A 12-year-old child is being admitted to the unit for a surgical procedure. The child is accompanied by two parents and a younger sibling. The level of involvement in treatment decision making for this child is
1. that of an emancipated minor.
2. that of a mature minor.
3. that of assent.
4. none.
Answer:3
Rationale: Assent requires the ability to generally understand what procedure and treatments are planned,to understand what participation is required,and to make a statement of agreement or disagreement with the plan.Usually,in Piaget's stage of formal operations,11- to 13-year-olds should be able to problem solve using abstract concepts and are able to give valid assent when parents sign the informed consent. An emancipated minor is a self-supporting adolescent who is not subject to the control of a parent or guardian. A mature minor is a 14- or15-year-old whom the state law designates as being able to understand medical risks and who is thus permitted to give informed consent for treatment.
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