|
Year |
2003 |
|---|---|
|
Question Number |
75. |
|
Category |
Medical-Legal |
Question
A 92-year-old man who lives alone and is a community ambulator sustains a displaced femoral neck fracture. Following a detailed informed consent discussion that recommends surgery, he refuses treatment. What is the next most appropriate step?
1- Go ahead with surgery after obtaining administrative consent
2- Obtain a second orthopaedic opinion
3- Obtain consent from his next-of-kin
4- Assess the patient’s global mental capacity, including orientation to person, time, and place
5- Evaluate the patient’s specific decisional capacity by gauging his understanding of his condition, treatment alternatives, and consequences
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