Certified Hospice and Palliative Assistant (CHPNA) Practice Test

What does a surrogate rely on when making medical care decisions for a patient?

1. Personal beliefs about medicine

2. Medical committee guidelines

3. Known preferences of the patient

4. Hospital policies

The correct answer is: Known preferences of the patient

When making medical care decisions for a patient, a surrogate relies primarily on the known preferences of the patient. This means that the surrogate should utilize any prior discussions, advance directives, or documented wishes that indicate how the patient would have wanted to be treated in various medical situations. The goal is to respect the autonomy and values of the patient, ensuring that the decisions made align with what the patient would have chosen if they were able to do so themselves. Choosing a surrogate often occurs when a patient is unable to communicate their own wishes due to condition or incapacitation. Therefore, understanding the patient's values, beliefs, and preferences becomes the basis for responsible decision-making. This reliance on the patient's personal wishes is emphasized in many legal and ethical frameworks surrounding healthcare. While personal beliefs about medicine, medical committee guidelines, and hospital policies may play a role in the broader context of medical care, they are not as critical as the individual's expressed preferences when it comes to surrogate decision-making. The focus remains on ensuring that the decisions reflect the unique perspective and desires of the patient, providing a compassionate and person-centered approach to care.