ABFM KSA EXAM NEW LATEST VERSION UPDATED 2024-2025 BEST STUDYING MATERIALS WITH VERIFIED ANSWERSA 78-year-old male lives alone with no known relatives or friends. A social worker performing a routine welfare check finds him down on the floor and he is hospitalized for several days with Wernicke-Korsakoff syndrome. He is medically optimized, and discharge planning is now being discussed. His cognitive assessment scores are abnormal. There is no advance care plan document or health care power of attorney. The patient states that he wants to return home, but you have significant concerns about that decision and do not feel it would be safe. When you discuss your concerns with the patient and ask about his plans for obtaining and preparing food and other instrumental activities of daily living, he simply asserts that he'll be "fine." He is not able to provide any further explanation of his thoughts, and he becomes upset and refuses to answer further questions.Reasonable strategies for managing this situation include which one of the following?
Transfer the patient to a skilled nursing facility and perform a capacity and competency determination at a later time
Consult the ethics committee at your institution to determine his decision-making capacity Assign durable power of attorney for health care to one of the medical social workers who is familiar with his case
Work with the court system to establish guardianship for the patient
D
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