The ethical principle of autonomy is not applicable in which patient situation?
a. The patient does not speak or understand the English language.
b. The patient is unaware of who or where he or she is.
c. The patient has been in a long-term care facility for 10 years.
d. The patient has values that conflict with the caregiver's values.
B
This principle assumes rational thinking on the part of the individual, and being unaware of who and where the patient is, is not indicative of the ethical principle of autonomy. Autonomy is a patient's right to self-determination implies the freedom to make choices and decisions about one's own care without interference even if those decisions are not in agreement with those of the health care team. In the other situations, the patient has rational thinking even though he or she may not understand or speak English because an interpreter could assist.
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