Which patient is most likely to have difficulty with the ethical concept of autonomy?
a. 18-year-old patient in labor
b. 35-year-old patient with appendicitis
c. 53-year-old patient with pancreatitis
d. 78-year-old patient with rheumatoid arthritis
ANS: D
The principle of autonomy refers to freedom from external control and includes commitment to include patients in decisions about their care. People from different generations have differing expectations regarding inclusion in their care. Often, patients who are part of the Silent Generation (born 1925-1945) value formality and authority, which may make them less comfortable with making their own health care decisions.
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