skip to main content

Self-neglect — DGM MCQ

Instant feedback + full explanation. One question, done properly.

HardEthics and lawSelf-neglectDGM

A 79-year-old man with hoarding, weight loss and poor hygiene refuses home help. He understands the risks, communicates consistently and wants to stay at home. Neighbours report fire risk and blocked exits. Current medicines include no regular medicines. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: D — Assess capacity and consider safeguarding with risk-management plan

Self-neglect requires capacity assessment, proportional risk management and safeguarding consideration when risks are serious. Forced care without legal basis, ignoring risk, removal without authority and assuming dementia are inappropriate. Capacitous refusal can coexist with safeguarding duties and fire-safety planning.

Reference: Care Act 2014; Mental Capacity Act 2005