other

Question 1

16 year old needs blood test consent

Answer 1

ask her first as 16 can have capacity, if she refuses under needle phobia this could be lack of capacity if they are very distressed, parents can consent for her and decision made in best interests

Question 2

tetraplegic patient asked for life support to be switched off, pt has capacity

Answer 2

get second opinion, can go to court of protection, legally can take him off

Question 3

pt refusing c sec

Answer 3

baby has no legal rights, make best interest decision if no capacity /risk to self

Question 4

criteria for implementing MHA for sectioning

Answer 4

• presence of mental disorder as defined by law
• disorder of a certain nature or degree
• significant risk to the persons health ,safety or safety of others
• no alternative to hospital admission as a means of safeguarding that risk, so cannot manage in a less restrictive setting

simplified -
- mental disorder
- severe enough
- risk to health, personal or others safety
- no safe alternative

Question 5

5(2) doctor or 5(4) nurse pt MUST BE

Answer 5

inpatient (not in A and E as not yet admitted)

Question 6

can prisoners have section 2 or 3

Answer 6

no - forensic sections

Question 7

SSRIs in pregnancy

Answer 7

slightly higher risk of SGA and PPH, sertraline is the best option

paroxetine is the least preferred due to risk of cardiac malformation

baby may have withdrawal symptoms so give birth in hospital