To support patient autonomy, which approach is appropriate when discussing prognosis?

• A. Provide honest information and check understanding.
• B. Decide for the patient.
• C. Avoid discussing prognosis.
• D. Discuss prognosis only with family.

Answer: (A)

Respecting patient autonomy means giving the patient clear, honest information about prognosis and ensuring they truly understand it so they can make decisions aligned with their values. Providing prognosis in plain language and then checking understanding (for example, using a teach-back method where the patient explains back what they heard) supports informed choices and personal empowerment. This approach avoids withholding information or making decisions for the patient, and it invites the patient to participate actively in care planning.

Other options falter because they either bypass the patient’s right to know and decide, or defer to family alone, or avoid the topic altogether. Involving the patient directly—while offering support and respecting their preferences for who’s present—best preserves autonomy.