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Interview questions > Mental Disorders / Mental Health Act > Flashcards

Mental Disorders / Mental Health Act Flashcards

1
Q

What is FOiP and HIA?

A

FOIP (Freedom of information and Protection of Privacy)
-Protects privacy by controlling how departments use, collect and disclose info

HIA: (Health Information Act)

  • Governs collection, use, and disclosure of health info
  • (Dx, Tx, care and registration info)
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2
Q

What are AHS values?

A 
CARES
Compassion
Accountability 
Respect 
Excellence 
Safety
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3
Q

What is the definition of Mental health vs Mental illness?

A

Mental health:
Stable emotional well being
Sound decision making
Coping with stressors

Mental illness:
Distortion of thought, memory and perception
Impaired judgment
Unhealthy coping

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4
Q

What is included in risk assessment?

A
  • Suicide
  • Homicide
  • AWOL
  • Abuse
  • Protective and risk factors
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5
Q

Care plan for psychotic patient?

A
  • Prevent harm to self or others
  • Control disturbed behaviour
  • Address precipitating behaviours
  • Use clear, simple direction
  • Keep environment calm
  • Short, frequent interactions
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6
Q

Explain Components of trauma informed care

A
  • Peer support
  • Empowerment / choice
  • Trust / transparency
  • Safety
  • Culture, hx, gender issues
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7
Q

What is the definition of trauma informed care

A

Approach that assumes a person is more likely than not to have hx of trauma
-Recognize trauma symptoms play a role in their life

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8
Q

What is harm reduction?

A
  • Not focused on abstinence
  • Minimizes risks
  • focused on education, resources, and non-judgemental care
  • Equipment for safer use
  • Supervised injection sites
  • Take home naloxone kits
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9
Q

How to you ensure confidentiality?

A
  • Collect, use and disclose info only as required for professional responsibilities
  • Disclose into to appropriate authority if there is risk
  • Ensure not to disclose info on internet
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10
Q

When to wash hands?

A
  • Before care or pt contact
  • Before clean or aseptic procedures
  • After exposure to bodily fluids
  • After pt contact or pt environment
  • Before and after eating or using washroom
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11
Q

What are signs / symptoms of depression?

A 
o   S: Sleep changes
o   I: Interest (loss)
o   G: Guilt (worthlessness) 
o   E: Energy (lack of) 
o   C: Cognition/Concentration
o   A: Appetite/Weight loss 
o   P: Psychomotor agitation or retardation
o   S: Suicidal thoughts
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12
Q

What are signs / symptoms of mania ?

A

DIG FAST

Distractibility, indiscretion, grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness

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13
Q

What are the signs / symptoms of schizophrenia?

A 
Positive symptoms: 
Delusions
Hallucinations 
Disorganized thoughts / behaviours 
Abnormal Motor behaviour (ex Catatonic) 
Negative Symptoms: 
Decreased functionality 
Lack of hygiene 
Lack of facial expression 
Anhedonia (Loss of interest in activites)
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14
Q

What are the criteria for formal status under MHA?

A

1) Is suffering from mental disorder
2) Has the potential to benefit from treatment for the mental disorder
3) Within a reasonable time, is likely to cause harm to others or to suffer negative effects, including substancial mental or physical deterioration or senior physical impairment, as result of or related to the mental disorder
4) Is unsuitable for admission to a facility other than as a formal patient,

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15
Q

What are the components of the MSE?

A
  • General appearance / grooming / hygiene
  • Affect
  • Speech
  • Thought process
  • Thought content
  • Perceptual disturbances / reality testing
  • Suicidal or homicidal ideation
  • Behavior
  • Insight / judgement
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16
Q

What is the difference between delirium and dementia?

A

Delirium is caused by acute illness or drug toxicity (sometimes life threatening) and is often reversible.
Dementia is typically caused by anatomic changes in the brain, has slower onset, and is generally irreversible.

17
Q

What is the difference between Obsession and Compulsions?

A

Obsession: Repetitive, unwelcomed irrational thoughts that are imposed on a pts consciousness
Compulsions: Repetitive stereotyped behaviours that a pt feels impelled to perform ritualistically.

18
Q

What is the difference between Delusional disorder and Schizophrenia?

A

Delusional disorder is solely delusions themselves, they would have a fixed belief that does not change, even when a person is presented with conflicting evidence. The type of delusions are non bizarre. Still functional in society for the most part
Schizophrenia is more high profile with hallucinations and negative symptoms that impact functioning

19
Q

Types of delusions?

A

Primary (Thought insertions, broadcasting, world destruction)
Secondary (based on other psychological experiences)
Persecutory, jealousy, guilt, paranoid
Ideas of reference (Being followed by a car)
Ideas of influence (Belief they caused an unrelated event to happen)

20
Q

MSE: What do you look for in pt appearance?

A

Stated age, clothing, anything ill fitted, level of hygiene, grooming, gait, eye contact

21
Q

MSE: What do you look for in behaviour?

A

appropriate, cooperative, guarded, preoccupied, impulsive, agitated

22
Q

MSE: What do you look for in speech?

A

rate, volume, quality, hesitant, slurred

23
Q

MSE: What do you look for in affect?

A

Blunted (reduced in intensity), restricted (limited expression), constricted (subdued or shallow) flat, labile

24
Q

MSE: What do you look for in thought process?

A

Circumstantial, clang association, loose association, tangential, thought blocking, word salad

25
Q

MSE: What do you look for in thought content?

A

Poverty of thought, flight of ideas, racing thoughts, hallucinations, delusions, ruminations, obsessions / compulsions, suicidal or homicidal ideation.

26
Q

MSE: What do you look for in cognition?

A

Alertness, orientation (person place and time), insight, judgement, abstract reasoning

27
Q

What are risk factors of depression/suicide?

A 
Previous suicide attempt
Abuse - emotional, physical, substance abuse
Social isolation
Criminal / legal problems.
Financial problems /job loss.
Impulsive or aggressive tendencies.
Male, divorced, middle aged
28
Q

Steps for de-esculation?

A 
Respect personal space
Do not provoke 
Be concise 
Identify wants and feelings 
Listen closely to what pt is saying 
Set clear limits 
Offer choices and optimism 
Debrief with staff

Interview questions (4 decks)

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