Patient-Doctor Communication · USMLE Step 1

A patient refuses a recommended treatment. What is the physician’s best initial response?

  1. "If you refuse, the consequences are your responsibility."
  2. "Let me explain again why you need this treatment."
  3. "Can you share what is leading you to refuse the treatment?"
  4. "I’ll document that you refused and move on."
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Correct answer: "Can you share what is leading you to refuse the treatment?"

Exploring the patient’s reasoning respects autonomy and helps address misunderstandings or concerns.

Difficulty: Medium Question 6 of 20

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