In Mark's scenario, Dr. Anderson's intent to educate him about hemodialysis without coercion demonstrates her commitment to

• A. Nonmaleficence
• B. Autonomy
• C. Beneficence
• D. Justice

Answer: (B)

Respecting a patient’s autonomy means recognizing their right and capacity to make their own health care decisions. By educating Mark about hemodialysis without pressuring him to choose a certain path, Dr. Anderson provides the information and support he needs to decide in line with his values and preferences. Informed decision-making involves understanding what dialysis involves, the risks and benefits, alternatives, and likely outcomes, and having the freedom to accept or decline. Coercion would undermine autonomy by steering or forcing a choice, whereas this non-coercive education honors Mark’s control over his own treatment.

Nonmaleficence is about not causing harm, beneficence about acting for the patient’s best interests, and justice about fairness in access to care. While Dr. Anderson’s approach can align with those principles, the specific act of educating the patient without pressure most directly demonstrates autonomy.