🏥 USMLE Exam Prep

A 75-year-old female with advanced metastatic cancer is admitted with pneumonia. She is alert, oriented, and repeatedly states, "I do not want any aggressive treatments or to be intubated. I just want to be comfortable." Her son insists that "everything must be done to save her, no matter what." What is the MOST ethically appropriate approach for the medical team?

A Follow the son's wishes, as he is the closest family member
B Proceed with aggressive treatments as per the son's request, while attempting to mediate
C Honor the patient's clearly expressed wishes, as she has decisional capacity
D Obtain a court order to determine who has medical decision-making authority

✓ Correct Answer: Option C

When a patient possesses decisional capacity, their autonomous choices regarding their medical care must be respected, even if family members disagree. Patient autonomy is a paramount ethical principle in such situations.

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