Comm Skills

Question 1

The mental capacity act 2005 /a person wth capacity has to be able to

Answer 1

1. Understand the info
2. Retain that info
3. Weigh that info pros and cons
4. Communicate his decisions

Question 2

Not having capacity / the person has to show both of …

Answer 2

Mind or brain impairment

Disturbance or impairment means the person is unable to make a decision at the current time

Question 3

Why does capacity change?

Answer 3

Course of illness eg dementia 
Capacity to make day to day décidions but not complex decisions about trt eg LD
Shock / panic/ fatigue 
Meds 
Head injuries 
Delirium (from dehydration or infection 
Intoxication alcohol or substance

Question 4

What is the only exception when advanced decision cannot be followed

Answer 4

When the person is held under the mental health act 1983

Question 5

What screening tools can I use to detect patient with mental health problem?

Answer 5

PHQ9

Patient health questionnaire

Question 6

What can you do for patients with mental health problems?

Answer 6

1Provide an empathetic approach in private space/ listen

2. Recommend physical activities
3. Local signposting
4. Seek further advice or refer
5. Promote mental health awareness activities In your organisations

Question 7

How to provide brief advice for patient

Answer 7

Listen (to concern
Observe (for issues
ask
Assess (responses

Question 8

Steps of brief interventions

Answer 8

Give simple advice to change 
Assess pt commitment to change 
Supply self help materials 
Offer pharm therapy 
Signpost yo specialise 
Offer follow up 
Record outcome of discussion

Question 9

CP are expected to provide brief healthy lifestyle advice under NHS contractual framework to which groups of ppl ?

Answer 9

Diabetes
Risk of coronary heart disease, HT
Smokers or overweight
Seeking self care

Question 10

Nonpharm advice for MH pt

Answer 10

Healthy diet 
Social activity 
Mindfulness 
Talk or share w sb 
On Line CBT