Mental Health

Question 1

What is the Mental Health Act?

Answer 1

The MHA process is where a person must receive compulsory treatment if they are mentally disordered. This can only apply to those 18 years and over. Considered if a person poses harm to self or others.

Question 2

What is the HEEADSSS assessment?

Answer 2

The tool used to organise assessment of child wellbeing.
Home (Family dynamic/ living situation)
Employment/Education
Eating/ Exercise
Activity (Hobbies)
Drugs (alcohol, risk-seeking activities)
Sexuality (Relationships with others’ view of self)
Suicide/self-harm
Safety and abuse

Question 3

What is chronic mental illness?

Answer 3

Persistent mental or emotional disorder that causes impairment of individual functionality.

Question 4

What is the nurse’s role in helping Pt with chronic mental illness?

Answer 4

Having strategies in place to support emotional/ behavioural manifestations
Reassurance.

Question 5

Common chronic Mental illness
adult/ Children?

Answer 5

Adult: Schizophrenia, Mood disorders, Dementia
Children: Schizophrenia, ID,

Question 6

What are the psychological manifestations of chronic mental illness?

Answer 6

Loneliness, loss of hope, Suicidal idealisations, Depression

Question 7

Section 8 of the MHA

Answer 7

Application of MH assessment
18 and over
Done by a health professional.

Question 8

Section 9

Answer 8

DAO undertakes assessment
rights explained to pt/ family

Question 9

section 10

Answer 9

DOC of assessment
what treatment they need and why
Doc sent to pt/ family/ GP/ MHS

Question 10

Section 11

Answer 10

5 days for assessment
Family can challenge
assess treatment outcomes (no illness= free to go)

Question 11

Section 12

Answer 11

Decision for Further assessment must be made before the 5th day of section 11
Assessment of further treatment in hospital or community.

Question 12

Section 13

Answer 12

14 days of assessment + treatment
written notice.

Question 13

Section 14

Answer 13

Certificate of final assessment
The decision to release the person under MHA
if not go through a court order

Question 14

Section 15

Answer 14

Pt rights and clarification of treatment
if treatment + assessment were needed can be extended by the judge.

Question 15

Section 29

Answer 15

Specified area for treatment (at home or hospital)
Reassessments must be done under 8-11 (inpatient)

Question 16

Section 30

Answer 16

Pt to stay treated in the hospital + accept treatment
Changed must be made under section 29.

Question 17

Section 111

Answer 17

Allows RN to detain pt within a hospital setting if they are mentally disordered.

Question 18

What is Substance abuse?
and co-existing issues related)

Answer 18

Excessive consumption of psychoactive drugs, such as alcohol, is illicit.
Can be linked to PTSD, Depression, ADHD, and Anxiety.

Question 19

De-escalation pathway considerations:

Answer 19

Clear communication ( speaking softly and calmly)
Simplicity
Honesty
Authenticity
Rapport
Empathy

Question 20

Crimes Act section 48:

Answer 20

Self-defence can be used given that is it a reasonable force to protect yourself.