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Psychiatry · Capacity and consent
Sample itemA patient can repeat information about a procedure but cannot compare options or explain how the choice applies to her circumstances. Which capacity element is impaired?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Using or weighing information
Decision-making capacity requires understanding relevant information, retaining it long enough to decide, using or weighing it, and communicating a choice. Capacity is decision specific.
Option by option
A. Understanding information
She can repeat information, so basic understanding may be intact.
B. Communicating a choice
The stem does not say she cannot express a decision.
C. Using or weighing information (correct)
Correct. Applying and comparing information is the weighing element.
D. Having a diagnosis
A diagnosis alone neither proves nor disproves capacity.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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