Name three individuals who should sign an informed refusal form

The NFPA® 704 system rates the severity of hazards on a scale from:

A. 0 to 4. B. 4 to 0. C. 1 to 10. D. 10 to 1.

Mark Atom is a patient at Valley Nursing Home. He was in a motor vehicle accident three years ago with injuries to his head and a fracture of the skull. His current diagnosis is epilepsy as a result of head injury and depression. He is being seen for renewal of his monthly orders. Select the appropriate code(s)

345.1 Generalized convulsive epilepsy 345.10 Generalized convulsive epilepsy, without mention of intractable epilepsy 345.90 Epilepsy, unspecified 803.00 Fracture, skull, unspecified loss of consciousness 311 Depression 905.0 Late effect of skull fracture A) 345.1, 311 B) 345.90, 803.00, 311 C) 345.90, 311, 905.0 D) 345.10, 311, 803.00, 905.0