mrcem2-1531

A 60-year-old woman presents with recent weight loss, difficulty breathing, and chest pain. She has a long history of smoking and has been diagnosed with COPD. A chest X-ray reveals a large mass in the left lung consistent with cancer. You recommend that she be referred to a specialist for further evaluation and treatment, but she refuses and does not want her family to know about her condition. She also states that she does not want to hear any negative news. After assessing her mental capacity and determining that she is competent and has capacity, which of the following statements is true regarding her ongoing care?