The assessment for no refusals is to make sure that the person being assessed hasn’t already made a decision about a treatment when they were mentally able to do so. This is to make sure that, if so stated, they don’t go against a patient’s wishes to not receive a treatment.
Mental incompetency can be a major factor in why you would want to assess to make sure the patient hasn’t already said they wouldn’t like to receive a treatment. If they have a power of attorney for this point in their life, doctors should check with them to make sure they knew the patient’s wishes, or at least know where they might be able to find such wishes. If the patient has refused the treatment and wishes to continue to refuse it after they have been ruled mentally unable to make those decisions, those wishes should be honored.
There are different psychological tests and further tests that can help test those who are considered to be mentally and intellectually challenged. It is obvious that those who have certain mental and intellectual conditions cannot function the same way that “normal” people can function.
They are not expected to do well in the usual tests because they have a different way of processing things. There are some people who may know if someone is intellectually or mentally challenged based on some signs that they may exhibit. One of the most common signs in children is doing the usual development process a bit late, such as sitting up, crawling, and so much more.
When a person has capacity it means that they can absorb information and are able to make a decision whether you do or do not agree with them. It is within their ability to make a decision that is important and not just a decision that you would agree with.
This is the kind of person a leader would want as a participant, someone that can think for themselves and further whatever the cause might be in an intelligent thoughtful manner. The opposite would be a person that acts as though they are a zombie always agreeing just for the sake of agreeing and never thinking for themselves.