Which of the following is NOT one of the circumstances under which resuscitative efforts may be withheld or discontinued?

The correct choice highlights that a patient who has requested treatment must receive appropriate resuscitative efforts, as their verbalized desire for care signifies their intention to continue receiving life-saving interventions. Such a request implies that the patient is not in a position where resuscitation would be withheld or discontinued. It is essential to respect patient autonomy and decisions about their own healthcare.

In contrast, the other circumstances listed describe situations where resuscitative efforts could be reasonably withheld or ceased based on established guidelines. A valid DNR (Do Not Resuscitate) order clearly states the patient's wishes to not receive resuscitation in the event of cardiac arrest or respiratory failure. Five signs of immediate DOA (Dead on Arrival) denote criteria that confirm a patient is deceased, making resuscitation futile. A pulseless and/or apneic patient exercising their right to die is another valid reason to withhold resuscitation, as it aligns with the ethical principles surrounding end-of-life care and the patient's wishes.