Psych- Assessment and Law

Question 1

What are the categories in a Mental State Examination?

Answer 1

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

Question 2

What are hypnagogic hallucinations?

Answer 2

Hallucinations while falling asleep

Question 3

What are hypnopompic hallucinations?

Answer 3

Hallucinations when waking up

Question 4

What is hyperacusis?

Answer 4

Hearing things louder at certain frequencies

Question 5

Give examples of disorders of thought form.

Answer 5

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

Question 6

Give examples of disorders of thought content.

Answer 6

1. Delusions
2. Obsessions
3. Over valued ideas

Question 7

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

Answer 7

Circumstantiality

Question 8

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

Answer 8

Alogia

Question 9

___________ 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.

Answer 9

Clanging

Question 10

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

Answer 10

Flight of ideas

Question 11

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

Answer 11

Neologisms

Question 12

____________ is unrelenting, rapid speech without pauses

Answer 12

Pressure of speech

Question 13

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

Answer 13

Tangentiality

Question 14

What do the letters SAD PERSONS stand for?

Answer 14

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

Question 15

Which drugs can be used for rapid tranquilisation?

Answer 15

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

Question 16

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

Answer 16

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

Question 17

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

Answer 17

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

Question 18

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

Answer 18

Section 2

Question 19

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

Answer 19

Section 3

Question 20

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

Answer 20

No

Question 21

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

Answer 21

Yes

Question 22

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

Answer 22

Yes

Question 23

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

Answer 23

Yes- for the first 3 months

Then need review by second opinion doctor.

Question 24

What is Section 4 of the MHA?

Answer 24

Emergency assessment of patient, for up to 72 hours

Need a Section 12 doctor and AMHP

Question 25

What is Section 5 (2) of the MHA?

Answer 25

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

Question 26

What is Section 5 (4) of the MHA?

Answer 26

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

Question 27

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

Answer 27

Section 135

Question 28

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

Answer 28

Section 136

Question 29

A section 62 involves....

Answer 29

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.

Question 30

A T2 form is...

Answer 30

Consent to treatment when a patient does have capacity

Question 31

A T3 form is....

Answer 31

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

Question 32

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

Answer 32

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

Question 33

What are the 5 principles of the Mental Capacity Act?

Answer 33

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

Question 34

What do D.O.L.S do?

Answer 34

Deprivation of Liberty Safeguards | Protect the human rights of those who lack capacity and have been deprived of their liberty

Question 35

In what settings are DOLS used?

Answer 35

Hospitals | Care homes