IGNOU PB. Bsc. Nsg. Entrance-2025
Nursing Foundation
Easy

DNR refers to an order to:

Appeared in: IGNOU PB. Bsc. Nsg. Entrance-2025

Explanation

  • DNR is the standard medical and legal abbreviation for 'Do-Not-Resuscitate'.
  • This is a specific advance directive, a medical order to withhold cardiopulmonary resuscitation (CPR) in the event of cardiac arrest.
  • A DNR order does not mean 'do not treat'; the patient continues to receive all other appropriate medical care, including comfort measures, pain management, and treatment for underlying conditions.
  • Some facilities may use the term 'Allow Natural Death' (AND) which has the same meaning but is framed more positively for families.

Why Other Options Were Wrong

  • Option A: 'Do-Not-Revive' is a colloquial or layperson's term, not the official medical or legal terminology used for this type of advance directive.
  • Option B: 'Do-Not-Refer' is not a standard medical order and is unrelated to end-of-life care or emergency resuscitation procedures.
  • Option D: This is incorrect. A separate order, 'Do Not Intubate' (DNI), specifically addresses the refusal of endotracheal intubation. A patient can have a DNR order, a DNI order, or both.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Meaning of the medical abbreviation DNR (Do-Not-Resuscitate) and its clinical implications as background academic context rather than a clinical decision trigger.
  • Nurses have a critical ethical and legal responsibility to know, verify, and respect a patient's DNR status to ensure their end-of-life wishes are honored.
  • Misinterpreting a DNR order as 'do not treat' is a serious error that can lead to the withholding of appropriate and desired comfort care.
  • What if? A patient is admitted to the emergency department unconscious without any documentation, and they go into cardiac arrest. The default action is to initiate a full code (CPR) because, in the absence of a valid DNR order, the principle is to preserve life.
How to Approach the Question
  • First, identify the core of the question, which is to define the medical abbreviation 'DNR'.
  • This is a factual recall question common in nursing ethics and legal topics.
  • Evaluate each option against standard medical terminology.
  • Recall that 'Resuscitate' is the key term related to CPR, making 'Do-Not-Resuscitate' the most likely correct answer.
  • Differentiate DNR from similar but distinct concepts like DNI (Do Not Intubate) to eliminate incorrect options.
Concept Tested & Keywords
  • Concept Tested: Meaning of the medical abbreviation DNR (Do-Not-Resuscitate) and its clinical implications.
  • Stem keywords: DNR, order
  • Lead-in keywords: refers to
  • Negative lead-in flag: false

Question ID

QNFt8KFMk6LBmxq5G_WtOt

Reference Book

E6 Nursing Fundamentals Taylor p. 953-955

E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 96-98

E6 Nursing Brunner Adult Health 3SA Vol 2 Part 3 p. 90-92

Practise the full IGNOU PB. Bsc. Nsg. Entrance-2025

Attempt every question from this paper in a timed mock, then review the full solution for each one.

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