The Mental Health Act & the law Flashcards

1
Q

Define “mental disorder”?

A

An abnormal state of mind, whether of a continuous or intermittent nature, which is characterised by delusions, or by disorders of mood, volition, cognition, or perceptions;

(commonly referred to as the ‘first limb’ of the definition)

AND

that abnormal state of mind must be of such degree that it:

i. poses a serious danger to the health or safety of the person or of others;
OR
ii. seriously diminishes the capacity of the person to take care of him/herself.

(commonly referred to as the ‘second limb’ of the definition)

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2
Q

Outline your understanding of the definition of ‘disorders of volition and cognition’?

A

Means:
An inability to consciously choose or will to act or abstain from acting on a will or choice.
AND
An inability in cognition to perceive, know, recall, think, learn, evaluate and understand information, past experience or make plans

When the person has a disorder of volition and cognition it means that there is a change in their ability to perform these tasks to their best abilities.

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3
Q

What are some examples of disorders of volition and cognition?

A
  • Catatonic excitement
  • Withdrawal
  • Passivity
  • Hallucinations
  • Depressive stupor.
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4
Q

What type of thought process may you see in a person with disorder of cognition?

A
  • Slowed
  • Manic
  • Disorganised
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5
Q

What is the intention of the Mental Health Act 1992?

A

The INTENTION OF THE ACT is described as follows:

a. To define the circumstances in which compulsory assessment and treatment may occur
b. To ensure that both vulnerable individuals and the public are protected from harm
c. To ensure that the rights of patients and proposed patients are protected
d. To ensure that assessment and treatment occur in the least restrictive manner consistent with safety
e. To provide a legal framework consistent with good practice
f. To promote accountability for actions taken under the Act

(Ministry of Health, 2012, p. 1).

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6
Q

What rights do patients under the Mental Health Act lose?

A
  • refuse medication
  • who is in charge of their treatment
  • refuse treatment
  • unreasonable search and seizure
  • process for detention
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7
Q

Who is defined as family / whanau under the Act?

A

“a set of relationships a patient or proposed patient defines as family/whanau.” It is not limited to blood but can include the following;

  • Spouse or partner
  • Relatives
  • Mixture of relatives, friends and others in a support network
  • Only non relatives of the patient/proposed patient
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8
Q

Outline your understanding of the concept ‘best interests’?

A

The interests of the person/patient come ahead of everything else and anybody else’s interests.

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9
Q

What are the rights of the patient under the Mental Health Act 1992?

A
  • know their legal status
  • have condition reviewed by a judge
  • have condition reviewed by a “review tribunal”
  • appeal
  • judicial inquiry
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10
Q

True or False?

Patients have to be informed in writing of their legal status.

A

True

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11
Q

True or False?

Patients have the legal right to receive and make telephone calls at reasonable times and intervals

A

True

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12
Q

True or False?

A psychiatrist may prevent a patient from seeking independent legal advice.

A

False

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13
Q

True or False?

Patients don’t always need to be informed about the expected effects of their treatment.

A

False

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14
Q

True or False?

Every patient has the right to be dealt with in a culturally appropriate manner. This is enforceable.

A

True

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15
Q

True or False?

Patients have no right to a judicial enquiry.

A

False

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16
Q

What processes in the Mental Health Act 1992 are available for a patient (family/whanau) to complain if and when s/he feels his/her rights have been breached?

A

Section 75

Health and disability commisioner

17
Q

Who can complete a Section 8 Application?

A

Any person can make an application for assessment under section 8 of the Act, provided they meet the criteria in sections 8A and 8B.

Section 8A - Application form
Section 8B - Medical certificate

18
Q

What is Section 111 and when can it be used?

A

The powers of the nurse when an urgent assessment is required.

It applies to any person who is admitted to hospital (who isn’t already a patient that is under assessment or treatment) and is acting in a manner that gives reasonable belief that they may be mentally disordered.

Section 111 can be used when a voluntary inpatient seeks to leave a psychiatric unit at a time when no medical practitioner is available to assess them and a nurse suspects that the person is mentally disordered.

19
Q

When does the holding power of a nurse start and how long does it last?

A

The holding period is for a maximum of six hours from the time that the nurse first calls the medical practitioner to perform the examination

20
Q

What processes does the registered nurse have to follow once Section 111 has been initiated?

A

Must believe person is Mentally disordered
AND
it is in that persons best interest to be assessed

Nurse can detain where they are OR take somewhere else to detain

21
Q

What are the professional and ethical implications in the use of Section 111

A

Nurse needs to ensure

  • Grounds to hold patient
  • Strictly follow the rules
  • Justifiable reasons to ethically and legally hold person
22
Q

In New Zealand people cannot be involuntarily held on which five grounds?

A
  • political, religious or personal beliefs
  • sexual preference
  • criminal behaviour
  • illegal drug use
  • intellectual disability.