Emergency Medical Technician (EMT) Intermediate Practice Exam

What does a valid do not resuscitate (DNR) order imply about the patient's wishes?

1. The patient desires all possible interventions

2. The patient does not want resuscitation efforts

3. The patient is unaware of their medical condition

4. The patient has delegated decision-making authority

The correct answer is: The patient does not want resuscitation efforts

A valid do not resuscitate (DNR) order explicitly indicates that the patient does not wish to receive resuscitation efforts in the event of cardiac arrest or respiratory failure. This document is a legal directive that reflects the patient's autonomy and their desire to forgo potentially unwanted medical interventions that could prolong suffering in the face of a terminal condition or significantly compromised quality of life. The key aspect of a DNR order is that it is based on informed consent, where the patient has communicated their preferences about life-sustaining treatments to their healthcare providers. This means that they have likely considered their medical situation and the implications of resuscitation, ultimately deciding that they prefer not to undergo such aggressive interventions should the time come. The presence of a valid DNR does not imply a blanket refusal of all medical treatment. Patients can still receive other forms of care that are in line with their wishes and best interests. Understanding this distinction is crucial for EMTs and healthcare practitioners who are tasked with respecting patients' decisions regarding their medical care.