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Psychiatry and Neurology > Psych- Assessment and Law > Flashcards

Psych- Assessment and Law Flashcards

1
Q

What are the categories in a Mental State Examination?

A
  1. Appearance and Behaviour
  2. Speech
  3. Mood
  4. Perception
  5. Thought form
  6. Thought content
  7. Cognition
  8. Insight
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2
Q

What are hypnagogic hallucinations?

A

Hallucinations while falling asleep

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3
Q

What are hypnopompic hallucinations?

A

Hallucinations when waking up

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4
Q

What is hyperacusis?

A

Hearing things louder at certain frequencies

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5
Q

Give examples of disorders of thought form.

A
  1. Flight of ideas
  2. Circumstantiality
  3. Loosening of associations
  4. Derailment
  5. Tangentiality
  6. Thought blocking
  7. Thought insertion
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6
Q

Give examples of disorders of thought content.

A
  1. Delusions
  2. Obsessions
  3. Over valued ideas
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7
Q

___________ is an inability to answer a question without giving excessive, unnecessary detail, with facts not differentiated from the detail

A

Circumstantiality

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8
Q

___________ is poverty of speech, either in amount or content, and can occur as a negative symptom of schizophrenia

A

Alogia

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9
Q

___________ is a severe form of flight of ideas whereby ideas are related only by similar or rhyming sounds rather than actual meaning, and is seen most commonly in BPAD mania or schizophrenia.

A

Clanging

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10
Q

___________ is a form of formal thought disorder marked by abrupt leaps from one topic to another, albeit with discernable links between successive ideas

A

Flight of ideas

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11
Q

___________ are new word formations, which may involve merging 2 words that are similar in meaning or sound.

A

Neologisms

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12
Q

____________ is unrelenting, rapid speech without pauses

A

Pressure of speech

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13
Q

____________ is wandering from the topic and never returning to it or providing the information requested

A

Tangentiality

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14
Q

What do the letters SAD PERSONS stand for?

A

S- Sex male
A- Age <20 or >44
D- Depression

P- Previous suicide attempt
E- Ethanol abuse
R- Loss of Rational thinking (psychosis)
S- Social support low
O- Organised suicide plan
N- No partner
S- Sickness
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15
Q

Which drugs can be used for rapid tranquilisation?

A
  1. Second gen antipsychotics eg. Olanzapine, Aripriprazole, Quietiapine
  2. First gen antipsychotics eg. Haloperidol
  3. Antihistamine- Promethazine
  4. Lorazepam
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16
Q

For assessment under the Mental Health Act, which health care professionals are usually needed?

A

1 x Approved Mental Health Professional (AMHP)
1 x Section 12 qualified doctor
1 other doctor

17
Q

What are the criteria for a patient to be sectioned under the MHA?

A
  1. Must have or be suspected of having a mental health disorder
  2. Degree of condition- severity
  3. Nature of condition- hisotry
  4. Risk of harm to self, others or health

Patient should be unable to be treated in the community and unable to consent to their admission

18
Q

Section __ of the MHA involves assessment and treatment for a maximum duration of 28 days.

A

Section 2

19
Q

Section __ of the MHA involves treatment for a maximum duration of 6 months, which can be renewed.

A

Section 3

20
Q

Under Section 2 of the MHA, can the application be blocked by the nearest relative?

A

No

21
Q

Under Section 3 of the MHA, can the application be blocked by the nearest relative?

A

Yes

22
Q

Under Section 2 of the MHA, can you treat a patient against their will?

A

Yes

23
Q

Under Section 3 of the MHA, can you treat a patient against their will?

A

Yes- for the first 3 months

Then need review by second opinion doctor.

24
Q

What is Section 4 of the MHA?

A

Emergency assessment of patient, for up to 72 hours

Need a Section 12 doctor and AMHP

25
Q

What is Section 5 (2) of the MHA?

A

Doctor’s holding power, for up to 72 hours
Needs to be FY2 doctor or above
To allow MHA assessment

26
Q

What is Section 5 (4) of the MHA?

A

Nurse’s holding power, to allow MHA assessment
For up to 6 hours
Needs to be mental health nurse

27
Q

A section ___ is a warrant from court to search for and remove a patient from their home.

A

Section 135

28
Q

A section ___ is the police power to remove a person from a public place to a place of safety for assessment.

A

Section 136

29
Q

A section 62 involves….

A

Emergency treatment needed to save the life or a patient, reduce harm to them or others, prevent suffering or serious deterioration of their mental condition.
Emergency treatment while waiting for second opinion doctor.

30
Q

A T2 form is…

A

Consent to treatment when a patient does have capacity

31
Q

A T3 form is….

A

Consent to treatment by second opinion doctor when a patient lacks capacity.

32
Q

What are the 4 components of a Mental Capacity Test that a patient must pass to have capacity?

A
  1. Understand information
  2. Retain info
  3. Weigh up info and make decision
  4. Communicate decision
33
Q

What are the 5 principles of the Mental Capacity Act?

A
  1. Presume patients have capacity unless determined otherwise
  2. Encourage patients to gain capacity and make decisions
  3. The right to make unwise decisions
  4. Make decisions in patient’s best interest if they lack capacity
  5. Use the least restrictive option
34
Q

What do D.O.L.S do?

A

Deprivation of Liberty Safeguards

Protect the human rights of those who lack capacity and have been deprived of their liberty

35
Q

In what settings are DOLS used?

A

Hospitals

Care homes

Psychiatry and Neurology (9 decks)

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