skip to main content

Unsafe discharge cognitive impairment — DGM MCQ

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

ModerateComprehensive geriatric assessmentUnsafe discharge cognitive impairmentDGM

An 82-year-old woman is due for discharge but cannot explain her new insulin regimen. She lives alone and has mild cognitive impairment. Her glucose is stable on the ward. Current medicines include insulin newly started. What is the most appropriate assessment?

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

Reveal the answer and explanation

Correct answer: A — Medication self-management and capacity/safety assessment

New insulin in a cognitively impaired person requires assessment of capacity, practical administration and home support. Verbal instructions alone, stopping insulin abruptly, informal neighbour care and ignoring future safety are inadequate. Discharge decisions should test real-world treatment tasks.

Reference: BGS CGA toolkit; Mental Capacity Act 2005