

11. 4. A living will is a document saying I would not want to be kept alive on machines if I was a burden on my loved ones.
TRUE
FALSE

12. Next Question INCORRECT
The living will does not take into account burden on loved ones. If you would like to include language that specifies what conditions you would want to avoid in order to not be a burden to your loved ones, each document has a section in which you can do that. For Veterans, it is labeled ‘additional preferences’ in your advance directives. For the CT living will, it is labeled ‘other specific requests’. These allow for as much detail as you wish to include.
Next Question

13. CORRECT!
The living will does not take into account burden on loved ones. If you would like to include language that specifies what conditions you would want to avoid in order to not be a burden to your loved ones, each document has a section in which you can do that. For Veterans, it is labeled ‘additional preferences’ in your advanced directives. For the CT living will, it is labeled ‘other specific requests’. These allow for as much detail as you wish to include.
Next Question

14. 5. A living will is a document saying I would not want to be kept alive on machines if I had a poor quality of life.
TRUE
FALSE

15. CORRECT!
The living will does not take into account a person’s quality of life. If you would like to include language that specifies what conditions you would not find acceptable, each document has a section in which you can do that. each document has a section in which you can do that. For Veterans, it is labeled ‘additional preferences’ in your advanced directives. For the CT living will, it is labeled ‘other specific requests’. These allow for as much detail as you wish to include.
Next Question

16. INCORRECT
The living will does not take into account a person’s quality of life. If you would like to include language that specifies what conditions you would not find acceptable, each document has a section in which you can do that. each document has a section in which you can do that. For Veterans, it is labeled ‘additional preferences’ in your advanced directives. For the CT living will, it is labeled ‘other specific requests’. These allow for as much detail as you wish to include.
Next Question

17. 6. If I have filled out a will to say how I want my property divided, I do not have to complete a living will.
TRUE
FALSE

18. A will for your property is completely separate from a living will.
INCORRECT
A will for your property is completely separate from a living will.
Next Question

19. A will for your property is completely separate from a living will.
CORRECT!
A will for your property is completely separate from a living will.
Next Question

20. 7. A health care representative or agent is someone who would make medical decisions on my behalf if I were not able to make my own decisions.
TRUE
FALSE

21. CORRECT!
A health care representative or agent is someone you name to make medical decisions for you if you are not able to do so. For Veterans, this person is known as the ‘health care agent’ in your advanced directives. For CT living will, they are known as the ‘healthcare representative’.
Next Question

22. Next Question INCORRECT
A health care representative or agent is someone you name to make medical decisions for you if you are not able to do so. For Veterans, this person is known as the ‘health care agent’ in your advanced directives. For CT living will, they are known as the ‘healthcare representative’.
Next Question

23. 8. A health care agent is someone who would make medical decisions on my behalf even if I were able to make my own decisions.
TRUE
FALSE

24. CORRECT!
The health care agent can only make medical decisions for you if you cannot make your own decisions.
Next Question

25. INCORRECT
The health care agent can only make medical decisions for you if you cannot make your own decisions.
Next Question

26. 9. A health care agent must be named in writing in order to have the legal authority to make health care decisions.
TRUE
FALSE

27. CORRECT!
Connecticut has a law specifying who would act as your health care agent if you do not assign one. They are (in the order of priority): spouse, adult son or daughter, adult brother or sister, grandparent. Their ability to make decisions is limited. Therefore, if you want someone other than one of these and you want the person to be able to make a wider range of decisions, you need to put your decision in writing.
Next Question

28. Next Question INCORRECT
Connecticut has a law specifying who would act as your health care agent if you do not assign one. They are (in the order of priority): spouse, adult son or daughter, adult brother or sister, grandparent. Their ability to make decisions is limited. Therefore, if you want someone other than one of these and you want the person to be able to make a wider range of decisions, you need to put your decision in writing.
Next Question

29. 10. A person named as my power of attorney is someone who could make any medical decision on my behalf if I were not able to make my own decisions.
TRUE
FALSE

30. CORRECT!
While a power of attorney can manage your financial affairs, only a health care agent can make medical decisions for you.
Next Question

31. Next Question INCORRECT
While a power of attorney can manage your financial affairs, only a health care agent can make medical decisions for you.
Next Question

32. 11. A living will is legal only if it is drawn up by a lawyer.
TRUE
FALSE

33. CORRECT!
You do not need a lawyer to complete a living will. You only need two witnesses to sign the form. Although you can have the form notarized, you do not need to.
Next Question

34. Next Question INCORRECT
You do not need a lawyer to complete a living will. You only need two witnesses to sign the form. Although you can have the form notarized, you do not need to.
Next Question

35. 12. A health care agent is legal only if it drawn up by a lawyer.
TRUE
FALSE

36. CORRECT!
You do not need a lawyer to complete a health care agent form. You only need two witnesses (other than the person being named) to sign the form. Although you can have the form notarized, you do not need to.
Next Question

37. Next Question INCORRECT
You do not need a lawyer to complete a health care agent form. You only need two witnesses (other than the person being named) to sign the form. Although you can have the form notarized, you do not need to.
Next Question

38. 13. Once I have signed a living will, I could not change my mind about how I would want to be treated.
TRUE
FALSE

39. You can decide to change your living will at any time.
CORRECT!
You can decide to change your living will at any time.
Next Question

40. You can decide to change your living will at any time.
INCORRECT
You can decide to change your living will at any time.
Next Question

41. 14. Once I have named a health care agent, I could not change my mind and name someone else.
TRUE
FALSE

42. You can change who is your health care agent at any time.
CORRECT!
You can change who is your health care agent at any time.
Next Question

43. You can change who is your health care agent at any time.
INCORRECT
You can change who is your health care agent at any time.
Next Question

44. 15. The best place to keep a living will is in a safety deposit box.
TRUE
FALSE

45. CORRECT!
You need to make sure that your living will and health care agent forms get into the hands of doctors who make be treating you in an emergency. Otherwise, they cannot know your wishes. It is recommended that you make sure the forms are in your medical records and that your loved ones have copies.
Next Question

46. Next Question INCORRECT
You need to make sure that your living will and health care agent forms get into the hands of doctors who make be treating you in an emergency. Otherwise, they cannot know your wishes. It is recommended that you make sure the forms are in your medical records and that your loved ones have copies.
Next Question

47. 16. My doctor does not need a copy of my living will.
TRUE
FALSE

48. Next Question INCORRECT
You need to make sure that your living will and health care agent forms get into the hands of doctors who make be treating you in an emergency. Otherwise, they cannot know your wishes. It is recommended that you make sure the forms are in your medical records and that your loved ones have copies.
Next Question

49. CORRECT!
You need to make sure that your living will and health care agent forms get into the hands of doctors who make be treating you in an emergency. Otherwise, they cannot know your wishes. It is recommended that you make sure the forms are in your medical records and that your loved ones have copies.
Next Question

50. CONGRATULATIONS!
You have completed the ‘Test Your Knowledge About ACP’ Quiz. We hope that you learned some more about Advanced Care Planning that can help you and your loved ones complete this process. Thank you for your time and interest in our research about ACP.