skip to main content

Advance care planning in heart failure — DGM MCQ

Instant feedback + full explanation. One question, done properly.

HardEnd-of-life careAdvance care planning in heart failureDGM

An 87-year-old woman with advanced heart failure is breathless at rest, eating little and has had three admissions in 2 months. She says she wants to avoid hospital if possible. Her son asks for a clear plan for deterioration. What is the most appropriate assessment?

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

Reveal the answer and explanation

Correct answer: BHolistic needs assessment and advance care planning discussion

The appropriate assessment is holistic, including symptoms, preferences, capacity, carer support and escalation planning. Hospice referral may be useful, but admission without discussion ignores her autonomy and needs. Advance care planning is most useful before a crisis removes choice.

Reference: NICE NG31; NICE NG142