Emergency Medical Technician (EMT) Intermediate Practice Exam

If a responsive patient refuses to go to the hospital but a family member insists, what is your best action?

1. Respect the patient's decision without further explanation

2. Ensure the patient is fully aware of the consequences of refusing treatment

3. Take the patient's mother’s advice and transport immediately

4. Contact law enforcement to assist

The correct answer is: Ensure the patient is fully aware of the consequences of refusing treatment

The best action in this scenario is to ensure the patient is fully aware of the consequences of refusing treatment. This is important because a responsive patient has the right to make their own healthcare decisions, including the choice to refuse transport to the hospital. However, it is equally critical that the patient understands the potential risks and outcomes associated with their decision. By informing the patient of the possible consequences, you uphold the ethical obligation to ensure informed consent is obtained. This involves explaining any medical conditions that warrant concern, as well as what might happen if they decline treatment or transportation. It creates an opportunity for the patient to reconsider their choice with a clearer understanding of their condition and the implications of refusing care. This approach also helps document that the patient was informed, which can be vital for both legal and medical reasons, should complications arise after the patient refuses care. Involving family members in these discussions can also be constructive, as it may allow the patient to hear concerns from their loved ones without feeling pressured. Other approaches, while they may seem viable, do not adequately respect the patient's autonomy or ensure that the patient has a comprehensive understanding of their medical situation. This is why focusing on securing informed consent through clear communication is the most appropriate action in this scenario.