In discussing treatment decisions with a client who has cryptococcal meningitis, which step best supports patient autonomy?

• A. Begin treatment immediately without consent
• B. Ask the client if this decision has been discussed with his healthcare provider
• C. Notify the family only
• D. Seek approval from the ethics committee

Answer: (B)

Respecting patient autonomy means decisions about care are made with the patient, who should be informed about options, risks, and benefits and whose values guide what happens. In cryptococcal meningitis, the clinician should ensure the patient has had a discussion about the treatment choices with the health care team, so the patient can understand and participate in the decision and provide informed consent. Asking whether such a discussion has occurred best supports autonomy because it confirms the patient’s involvement and understanding before any treatment is given. Starting treatment without consent undermines autonomy; notifying only the family bypasses the patient’s own preferences; seeking ethics committee approval is not typically necessary for an ordinary treatment decision and can delay care.