mrcem2-1922

A 65 year old type 2 diabetic with recently diagnosed dementia is brought into the emergency department by the caregiver from her assisted living facility due to concern that her foot ulcer is worsening. The doctor had started antibiotics a week earlier as an ulcer to the big toe appeared infected. An X-ray reveals bone erosion and reactive bone sclerosis consistent with osteomyelitis. You refer the patient to the orthopedic resident on-call. You overhear the resident discussing toe amputation and requesting the patient sign a consent form. You are worried because you are unsure if the patient has the capacity to give consent. Which of the following is NOT one of the criteria a patient must meet to be considered to have capacity?