If a patient refuses to consent to medical care, but you find their reasons senseless, you should

• A. True
• B. False
• C. Only if they threaten
• D. Never

Answer: (B)

Respect for patient autonomy and informed consent is the guiding principle. Even if you think their reasons are senseless, a competent patient has the right to refuse treatment. You should not override their decision just because you disagree.

First, assess decision-making capacity: can they understand the information, appreciate consequences, reason about treatment options, and communicate a choice? If they have capacity, honor the refusal and provide information, answer questions, and discuss alternatives or risks. If they lack capacity (confusion, delirium, intoxication, severe mental impairment), involve a surrogate decision-maker or follow local procedures for substitute consent. In true emergencies where delaying treatment could cause serious harm and there’s no time to obtain consent, you may provide care to prevent harm, but otherwise you must respect the patient’s decision. Document the discussion and decision thoroughly.