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Advance care planning — ABFM Board MCQ

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EasyGeriatricsAdvance care planningABFM Board

An 82-year-old man with advanced COPD wants to discuss future care. He has decision-making capacity and says comfort matters more than life prolongation if he cannot communicate. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Document goals and complete advance directive planning

Patients with capacity should be invited to clarify goals and document preferences before a crisis occurs.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html