<unk>  is the ability to understand the nature and effect of one’s<unk> ts
May have<unk>  in one moment and lack<unk>  in another
Main question to consider is "does the patient have the ability to understand the nature and effect of his or her<unk> ts in a specific moment in time?"
Mini mental status exam (MMSE) score <19 is correlated with lack of<unk> 
Patients who lack<unk>  may not make their own medical decisions.
May have<unk>  in one moment and lack<unk>  in another
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