Which scenario reflects respecting patient autonomy in refusing treatment?

• A. Override the patient’s wishes to preserve life
• B. Delay decision
• C. Immediately obtain a court order
• D. Respect the competently expressed wishes of the patient

Answer: (D)

Respecting patient autonomy means honoring a competent patient’s right to refuse treatment after being fully informed. When someone demonstrates decision-making capacity and clearly declines a proposed therapy, their wishes should be respected, documented, and supported by the care team—even if the medical team believes treatment is beneficial. This upholds self-determination and helps ensure care aligns with the patient’s values and goals.

Overriding the patient’s wishes contradicts autonomy; if a patient is competent, their decision takes precedence. Delaying the decision can undermine autonomy by delaying the opportunity for the patient to exercise their choice and may lead to unnecessary distress or harm. Seeking a court order to override a patient’s wishes is not about respecting autonomy; it may be appropriate only when capacity is lacking or there is a dispute requiring legal resolution.