In England and Wales, a patient has a diagnosis of dementia but answers questions accurately and makes a clear decision about accepting antibiotics. What should the nurse conclude?

Correct answer: B. The patient has capacity for this decision unless evidence shows otherwise

  • A. The diagnosis automatically means the patient lacks capacity
  • B. The patient has capacity for this decision unless evidence shows otherwise
  • C. A relative must give consent before treatment can proceed
  • D. The patient must undergo a formal court assessment first

Explanation

Capacity is decision-specific and cannot be judged solely from a diagnosis, age or appearance. The Mental Capacity Act requires evidence that the person cannot make this particular decision at the relevant time.

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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.

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.

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