An older woman 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 assessment 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
Refusing surgery to remove a malignant tumor at an early stage after receiving medical advice to do so can indicate impaired cognitive functioning; early treatment offers the best chance for a cure.
Preparing few meals and avoiding cleaning the house may be potential evidence of not understanding the consequences of her actions and may be potential evidence of impaired capac-ity to make medical decisions. If the aspects of daily living are not important to her, then ambu-lating around her local community without difficulty does not reflect impaired capacity. Balanc-ing her checkbook weekly and paying her bills on time, which are indications that she is manag-ing her finances, are evidence of intact capacity; functional status is irrelevant in a capacity hearing.
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