An elderly patient with mild cognitive impairment is brought into the emergency department with a moderately severe laceration on the forearm. The nurse needs to obtain consent for suturing the wound. What is the most appropriate course of action for the nurse to ensure proper consent is obtained?
Assume that the family member accompanying the patient has the authority to consent and obtain their signature without verifying their legal right to make decisions for the patient.
Delay the procedure until a mental health evaluation can be performed to fully assess the patient's cognitive function and ability to consent.
Assess the patient's capacity to understand the procedure and provide informed consent, proceeding with family consent if the patient is determined to lack capacity.
Proceed with suturing under implied consent, given the patient's presentation to the emergency department and the need to treat the laceration
The correct answer is to assess the patient's competence to give informed consent despite their cognitive impairment. Patients with mild cognitive impairment may still possess the capacity to understand treatment risks, benefits, and alternatives and provide valid consent. Consent from a family member or legally authorized representative is sought if the patient lacks such capacity. Implied consent is not adequate for non-life-threatening procedures, and assuming that a family member accompanying the patient has legal authority could lead to legal issues if they are not the patient's designated decision-maker.
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