skip to main content

Decision-making capacity — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

EasyEthics, Patient Safety, Quality Improvement, Systems-Based PracticeDecision-making capacityUSMLE Step 3

A 79-year-old man with pneumonia refuses hospitalization. He explains his diagnosis, the proposed treatment, risks of refusing, and alternatives, and states he values being at home even if risk increases. He is not delirious, psychotic, or intoxicated. Which of the following is the most appropriate next step in management?

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

Reveal the answer and explanation

Correct answer: A — Respect his refusal and arrange the safest feasible outpatient plan

Patients with decision-making capacity may refuse recommended care, even when clinicians disagree.

Reference: AMA Code of Medical Ethics and patient safety principles: https://code-medical-ethics.ama-assn.org/