Indeed. Some providers believe that lacking a capacity for a procedure equates any means possible to get the procedure done. There was a capacity evaluation case which the patient refused biopsy of incidental discovery of small abdominal mass, some distance away from a major blood vessels. Surgery team was gung-ho about the getting this mass, and stated that this was a life-threatening condition that required immediate life-saving measures. Our team found the patient to have capacity to refuse the procedure because we did not believe surgical team's assessment.
Surgery team got angry, documented their own capacity evaluation, deemed her "incompetent" for all medical procedures. For several weeks, patient barricaded herself in her room, only allowed meal service to entered the room. She would often throw items to surgery attending and intern, when they try to sedate her for the procedure. Hospital security, rightfully, did not help surgical team to hold the patient. This was elevated to ethic/CMO/Risk management, not sure what happened and the patient was eventually discharged.
When patient refuses treatment, primary team thinks that psychiatry team has a magic wand to solve everything including liability. In some cases, capacity evaluation can cause more problems and more headaches, especially risk assessment of undergoing treatment versus its alternative is not accurately performed by the primary team.