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Informed refusal with capacity — MCCQE Part 1 MCQ

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HardEthics & ProfessionalismInformed refusal with capacityMCCQE Part 1

A 55-year-old Jehovah's Witness with gastrointestinal bleeding refuses blood transfusion after understanding that refusal may lead to death. He is alert and can explain alternatives. Which of the following is the most appropriate response?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Respect the informed refusal and offer acceptable alternatives while documenting the discussion

A capable adult may refuse even life-saving treatment for personal or religious reasons. Capacity is not negated by an unconventional choice if the patient understands and appreciates consequences. The physician should explore acceptable bloodless strategies and document informed refusal carefully.

Reference: CMPA consent guidance; provincial health care consent legislation