You are a PMHNP in a busy emergency department and you are asked to evaluate you

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You are a PMHNP in a busy emergency department and you are asked to evaluate your 32 year old patient’s capacity for informed consent. Your patient informs you that they are here to “release the planet from the grip of an alien invader.” They insist upon leaving the emergency department. They speak very little English. A family member tells you that this individual has a mental health history and has attempted to harm people in the past.
How would you evaluate this individual considering their autonomy, psychiatric symptoms and need for treatment? Are they competent?