Texas Jurisprudence Exam Physician Assistant Practice Exam

Who is responsible for making decisions about a comatose patient's care when they cannot communicate?

1. State welfare officer

2. Spouse or authorized surrogate

3. Any available family member

4. The treating physician

The correct answer is: Spouse or authorized surrogate

The spouse or authorized surrogate is primarily responsible for making decisions about a comatose patient's care when they cannot communicate. This responsibility is grounded in principles of medical ethics and legal statutes that prioritize the wishes and best interests of the patient through designated surrogate decision-makers. In many jurisdictions, including Texas, the law identifies certain individuals who are eligible to make healthcare decisions on behalf of incapacitated individuals. Spouses are generally viewed as primary decision-makers because of their close relationship and familiarity with the patient's values and preferences. Authorized surrogates, such as those designated through advance directives or healthcare proxies, are also empowered to make these crucial healthcare decisions. While a state welfare officer could be involved in some aspects of patient care, their role does not specifically encompass making medical decisions. The treating physician is responsible for recommending treatment options but does not have the authority to make decisions about care if a surrogate exists. Similarly, while any available family member might have their interests in mind, they do not hold the legal authority to make healthcare decisions unless they are designated as the surrogate by law or the patient. This framework ensures that the decisions made reflect the patient's preferences and are guided by those most closely connected to them.