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A primary care physician is caring for a patient with stage IV ovarian cancer. The woman, who has chosen to participate in hospice care, asks the physician to give her “something to end it all.” Which of the following is the most appropriate next step for the physician?
(A) Call the patient’s daughter and explain her mother’s request
(B) Discuss with the patient her feelings and identify why she is asking for life-ending medication
(C) Provide the patient with a prescription for narcotics
(D) Refer the patient to a psychiatrist
(E) Tell the patient that her request is shocking and such medication will not be provided
A primary care physician is caring for a patient with stage IV ovarian cancer. The woman, who has chosen to participate in hospice care, asks the physician to give her “something to end it all.” Which of the following is the most appropriate next step for the physician?
(A) Call the patient’s daughter and explain her mother’s request
(B) Discuss with the patient her feelings and identify why she is asking for life-ending medication
(C) Provide the patient with a prescription for narcotics
(D) Refer the patient to a psychiatrist
(E) Tell the patient that her request is shocking and such medication will not be provided
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