In England and Wales, a patient can decide what to wear but cannot understand or weigh information about a proposed operation. Which approach is correct?
Correct answer: A. Assess capacity for the operation as a separate decision
- A. Assess capacity for the operation as a separate decision
- B. Record that the patient lacks capacity for every decision
- C. Ask the family to make all decisions from now on
- D. Assume capacity because the patient chooses clothing independently
Explanation
Capacity is decision-specific under the Mental Capacity Act. Ability to make one everyday choice does not establish capacity for a more complex treatment decision, which requires its own functional assessment.
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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.
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