A patient who is awake and alert and who verbalizes her consent for the first responder to provide care has given:

The correct answer is express consent. This type of consent is granted when a patient actively and verbally agrees to receive medical treatment from a healthcare provider. In this scenario, the patient is awake, alert, and verbally confirms her willingness to accept care, which clearly indicates that she has provided her explicit agreement.

Express consent is fundamental in emergency medical situations; it ensures that patients are aware of and approve the care being administered. This consent can also be given non-verbally in some situations, such as a nod or other affirmative gesture, as long as it is clear that the patient understands the care being offered.

Implied consent, on the other hand, is typically applied in emergency situations where a patient is unable to communicate their wishes (e.g., unconscious patients), and the assumption is made that they would consent to life-saving treatment. Emancipated consent is not a widely recognized term in emergency medical protocols; it usually refers to minors who may have the legal capacity to consent to treatment on their own, which is not relevant in this situation. Competent consent is also not a formal category; rather, it describes the ability of a patient to understand and engage in consenting to treatment, which in this case is met with the patient's clear verbal agreement.