and answers already passed
2025/2026
Paternalistic - correct answer ✔HCP assumes total control of decision-making. HCP holds facts and
assume pt shares their values. Patient autonomy=ignored. Sometimes this occurs in emergency
situations. Not consenting to treatment = incompetent? Assessing competence needs to be separated
from the questions of how willing they are to follow medical advice.
Deliberative - correct answer ✔HCP holds and delivers facts. In addition, HCP and pt. Engage in
dialogue to to reveal pt's values and HCP attempts to steer their values to be more in line with "medical
values." Involves the most shared burden btwn pt and HCP. Could slip toward paternalistic if HCP is to
aggressive in attempt to sway patient's values.
Emmanuels: deliberative=default.
Interpretive - correct answer ✔HCP holds and delivers facts. HCP attempts to make pt's values clear
and guide them toward the decision that matches these values best. Is HCP qualified enough to
interpret pt's values? Tendency to slip back into informational model if HCP decides they can't assess the
pt's values.
Informative - correct answer ✔HCP solely presents the facts and leaves decision making to pt. Pt.
Autonomy takes precedence. Assumed patient is aware of their own values. Assumes pt. Has some
knowledge of healthcare. "Consumer-service provider" relationship=robotic, business like, lacking
human side. Seems impossible to give pt. All info they would need to make a fully informed rational
decision.
Assessing Competency to Consent - correct answer ✔Standard Heuristics
Farce using the medical decision itself to assess