🏥 USMLE Exam Prep

A 42-year-old patient with no cognitive impairment is diagnosed with acute appendicitis and requires an appendectomy. The surgeon explains the procedure, risks, benefits, and alternatives. The patient understands everything but firmly refuses the surgery due to fear of anesthesia. What is the most appropriate next step for the healthcare team?

A Obtain a psychiatric consultation to assess capacity
B Inform the patient that refusal could lead to serious complications and document this discussion
C Seek a court order to proceed with the surgery
D Administer sedatives and proceed with the surgery to save the patient's life

✓ Correct Answer: Option B

An adult patient with decision-making capacity has the right to refuse medical treatment, even if it could be life-saving. The healthcare team's role is to ensure the patient is fully informed about the risks of refusal and document this discussion thoroughly.

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