Crisis Intervention: PDF OnlyEthical issues and procedural dilemmas in measuring patient competenceKilpack, Virginia RN, MSNAuthor Information Clinical Nurse Specialist in Neurology and Neurosurgery Department of Nursing Dartmouth Hitchcock Medical Center Hanover, New Hampshire The author wishes to thank Anne-Marie Barron, MSN, RN, formerly Psychiatric Liaison Clinical Nurse Specialist, Portsmouth-Hitchcock Medical Center and Bernard Gert, PhD, Stone Professor of Intellectual and Moral Philosophy, Dartmouth College, who has an NEH-NSF Sustained Development Award ISP-8018088 A01, for their assistance in the preparation of this article. Advances in Nursing Science: July 1984 - Volume 6 - Issue 4 - p 22-33 Buy Abstract Patients can be judged incompetent when they begin to refuse treatments and nursing interventions believed to be important for their health, but finding agreement among health care providers on the concept of competency is sometimes an arduous task. This article reviews competency measurement models from the disciplines of law, medicine, and philosophy and compares the usefulness of these tests and criteria. Conclusions are stated about the use of these models in nursing to evaluate the patient's autonomous state. © 1984 Aspen Publishers, Inc.