ARRT Patient Care Practice Exam

What should be done if a patient refuses a procedure?

1. Proceed with the procedure anyway

2. Document the refusal and inform the physician

3. Ask the patient repeatedly to reconsider

4. Ignore the refusal if it's a routine procedure

The correct answer is: Document the refusal and inform the physician

When a patient refuses a procedure, the appropriate course of action is to document the refusal and inform the physician. This response is essential for several reasons. First, it respects the patient's autonomy and right to make informed decisions about their own healthcare. Every patient has the legal right to refuse treatment or procedures, and it is the responsibility of healthcare professionals to honor that decision. Documenting the refusal provides a clear record of the patient's wishes, which can be important for legal and ethical considerations. It also ensures that the medical team is aware of the patient's decision and can plan accordingly. Furthermore, informing the physician allows for further discussion with the patient, which may help to clarify any misunderstandings regarding the procedure and the potential risks and benefits. In contrast, proceeding with the procedure despite the refusal undermines the patient's rights and can lead to significant ethical and legal ramifications. Asking the patient repeatedly to reconsider may be perceived as coercive and could damage the patient-provider relationship. Lastly, ignoring the refusal, particularly for a routine procedure, fails to acknowledge the patient’s expressed wishes and can cause distress or lack of trust in the healthcare system. Overall, respecting patient autonomy while ensuring appropriate documentation and communication is the most ethical and effective approach when a patient declines a procedure.