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Capacity and patient safety in dementia — MCCQE Part 1 MCQ

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HardEthics & ProfessionalismCapacity and patient safety in dementiaMCCQE Part 1

A 78-year-old woman with mild Alzheimer's lives alone. Left stove on twice, got lost walking home. Insists on staying home, refuses help. MMSE 22/30, understands risks discussed. Most appropriate approach?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Respect autonomy while implementing safety measures and community supports

Balance autonomy with safety in mild dementia retaining capacity. Implement harm reduction (remove stove knobs, GPS, home safety), arrange community supports (home care, Meals on Wheels). Driving assessment also important.

Reference: CMA Ethics / Provincial capacity legislation