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What constitutes an advance directive?

  1. A document prepared by a medical professional providing instruction for patient care

  2. A written instruction by a capable adult consenting or refusing health care when incapacitated

  3. A verbal agreement between relatives regarding health care treatment

  4. A standard protocol for first responders in emergencies

The correct answer is: A written instruction by a capable adult consenting or refusing health care when incapacitated

An advance directive is primarily understood as a written instruction provided by a competent adult that outlines their preferences for medical treatment in the event they become incapacitated and are unable to communicate their wishes. This document can include directives regarding specific medical treatments, life-sustaining measures, and other health care decisions, thus ensuring that an individual's healthcare preferences are known and respected even when they cannot advocate for themselves. The focus on a capable adult clarifies that the directives are specific to individuals who have the ability to make informed decisions regarding their healthcare. By laying out these preferences in writing, advance directives serve to guide healthcare providers and family members in making decisions that align with the individual’s values and desires.