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Question 658
Clinical Management → Clinical Practice
Classification
Question
SSBAQuestion Header
Elements of informed consent
Question Stem
A patient has received and understood the relevant information but agrees only because of coercive pressure. Which of the four elements of informed consent listed is deficient?
Options
A
Disclosure
B
Comprehension
C
Voluntary transaction
D
Validation
E
Capacity
Explanation
four elements of informed consent: disclosure, comprehension, voluntary transaction and validation. Coercive pressure means the transaction is not voluntary.
Option Validity
A) Disclosure concerns provision of relevant information; the scenario states that information has been provided.
B) Comprehension concerns understanding; the scenario states that the patient understands the information.
D) Validation concerns formal confirmation such as signed written consent, not freedom from coercion.
E) Capacity is discussed as a main component of consent, but the four elements listed identify coercion as a failure of voluntary transaction.
Further Reading
Saxena MRCOG-1 Basic Sciences — Principles of Clinical Practice, printed p. 2.