How should you handle a patient who prefers not to know details about a new diagnosis?

• A. Persistently provide full details to ensure awareness
• B. Respect patient preference, gauge how much information they want, offer to provide information in layers, recheck and document
• C. Document that you avoided discussing information
• D. Avoid asking about their preferences

Answer: (B)

Respecting patient autonomy means tailoring the amount of information you share to what the patient wants. If someone prefers not to know details about a new diagnosis, you should start by gauging how much information they want, present the information in layers, and recheck their preferences over time, while documenting them for continuity of care. Begin with a concise, clear explanation of the diagnosis and what it means, then offer to provide more detail in smaller, optional steps if they request it, and regularly verify whether their information needs have changed. Documenting their preferences ensures the approach stays consistent across visits and across clinicians.

This approach honors the patient’s wishes while still keeping the door open for them to access more information if they choose. It also supports shared decision-making by giving the patient control over how much detail they receive, which helps maintain trust and reduces distress.

Pushing full details despite a patient’s stated preference undermines their autonomy and can erode trust. Simply documenting that you avoided discussing information isn’t appropriate, as it bypasses the patient’s right to know at a level they’re comfortable with. Not asking about preferences at all misses a critical step in tailoring communication to the individual patient.