skip to main content

Valid DNACPR decision — DIPIMC MCQ

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

HardScene Safety and MedicolegalValid DNACPR decisionDIPIMCDipIMC

You arrive at a private residence where an elderly patient is in cardiac arrest. The family present a valid, signed DNACPR (or ReSPECT) form that clearly applies to this patient, and there is no doubt about its authenticity. What is the most appropriate action?

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

Reveal the answer and explanation

Correct answer: A — Withhold CPR in line with the valid decision

A valid, applicable DNACPR or ReSPECT decision that clearly relates to the patient and is not in doubt should be respected, and cardiopulmonary resuscitation withheld, with the focus shifting to comfort, dignity and support for the family. Starting or continuing CPR against a valid decision disregards the patient's documented wishes and the clinical decision behind them. The location of the arrest and the issuing organisation do not invalidate an otherwise valid form. Pearl: where there is genuine doubt about validity, applicability or authenticity, it is reasonable to begin resuscitation while the situation is clarified.

Reference: Resuscitation Council UK (DNACPR/ReSPECT)