Which statements would the nurse evaluate as suggesting that the patient's decision has not been autonomous? (Select all that apply.)
a. "I wish I knew for sure that I had all the facts about the treatment."
b. "I thought through all the alternatives."
c. "My son told me emphatically what he thought would be best for the family."
d. "I am going to refuse to take the treatment because it will prolong life."
ANS: A, C
Autonomy means being free to choose. The statement, "I wish I knew for sure that I had all the facts about the treatment," suggests that the patient may not have had all the relevant facts. The statement, "My son told me emphatically what he thought would be best for the family," suggests undue influence from the family. Thinking through all the facts is part of autonomous decision making, as is acting on one's personal decision.
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