Pharmacy Curriculum Outcomes Assessment (PCOA) Practice Exam

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The standard of substituted judgement relates to situations when a patient is unable to express treatment preferences. What does it involve?

  1. A doctor decides on the patient's treatment

  2. A family member decides on the patient's treatment based on what they believe the patient would decide

  3. The patient's advanced directive is followed

  4. A court decides on the patient's treatment

The correct answer is: A family member decides on the patient's treatment based on what they believe the patient would decide

The standard of substituted judgement involves a family member or other designated person making treatment decisions for a patient who is unable to express their preferences. Option A is incorrect because it goes against the patient's right to self-determination and autonomy. Option C is different from the standard of substituted judgement, as advanced directives are written by the patient themselves to declare their treatment preferences. Option D may occur in extreme circumstances, but is not the standard approach to the issue.