AWI Flashcards
The purpose of the Adults with Incapacity (Scotland) Act 2000 is to:
Select one:
a.
Provides a framework to ensure vulnerable individuals and groups are not abused
b.
Provides a framework for safeguarding the welfare of adults who lack capacity due to mental disorder or inability to communicate.
c.
Provides a framework to promote equality and diversity in society
d.
Provides a framework for safeguarding the finances of adults who lack capacity due to mental disorder or inability to communicate
e.
Provides a framework for safeguarding the welfare and managing the finances of adults who lack capacity due to mental disorder or inability to communicate.
e. Provides a framework for safeguarding the welfare and managing the finances of adults who lack capacity due to mental disorder or inability to communicate.
A 19-year-old male with Autism requires the extraction of 8 teeth including impacted mandibular 8s. He tolerates an examination but does not like to be touched as he finds it painful. What would be considered as the least restrictive option for him?
a.
Local anaesthetic over multiple appointments
b.
General Anaesthetic
c.
Inhalation sedation over multiple appointments
d.
Intravenous sedation over multiple appointment
e.
Do nothing
b. GA
A 22-year-old female with a diagnosis of bipolar affective disorder attends your clinic. She is currently experiencing a period of manic depression. She reports having pain from an upper central incisor and advises you that the tooth is the reason for her current depression. The tooth is diagnosed as having a periapical periodontitis. There is a buccal swelling present. She maintains she wishes the tooth extracted. When you speak to the Consultant Psychiatrist in charge of her care, she is certain that the patient will return to having full capacity at some point in the near future. What is the most appropriate course of action?
a.
Remove the tooth as this is what the patient requests
b.
Begin endodontic therapy
c.
Prescribe a course of antibiotics and then begin endodontic therapy when her capacity returns
d.
Do nothing
e.
Drain the swelling through incision and drainage and review when capacity returns
b. begin endodontic therapy
A Power of Attorney is:
a.
A person who is nominates themselves whilst an individual still has capacity who is subsequently legally then appointed by a court to make decisions on the behalf of that individual when they lose capacity
b.
A person who is legally appointed by the courts to make decisions on behalf of a person who lacks capacity
c.
A person legally appointed to nominate healthcare professionals to look after the welfare of another individual
d.
A person who nominates themselves and is subsequently legally appointed by the courts to make the decision on behalf of a person who lacks capacity
e.
A person who is nominated whilst an individual still has capacity who is subsequently legally appointed by a court to make decisions on the behalf of that individual when they lose capacity
e.
A person who is nominated whilst an individual still has capacity who is subsequently legally appointed by a court to make decisions on the behalf of that individual when they lose capacity
An individual with an intellectual disability is unable to consent to 3rd molar surgery. He has the capacity to make decisions about all other aspects of his dental care including examination and restorations which will be required to establish dental health. He requires restorations and the removal of a 3rd molar. His Mother is his welfare guardian.What certification is necessary to facilitate his care?
a.
This is an emergency and therefore the 3rd Molar can be removed without a certificate
b.
His Mother should be consulted as the welfare guardian and a Section 47, Adults with Incapacity Certificate should be provided for examination, restorations and the surgical removal of a 3rd molar
c.
His Mother should be consulted as the Power of Attorney and a Section 47, Adults with Incapacity Certificate should be provided for examination, restorations and the surgical removal of a 3rd molar
d.
His Mother should be consulted as the Power of Attorney for 3rd molar surgery only and a Section 47, Adults with Incapacity Certificate should be provided for the surgical removal of a 3rd molar
e.
His Mother should be consulted as the Welfare Guardian for 3rd molar surgery only and a Section 47, Adults with Incapacity Certificate should be provided for the surgical removal of a 3rd molar
e.
His Mother should be consulted as the Welfare Guardian for 3rd molar surgery only and a Section 47, Adults with Incapacity Certificate should be provided for the surgical removal of a 3rd molar
The Adult’s with Incapacity (Scotland) Act 2000 the term incapacity relates to
a.
Understanding decisions or retaining the memory of decisions
b.
Acting; or retaining the memory of decisions
c.
Acting; or making decisions; or communicating decisions; or understanding decisions or retaining the memory of decsisions
d.
Making decisions; or communicating decisions
e.
Acting; or making decisions; or communicating decisions;
c.
Acting; or making decisions; or communicating decisions; or understanding decisions or retaining the memory of decsisions
Who can provide a Section 47, Adults with Incapacity Certificate for the provision of dental treatment
Select one:
a.
A dentist who has just graduated
b.
A nurse with additional training
c.
A welfare guardian
d.
An optometrist with additional training
e.
A doctor who has just graduated
e.
a doctor who has just graduated
A 32 year old female presents to your general dental practice. You make a clinical diagnosis of a symptomatic periapical periodontitis associated with tooth 11. Tooth 11 appears to have received a previous traumatic injury due to its colour. It is restorable. She has an otherwise unrestored dentition. She is currently being treated under a compulsory treatment order as she is experiencing acute psychosis. She believes the tooth is bewitched and the source of all her mental health problems. The medical team are confident they will be able to get her psychosis under control relatively soon. In making your decision to manage the tooth which principle of the Adult’s with Incapacity Act will be key to your decision on whether to extract the tooth or provide endodontic treatment?
a.
Benefit
b.
Take account of the wishes of the adult
c.
Consultation with relevant others
d.
Encourage the person to use existing skills and develop new skills
e.
Least restrictive option
e.
least restrictive option
A 34-year-old man presents with an enamel dentine fracture which has exposed the pulp of the tooth. He has a brain injury and is deemed to lack the capacity to consent. Although, he is cooperative for treatment. His mother tells you he has always been very keen to keep his teeth and felt they were one of his best features. Considering the Adults with Incapacity Act, what Is the most appropriate treatment option?
a.
Attempt endodontics as this is the least restrictive option
b.
Extract the tooth as this is the least restrictive option
c.
Extract the tooth as this would have been his previous wish
d.
Extract the tooth as this is of benefit to him
e.
Attempt endodontics as this would have been his previous wish
e.
attempt endo as this would have been previous wish
A 40-year-old male with Motor Neuron Disease lacks the capacity to consent because he is unable to communicate his decisions. The most appropriate course of action to enable him to exercise his residual capacity would be to:
a.
Utilise a picture board
b.
He is unable to communicate so he does not have capacity
c.
Utilise a social story
d.
He cannot understand so he does not have capacity
e.
Utilise his speech generating device
e.
utilise speech generating device
A 46-year-old male has fractured a front tooth when he fell during a Myocardial Infarct(MI). The fracture extends subginvally and the pulp can be seen clinically. The tooth is grade III mobile. He is currently sedated in an Intensive Care Unit and will not be woken by the medical team until the front tooth is sorted as they feel it is an aspiration risk. How would you manage this situation when considering the Adults with Incapacity Act ?
a.
Remove the tooth as this is an emergency following consultation with the family and medical team
b.
Splint the tooth
c.
Leave the tooth in situ. as the individual is unable to make decisions about his own care Benefit
d.
Attempt to extirpate the tooth as this is a reversible option
e.
Advise the medical doctors there will be no issues and the tooth can be left as normal
b.
splint the tooth
A 57-year-old male lacks capacity. His Mother and his brother hold joint welfare guardianship with regards to the care of his medical treatment. Who should you speak to to gain consent for treatment?
a.
His Mother and Bother have equal importance but consent is required from only one of them
b.
His Mother has priority over his Brother
c.
His Mother and Brother have equal importance and therefore consent is required from both of them
d.
Refer the decision to the courts for a decision
e.
His Brother has priority over his Mother
a.
His Mother and Bother have equal importance but consent is required from only one of them
An 18-year-old male with a diagnosis of Autistic Spectrum Disorder attends your dental practice. He has no verbal communication and will not sit in the dental chair. His mother believes he is in a pain. He requires a full examination and multiple teeth removed. A general anaesthetic is justifiable under the adults with Incapacity Act because it is:
a.
The option which considers all 5 principles of the Adults with Incapacity Act
b.
The option which takes into account relevant others
c.
The option which takes account of the wishes of the individual
d.
The option of benefit
e.
The option which encourage the person to use existing skills and develop new skills
a.
The option which considers all 5 principles of the Adults with Incapacity Act
An 85-year-old female is unable to remember a discussion you had with her one week ago regarding the prognosis of her dentition and the possible treatment options. Does she have the capacity to consent to treatment?
a.
Yes, she has capacity she has understood the decision
b.
No, she has failed communicate the decision
c.
Yes, she has retained the information
d.
No, she has failed to understand the information given
e.
No, she has failed to retain the information
e.
No, she has failed to retain the information
An 85-year-old female lacks the capacity to consent. She has no living family. She has a carer, Alison, that has known her for over 10 years. Who should be consulted and in what role when decisions are made in relation to her healthcare
a.
Alison as the Welfare Guardian
b.
Alison as the next of kin
c.
Alison as the personal carer
d.
Nobody requires to be consulted
e.
Alison as nearest relative
c.
Alison as the personal carer
How many principles are present in the Adult’s with Incapacity(Scotland) Act 2000?
Select one:
a.
Nine
b.
Three
c.
One
d.
Five
e.
Seven
5
In the Adult’s with Incapacity (Scotland) Act 2000 a Welfare Guardian is
Select one:
a.
A person who is legally appointed and oversees the welfare of the population have lost capacity
b.
A person who nominates themselves when an individual loses capacity and is subsequently appointed by the Mental Welfare Commission to make decisions on behalf of a person who lacks capacity
c.
A person who is legally appointed by the courts to make the decision on behalf of a person who lacks capacity
d.
A person who is nominated whilst an individual still has capacity who is subsequently legally appointed by a court to make decisions on the behalf of that individual when they lose capacity
e.
A person who nominates themselves whilst an individual still has capacity who is subsequently legally then appointed by a court to make decisions on the behalf of that individual when they lose capacity
d.
A person who is legally appointed by the courts to make the decision on behalf of a person who lacks capacity
