Who is typically identified to make decisions if the patient cannot?

• A. The hospital administrator
• B. A random nurse
• C. Power of attorney for healthcare
• D. The patient's best friend

Answer: (C)

When a patient can’t make medical decisions, the person most often chosen to decide for them is the one named in a durable power of attorney for healthcare (also called a healthcare proxy). This individual is designated specifically to act on the patient’s behalf, making decisions that reflect the patient’s values and preferences when they’re unable to communicate or comprehend options. This formal role helps ensure that medical care aligns with what the patient would want and provides a clear guide for clinicians during difficult choices.

If no such designation exists, decisions typically fall to a legally recognized surrogate through state guidelines, usually starting with close family members. A hospital administrator or a random nurse would not be expected to serve as the default decision-maker, and a best friend would only have authority if they’re the designated surrogate or appropriately recognized under state law.