Management of CareQuestion 695 of 2368

A client shows hallucinations and refuses all care. Which action is within the nurse's scope regarding the client's capacity?

  1. Formally declare the client incapacitated in the medical record
  2. Start the evaluation of capacity and share assessment findings
  3. Ask a judge to rule on whether the client is legally incompetent
  4. Appoint a legal guardian to make all decisions for the client
Show answer

Correct answer: Start the evaluation of capacity and share assessment findings

Nurses may initiate the evaluation and contribute data but cannot formally assess capacity.

Source: Nursing Management and Professional Concepts, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Legal Implications: Informed Consent. Licensed under CC BY 4.0.

Practice the topic "Management of Care"

Questions last reviewed: 18 October 2026