Question

A 70-year-old man with metastatic prostate cancer and severe bone pain asks you not to tell his wife about his prognosis because he does not want to upset her. His wife later asks you directly, ‘Is he dying?’ He has capacity and has clearly stated his wish. What is the most appropriate response?

Accepted Answer

Respect the patient’s wishes and explain to his wife that you can only share information with his consent, while encouraging him to involve her

Answer

Tell the wife everything without consulting the patient

Answer

Tell the wife nothing and avoid further discussion

Answer

Automatically override the patient’s wishes if the wife insists

Answer

Give vague reassurances that everything will be fine

Practice question