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Mature minor consent — MCCQE Part 1 MCQ

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HardEthics & ProfessionalismMature minor consentMCCQE Part 1

A 15-year-old with Crohn disease refuses corticosteroids after explaining the flare, treatment benefits, risks, and alternatives. His parents demand treatment. He has managed his condition responsibly and understands the consequences. What is the most appropriate ethical/legal action?

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Correct answer: C — Assess and respect mature minor decision-making if capacity is established

Canadian mature minor principles recognise that capable adolescents may make health decisions depending on maturity and understanding. Parental authority does not automatically override a capable minor. Court involvement is reserved for serious disputes or child protection contexts after careful assessment. Coercive enforcement is inappropriate without legal basis.

Reference: CMPA consent to treatment; provincial mature minor doctrine