Ethics

Question 1

sectioning a patient under the mental health act means you are ONLY allowed to treat the patient in hospital for their mental health T or F

Answer 1

T, you cant treat the patient’s physical conditions unless they have incapacity

Question 2

name the 3 types of detention

Answer 2

emergency detention
short term detention
compulsory treatment order

Question 3

how long does an emergency detention last?

Answer 3

72 hours

Question 4

you must prove a patient has a mental illness before you can detain them as an emergency T or F

Answer 4

T

Question 5

who can agree to an emergency detainment?

Answer 5

FY2 or above

Question 6

who can agree to a short term detention?

Answer 6

usually a registrar or consultant AND a mental health officer

Question 7

how long can a short term detention last for?

Answer 7

28 days

Question 8

long term psychiatric treatment can be provided to a patient detained as an emergency T or F

Answer 8

F, can only be emergency medication

Question 9

how long can a compulsory treatment order last?

Answer 9

6 months

Question 10

what medical staff need to approve a compulsory treatment order before it goes to tribunal?

Answer 10

registrar/consultant PLUS a GP/doctor who knows the patient PLUS an MHO

Question 11

what members make up a tribunal?

Answer 11

lawyer
psychiatrist
layperson

Question 12

criteria for sectioning under the MHA?

Answer 12

mental illness
evidence of harm to oneself or others
impaired to make decisions for oneself
treatment can be given in hospital
NECESSITY

Question 13

a person may have capacity for one decision but not another T or F

Answer 13

T

Question 14

to have capacity someone must be able to do 3 things….

Answer 14

understand and retain relevant info
use and weigh that info to make a decision
communicate that decision

Question 15

what act is used to measure capacity?

Answer 15

adults with incapacity act 2000

Question 16

what conditions can prevent someone from having capacity

Answer 16

mental disorder or underlying physical disorder that does not allow you to communicate in a meaningful way

Question 17

name the 3 types of mental disorder

Answer 17

mental illness
learning disability
personality disorder

Question 18

what illness is the main cause of incapacity?

Answer 18

dementia

Question 19

what conditions can impact someone’s capacity?

Answer 19

dementia
delirium
schizophrenia
bipolar
learning disability

Question 20

why must capacity be reassessed?

Answer 20

it can fluctuate ie you can be cured of a condition that causes you capacity issues

Question 21

what info does a patient need to be able to consent to an intervention?

Answer 21

1. what the intervention is, its nature and purpose, why its being proposed
2. main benefits/risks/alternatives
3. consequences of not receiving intervention

Question 22

when should capacity be assessed in an emergency?

Answer 22

deal with the emergency situation first then if non-emergency treatment is required assess capacity then

Question 23

who should you consult with on someone’s behalf about an intervention?

Answer 23

welfare attorney

welfare guardian

Question 24

when going ahead with an intervention in an emergency what should you do?

Answer 24

1. make sure the intervention benefits them
2. make sure the benefit cant be achieved without the intervention
3. take account of past/present wishes
4. consult with other relevant people
5. encourage adult to use residual capacity

Question 25

what do PoA's deal with?

Answer 25

your finances, welfare and property

Question 26

if you dont have a PoA and you fall ill what happens?

Answer 26

you need to have a guardian appointed to you by a sheriff which involves alot of paperwork

Question 27

when treating someone who lacks capacity what form should be filled out?

Answer 27

section 47 certificate of incapacity

Question 28

how should you fill out a section 47 certificate of incapacity form?

Answer 28

1. talk to them to assess their capacity 2. write down your opinion on their capacity 3. fill out the form

Question 29

AWI act only allows you to treat a physical disorder T or F

Answer 29

T, if they have a mental disorder it is managed under the mental health act

Question 30

are you allowed to disguise medication eg in sweets?

Answer 30

yes if you feel that is the only way you can treat them | you have to weigh up the benefits

Question 31

if a patient is under 16 can they consent to treatment?

Answer 31

can consent on their own behalf if a qualified medical practitioner agrees

Question 32

who can help if someone can't articulate themselves about their capacity?

Answer 32

SALT

Question 33

how can you assess someone's capacity about going to a care home?

Answer 33

ask "do you know what a care home is?"

Question 34

acute confusional state is classed as a mental illness T or F

Answer 34

T, you should section under the MHA for this