. A woman brought her husband saying she wants the ‘thing’ on his forehead removed. The
husband is refusing tx saying it improves his thinking. What is the most appropriate next
step?
a. Assess his mental capacity to refuse tx b. Remove lesion
c. Refer to ED
d. Mini-mental state exam
e. Refuse surgery and send pt back
Ans. The key is A. Assess his mental capacity to refuse treatment