An older female adult is resisting her son's help to make her money last longer; he wants to have her declared incapacitated so he can manage her finances. Which nursing assess-ment can be used by the court to declare incapacitation?
a. Prepares very few meals and avoids cleaning the house
b. Ambulates around her local community without difficulty
c. Balances her checkbook weekly and pays her bills on time
d. Resists medical advice to remove a stage I malignant tumor
D
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A Incorrect. If these aspects of daily living are not important to her, they do not reflect impaired capacity.
B Incorrect. Functional status is irrelevant in a capacity hearing.
C Incorrect. Managing her finances is evidence of intact capacity.
D Correct. Refusing surgery to remove a malignant tumor at an early stage after receiving medical advice to do so can indicate impaired cognitive functioning because the best chance she has for a cure is early treatment. This is potential evidence of not understanding the consequences of her actions and is potential evidence of impaired capacity to make medical decisions.
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