North Carolina CNA Written Practice Exam

Who typically has the authority to issue a DNR order?

1. The patient or their legal representative

2. Any healthcare provider

3. The patient's family members only

4. The hospital administration

The correct answer is: The patient or their legal representative

A Do Not Resuscitate (DNR) order is a critical medical directive that specifies a patient's wishes regarding resuscitation in the event of cardiac arrest or respiratory failure. The authority to issue a DNR order primarily lies with the patient or their legal representative. This reflects the fundamental principle of patient autonomy, which acknowledges that individuals have the right to make informed decisions about their own medical care, including end-of-life preferences. In situations where a patient is unable to communicate their wishes, a legal representative, such as a power of attorney for healthcare or a family member designated by the patient, can make this decision on their behalf. This ensures that the patient's desires are respected and upheld, aligning medical intervention with their values and priorities. The other options do not represent the correct practice in this context. While healthcare providers play a crucial role in explaining the implications of a DNR order and ensuring that it is documented correctly, they cannot unilaterally issue such an order without the consent of the patient or their legal representative. Family members alone may not have the authority to make this decision unless they are legally designated as the patient's representative. Lastly, hospital administration has no role in authorizing a DNR order; rather, they may implement policies related to