NBME 24 Determine whether the patient has decision-making capacity (NBME Answers)

NBME 24 Answers

nbme24/Block 2/Question#41 (reveal difficulty score)
A 56-year-old man who is admitted to the ...
Determine whether the patient has decision-making capacity 🔍 / 📺 / 🌳
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+17
submitted by ∗seagull(1746),

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poeCul awys to gte eth e.ransw .1 tanessoin fo het trreaoni ghthi nda daieml egl rea yb sbechrna fo eht loaemfr evenr (,3L ,4L L5). 2. Sneic the reoraint thhgi si ceffaetd eht lpalrlate elxerf is lilyek efadfetc ihhwc si a hrcban of .L4

+8
submitted by ∗m-ice(354),

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yAotnmuo is eth mtso tiapnrotm sheitc rliinecpp ttha erdsesspue lla oers.ht o,verHew it si eplpdia oyln in aistsituno in cwihh a nettapi rstnmeedtsao inakmnes-icgoid tcaaiyp.c In hsit iitn,otsau a tnpaeit ihtw deaancdv desaeis lykeniul ot be cuerd si uingesrf nttmaee,rt chwhi si his grthi dnrue eth iicplrnep fo tumnoy.ao eHw,vore sih nstomcem tobau r"gitnenur in 6 mthson ftrae gunicr rati"strih rea quleoaist,ebn dan rrwatan iiedtgenrnm if eh ash noicedsi agnkim aiyca.tcp tI si polbesis ahtt he e,osd ihhwc is why yan eiochcs of rgfnoic rrehuft eaertmtnt on him ear it.ercnrco

hungrybox These ethics questions seems so simple and yet somehow I always get them wrong. I guess deep down I'm just a scumbag. +18

mutteringly Hey there's always dental school +4

hungrybox legit made me lol, thanks for that +1

jurrutia Also, the patient is delusional! He thinks he's going to cure arthritis. You don't have decision making capacity when you're crazy. +

+0
submitted by ∗marypoppins(1),

Why can't it be choice E? I assumed the patient had bipolar.

+0
submitted by ∗beetbox(3),

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naC eseoomn ilaexnp remo no hwo to ekctal ehtse espty fo isu?nsetoq I scuk at seeth oqutesnis ofr l..e.ar oT me, eh nddoseu treytp saen nda bnaaeselor (dose otn siwh to etaws hetor pee'lpos ye).omn eruS he hmgit be eundr lgtshi siersdeonp ijndugg woh eh has a alitrmen sslieln and sih nasmtetet no owh noydob ercas ofr m.hi tBu esluns he si roencteinh ro snaypidilg igalmca ,nikithgn igsns fo lsso of royemm .etc, yhw uldhso he eb adulaevet no igcseoai-iknndm cp?tiyaca

drdoom in medical parlance, you can be so depressed that you're actually cognitively impaired. this is known as pseudodementia. thus, you need to figure out: “is this guy so depressed we can deem him incompetent to make decisions?” +

rockodude he says he has an invention to cure arthritis in 6 months he'll be back.. not normal imo. at least for this question thats the line that made me think does this person have capacity +