A do-not-resuscitate decision primarily signals respect for which aspect of patient care?

• A. Cost containment
• B. Public health considerations
• C. Autonomy
• D. Clinical efficiency

Answer: (C)

Autonomy drives this concept. A do-not-resuscitate order is a clear expression of the patient’s right to make decisions about their own medical care, including whether to undergo CPR if their heart or breathing stops. It embodies honoring the patient’s values and goals, often established through discussion with the patient or a legally authorized surrogate and documented in advance directives. Remember that a DNR pertains specifically to resuscitation in a code situation; other treatments and comfort measures can continue unless the patient has specified otherwise. The other reasons listed—cost containment, public health considerations, or clinical efficiency—are not the primary basis for a DNR; the core purpose is to respect the patient’s preferences.