Assessment of Decision Making Capacity

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Questions and Answers

What does the standard of weighing up information should not be set too high mean?

  • The standard for assessing a person's decision-making capacity should be adjusted based on the decision at hand.
  • The standard for assessing a person's decision-making capacity should be determined by the severity of the person's condition.
  • The standard for assessing a person's decision-making capacity should not be too rigorous. (correct)
  • The standard for assessing a person's decision-making capacity should be very stringent.

What does it indicate if a patient frequently changes their mind about their choice due to psychiatric or neurological impairment?

  • It indicates that the patient has the capacity to make a specific decision at that time.
  • It indicates that the patient lacks capacity to make a specific decision at that time. (correct)
  • It indicates that the patient is fully aware of the risks associated with their decisions.
  • It indicates that the patient has a general cognitive impairment.

According to the passage, what is the focus of assessing whether a patient can rationally weigh up different options?

  • How the patient arrives at their decision rather than just what they decide. (correct)
  • The nature and purpose of recommended treatment.
  • The patient's ability to communicate their decision effectively.
  • The patient's understanding of their own needs and unmet needs.

How does a mental capacity assessment differ from a general cognitive assessment?

<p>Capacity assessment evaluates factors such as confusion, disorientation, and memory. (C)</p> Signup and view all the answers

What should be communicated to an individual undergoing a capacity assessment?

<p>Description of what is involved in the capacity assessment process and its possible outcomes. (D)</p> Signup and view all the answers

What information must be provided to the person undergoing a capacity assessment in a form and language appropriate to their needs?

<p>Information about the likely effects of making the decision. (B)</p> Signup and view all the answers

What must be ensured by the person assessing capacity before meeting with the individual?

<p>That an assessment is needed and permission is obtained. (B)</p> Signup and view all the answers

What should be avoided in the preparation of questions for assessing capacity?

<p>Asking multi-part questions (D)</p> Signup and view all the answers

Which of the following is not necessary for the relevant person in terms of understanding information?

<p>Understanding every element of the decision and options available (D)</p> Signup and view all the answers

What must the relevant person be given for their capacity to weigh up options to be fairly assessed?

<p>All necessary information and options so they can make an informed decision (D)</p> Signup and view all the answers

What is sufficient for a person's ability to retain information for decision-making at the time of assessment?

<p>Retaining information long enough to make a decision at the material time (D)</p> Signup and view all the answers

What is included in the assessment of a person's ability to use or weigh up information relevant to the decision-making process?

<p>Stating the benefits and risks of each option using relevant information (C)</p> Signup and view all the answers

When is it considered sufficient for the relevant person to use or weigh up relevant information?

<p>When they can explain why some options might be better than others using relevant information (A)</p> Signup and view all the answers

What should be taken into account when preparing questions for assessing capacity?

<p>The mixture of open, closed, and 'yes' or 'no' questions suitable for the person's needs (C)</p> Signup and view all the answers

What should be covered in questioning during the assessment of capacity?

<p>'What' questions about weighing up advantages and disadvantages (B)</p> Signup and view all the answers

What is essential for a person's understanding of information relevant to the decision that needs to be made?

<p>Understanding reasonably foreseeable consequences of choices available (B)</p> Signup and view all the answers

What does it mean if a person is able to use or weigh up relevant information?

<p>They can explain why some options might be better than others using relevant information (B)</p> Signup and view all the answers

What are multi-part questions?

<p>Questions that involve multiple steps or parts (B)</p> Signup and view all the answers

What is the onus of proof when challenging a person's capacity to make a decision?

<p>The person challenging capacity has to prove nothing (C)</p> Signup and view all the answers

In which jurisdictions is capacity assessed using a 2-step process?

<p>England and Wales (D)</p> Signup and view all the answers

What requirement must be met for a person to lack decision-making capacity?

<p>Impairment of their mind or brain making them unable to understand, retain, consider and apply information (C)</p> Signup and view all the answers

Why does capacity need to be reassessed for each decision?

<p>Because ability to understand, retain, consider and apply information may fluctuate over time (D)</p> Signup and view all the answers

What is the key difference between a functional approach and a status approach to capacity assessment?

<p>Functional approach is decision-specific while status approach is not (B)</p> Signup and view all the answers

Who primarily holds the responsibility for assessing capacity?

<p>The clinician (D)</p> Signup and view all the answers

What can cause fluctuation in a person's ability to understand, retain, consider and apply information?

<p>Temporary incapacity such as delirium (A)</p> Signup and view all the answers

What does it mean when it is stated that 'capacity assessments are intrusive and threatening'?

<p>'Capacity assessments may be distressing for the person concerned' (A)</p> Signup and view all the answers

What happens if a person reaches a diagnostic threshold for one decision in a status approach?

<p>'They are considered to lack capacity for all decisions' (B)</p> Signup and view all the answers

'Always assume a person has the capacity to make a decision unless evidence clearly proves otherwise.' What principle does this statement reflect?

<p>'Presumption of competence' (A)</p> Signup and view all the answers

What are the 4 key elements in assessing a patient's capacity?

<p>Understand, retain, use, communicate (C)</p> Signup and view all the answers

What is the final step in managing the outcome of the assessment?

<p>Documenting the assessment (D)</p> Signup and view all the answers

What approach to capacity should one understand?

<p>Functional approach (B)</p> Signup and view all the answers

What should be considered in making a determination after the assessment?

<p>Findings of the capacity assessment (D)</p> Signup and view all the answers

Who should the outcome of the assessment be communicated to?

<p>Patient and carers (C)</p> Signup and view all the answers

What does it mean to 'retain the information' in assessing a patient's capacity?

<p>To keep it in memory temporarily (C)</p> Signup and view all the answers

What is meant by 'use and weigh (or balance) the information' in assessing a patient's capacity?

<p>To consider and evaluate the information in making decisions (C)</p> Signup and view all the answers

Why is it important to communicate a choice by any means possible in assessing a patient's capacity?

<p>To ensure the patient feels heard and understood (B)</p> Signup and view all the answers

What is essential in understanding who has legal authority to decide if a person lacks capacity to make a decision?

<p>'Legal authority' (A)</p> Signup and view all the answers

Which of these is NOT one of the key elements in assessing a patient's capacity?

<p>Ensuring they can retain information indefinitely (B)</p> Signup and view all the answers

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