Q:

A woman brought her husband saying she wants the ‘thing’ on his forehead removed. The husband is refusing treatment saying it improves his thinking. What is the most appropriate next step?

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A woman brought her husband saying she wants the ‘thing’ on his forehead removed. The husband is refusing treatment saying it improves his thinking. What is the most appropriate next step?


  1. Assess his mental capacity to refuse treatment
  2. Remove lesion
  3. Refer to ED (emergency department)
  4. Mini-mental state exam
  5. Refuse surgery and send patient back

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The key is A. Assess his mental capacity to refuse treatment.

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