Imagine a patient with severe schizophrenia who is refusing medication and appears delusional. How do you approach this situation, balancing respect for autonomy with the need for safety?

Specialty-Specific

Purpose

This question digs into the tricky balance between respecting a patient's choices and ensuring their safety when their mental state is compromised. Interviewers want to see if you understand the ethical and clinical nuances involved.

Tips

  • Start by acknowledging the tension between patient autonomy and safety.
  • Discuss how you'd assess the patient's capacity to make informed decisions.
  • Emphasize the importance of communication and building rapport with the patient.

Common mistakes

  • Don't jump straight to coercive measures without trying to engage the patient first.
  • Avoid vague statements; be specific about how you'd assess capacity and risks.
  • Don't overlook the importance of involving your team and considering less restrictive options.