Which statement about Do Not Resuscitate (DNR) orders is true?

Which statement about Do Not Resuscitate (DNR) orders is true?

• A. DNR orders require court approval before they can be used.
• B. DNR orders apply only to resuscitation attempts in emergencies and do not automatically limit other treatments, and should be discussed with the patient or surrogate.
• C. DNR orders are permanent and cannot be changed.
• D. DNR orders mean the patient will automatically be discharged from care.

Answer: (B)

DNR orders specify what happens if the patient’s heart stops or they stop breathing: CPR and other resuscitation efforts should not be attempted. They are limited to resuscitation decisions and do not automatically limit other treatments the patient may still want or need, such as comfort care, antibiotics, or symptom relief. Importantly, a DNR is discussed with the patient or their surrogate and documented in the medical record so the care team knows the patient’s wishes. DNRs can be changed or revoked if the patient’s preferences change, and they do not require court approval to implement or modify. A DNR also does not mean the patient will be discharged from care; ongoing treatment and support can continue as appropriate. If the patient lacks decision-making capacity, a legally authorized surrogate or advance directive guides these decisions in line with the patient’s values.

DNR orders specify what happens if the patient’s heart stops or they stop breathing: CPR and other resuscitation efforts should not be attempted. They are limited to resuscitation decisions and do not automatically limit other treatments the patient may still want or need, such as comfort care, antibiotics, or symptom relief. Importantly, a DNR is discussed with the patient or their surrogate and documented in the medical record so the care team knows the patient’s wishes. DNRs can be changed or revoked if the patient’s preferences change, and they do not require court approval to implement or modify. A DNR also does not mean the patient will be discharged from care; ongoing treatment and support can continue as appropriate. If the patient lacks decision-making capacity, a legally authorized surrogate or advance directive guides these decisions in line with the patient’s values.