A patient with dementia refuses assistance with washing. The patient can understand, retain and weigh the information about the choice and communicate a clear decision. What should the nurse do?
Correct answer: B. Respect the refusal and offer support later
- A. Provide the care because dementia removes capacity
- B. Respect the refusal and offer support later
- C. Ask the family to insist that care is provided
- D. Record the refusal as challenging behaviour
Explanation
Capacity is assessed for the specific decision at the time it must be made. A diagnosis of dementia does not automatically mean that the person lacks capacity. If the patient has capacity to refuse washing, the refusal should be respected while alternative support is offered.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About UK Law, Consent and Mental Capacity
UK consent and capacity law covers valid voluntary consent, adequate information, refusal of treatment, and the Mental Capacity Act principles for assessing decision specific capacity. It includes best interests decisions, least restrictive care, advance decisions and lasting powers of attorney, with capacity distinguished from mental illness, and legal capacity distinguished from clinical competence or mere agreement.
Practise UK Law, Consent and Mental Capacity
50 free UK Law, Consent and Mental Capacity MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask International Nursing Practice questions like this
International Nursing Practice is on this paper prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for it.
More UK Law, Consent and Mental Capacity questions
A 15-year-old in England understands the nature, purpose and consequences of a proposed minor procedure and wishes to consent. What is the most appropriate action?
A patient has a valid and applicable advance decision refusing a specified life-sustaining treatment if the patient later lacks capacity. The patient now lacks capacity and the clinical situation matches the decision. What should the nurse do?
In England, a patient with capacity tells the nurse, “I do not want my partner told about my diagnosis.” The partner asks for an update. What should the nurse do?
A patient lacks capacity to decide whether to move to a quieter room. The move is likely to reduce distress, and the patient’s previous wishes support it. Which action best meets the Mental Capacity Act?
In England and Wales, a patient is confused after receiving a sedating medicine and cannot explain the decision about a non-urgent procedure. The confusion is expected to improve later. What should the nurse do?
In England and Wales, a patient lacks capacity to decide about discharge. The patient’s daughter says, “I know exactly what my parent would want,” but there is no health and welfare attorney. What should the nurse do?