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Residency · Autonomy and consent · With sample answers2
Clear filters- Practice this question nowEthicsIntermediateMMI station MD, DO, PA, Nursing, Residency
A Jehovah's Witness patient refuses a blood transfusion they need to survive. What do you do?
Autonomy and consent · Cultural humility · Communication
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Sample answer outline
- A competent adult can refuse even life-saving treatment. Your job is to make sure the refusal is informed, voluntary and consistent with their values.
- Talk with them privately to check for pressure from family or community.
- Explore what they will accept: bloodless surgery techniques, cell salvage, iron, medicines that boost blood production.
- Document the conversation and their decision clearly, and keep caring for them fully.
- Note how it differs for a child or for an unconscious patient without an advance directive.
What makes it work
- It respects autonomy while doing everything else possible.
- Showing the contrast with a child proves you understand the limits.
Avoid
- Trying to persuade them out of their faith.
- Treating the refusal as a reason to step back from their care.
- Practice this question nowEthicsAdvancedMMI station MD, DO, PA, Nursing, Residency
A mother refuses a life-saving blood transfusion for her 4-year-old because of her religious beliefs. What do you do?
Autonomy and consent · Cultural humility · Patient safety
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Sample answer outline
- The child's best interests come first. Parents' right to refuse has limits when a child's life is at risk.
- Approach the mother with empathy, explore her beliefs and offer every acceptable alternative that is medically safe.
- Involve the senior physician, ethics and the hospital's legal team early. Courts can authorize treatment.
- In a true emergency, treat to save the child's life as the law allows.
- Protect the relationship: this family will still care for the child afterward.
What makes it work
- It shows exactly where autonomy ends: a parent deciding for a child.
- It handles the family with compassion, not force alone.
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