Medical Ethics and Professional Behavior · USMLE Step 1

A patient refuses chemotherapy but consents to pain management and supportive care. Which type of decision-making is demonstrated?

  1. Informed refusal
  2. Paternalism
  3. Therapeutic privilege
  4. Substituted judgment
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Correct answer: Informed refusal

Informed refusal occurs when patients decline treatment after understanding risks and benefits. They may still accept other supportive care.

Difficulty: Medium Question 8 of 20

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