After the patients and families goals and values have been explored, the patient should assess what they understand about the use of life sustaining treatment. According to Silveira, Dipiero, Gerrity, and Freudener (2000), a significant proportion of outpatients misunderstand options as the end of life. This is not particularly surprising since many Americans obtain their information about life-sustaining technology and end-of-life care from television. Diem, Lantos, and Tulsky (1996) documented that in reality-based television medical shows, nearly all patients survive CPR: while in fictional shows such as “ER”, approximately 75% of patients survive CPR. This serious misinformation often need to be dispelled before patients and families consider what types of life-sustaining interventions they would desire at the end of life.