Medical Ethics and Professional Behavior · USMLE Step 1

A competent patient refuses a life-saving blood transfusion due to religious beliefs. What is the physician’s most appropriate action?

  1. Administer the transfusion to save the patient's life
  2. Seek a court order to override the refusal
  3. Respect and document the patient's informed refusal
  4. Contact the patient's family to obtain consent
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Correct answer: Respect and document the patient's informed refusal

Respecting autonomy means honoring a competent patient's informed refusal. The physician must document the discussion and decision.

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