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Intermediate
A patient with mild dementia refuses a high-risk procedure but accurately explains risks, alternatives, and consequences. The family asks staff to override him. What should the CNS advise?
Let the family decide because any dementia diagnosis removes decision-making capacity
Respect the decision if capacity for this specific decision is present and document the assessment
Proceed because refusal of beneficial care proves incapacity
Require a court-appointed guardian for every patient with cognitive impairment
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