You are concerned that the patient does not seem to have the…
You are concerned that the patient does not seem to have the capability to understand the risks and benefits of starting a new blood pressure medication even though they were able to provide an excellent health history. You tried during two appointments to explain the risks of the blood pressure medications but whenever you ask, they explain back to you that if they take the medication, “my deceased mother will come back to life”. You want to refer the patient to a psychiatric nurse practitioner for further evaluation. How do you decide if the patient lacks decision making capacity or competence?