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STATE EXAM > Mental health > Flashcards

Mental health Flashcards

1
Q

What is section 8 of the mental health act

A

application for assessment

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2
Q

What is section 8B of the mental health act

A

medical certificate supporting S8 (A).

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3
Q

What is section 9 of the mental health act

A

arrangement to attend preliminary assessment examination

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4
Q

What is section 10 of the mental health act

A

psychiatrist examines pt. Certificate of preliminary assessment.

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5
Q

What is section 11 of the mental health act

A

first period of treatment and assessment (within 5 days).

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6
Q

What is section 11 (3) of the mental health act

A

change of status from outpatient to in (within 5 days).

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7
Q

What is section 11 (4) of the mental health act

A

change of status from inpatient to out (within the 5 days).

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8
Q

What is section 11 (5) of the mental health act

A

Leave of absence.

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9
Q

What is section 14 of the mental health act

A

certificate of final assessment.

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10
Q

What is section 14 (4) of the mental health act

A

applicant to attend court (compulsory treatment order)

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11
Q

What is section 12 of the mental health act

A

certificate of further assessment.

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12
Q

What is section 15 of the mental health act

A

status of pt pending determination of application. For up to 14 days from application. Pt remains liable for treatment and assessment

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13
Q

What is section 13 (3) of the mental health act

A

change of status from outpatient to in (within 14 days).

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14
Q

What is section 13 (4) of the mental health act

A

change of status from inpatient to out (within 14 days).

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15
Q

What is section 13 (5) of the mental health act

A

leave of absence.

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16
Q

What is section 16 of the mental health act

A

R/v of pts condition by judge after request by pt who feels like they don’t need to be under the act.

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17
Q

Section 18

A

judge to examine pt where compulsory treatment sought.

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18
Q

section 31

A

leave of absence for pt subject to S30 (up to 3 months, can be extended further 3 months).

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19
Q

Section 29

A

community compulsory treatment order.

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20
Q

Mental state exam components

A
  1. behaviour = eye contact, body language
  2. Affect/mood = observable + subjectivw
  3. thoughts = speech/tone
  4. orientation = to time and place
  5. Memory = immediate, short term, long term
  6. motivation
  7. insight/judgement
21
Q

Causes of depression

A

o stressful events (breakup, financial, trauma)
o family history
o physical illness
o medications
o self-isolation.

22
Q

Treatment of depression

A

o medication (antidepressants)
o ECT
o talking therapies (CBT, psychotherapy).

23
Q

What are Selective serotonin re-uptake inhibitors (SSRIS) with examples

A

o serotonin has influence on mood
o Increased serotonin and inhibit reuptake of presynaptic neuron
o (Citalopram, Sertraline)

24
Q

Side effects of Selective serotonin re-uptake inhibitors (SSRI) antidepressants

A

o Anxiety
o Nausea
o Dizziness
o suicidal ideation
o mania
o agitation

25
Q

WHat is serotonin syndrome

A

too much serotonin in brain `

26
Q

serotonin syndrome symptoms

A

o causes uncontrollable muscle spasms
o agitation
o confusion
o anxiety
o hypertension
o tachycardia
o arrythmias

27
Q

serotonin syndrome medication treatment names

A

o benzodiazepines and cyproheptadine which blocks serotonin production.

27
Q

WHat are Tricyclic anti-depressants:

A

o blocks the effects of both serotonin and noradrenaline.
o Can also treat migraine, OCD, panics, pain.
o Can make effects of alcohol stronger.
o Lethal in overdose (Amitriptyline).

28
Q

causes of binge eating

A

o family pattern (depression, ED, alcoholism)
o social factors (society’s emphasis on thinness, intolerance of fatness, pressure to achieve)
o personal factors (low self-esteem, overly sensitive to other opinions, perfectionist
o poor problem solving skills
o anxious
o self-critical

29
Q

Symptoms of binge eating

A

o abnormally thing
o failure to equal weight/height
o preoccupation
- weight loss

30
Q

symptoms of alcohol withdrawal + medication treatment

A

o Anxiety
o sleep disturbance
o seizures
o sweating
o low BP
o confusion

  • Diazepam
31
Q

What is Wernicke’s Korsakoff:

A

o sudden onset related to thiamine deficiency.

32
Q

Wernicke’s Korsakoff: symptoms

A

o jerky eye movements
o poor balance
o confusion
o drowsiness
o can lead to Korsakoff if untreated.

33
Q

Risks of developing methamphetamine addiction

A

o dependence
o sleep problems
o decreased appetite
o decreased weight
o malnutrition
o tooth decay

34
Q

signs of methamphetamine addiction

A

o compulsion
o loss of control
o cravings
o continued use despite consequences

35
Q

Treatment for methamphetamine addiction

A

o counselling
o motivational interviewing
o CBT
o Medication
o group therapy
o detox programs.

36
Q

methamphetamine opioid withdrawal symptoms

A

o Restless
o Anxiety
o nausea/vomiting
o diarrhea
o tachypnea
o insomnia

37
Q

What are benzodiazepines prescribed for

A
  • anxiety
  • insomnia
  • reduce mood changes
38
Q

treatment for anxiety

A

o CBT
o sensory modulation
o counselling
o SSRIs/SNRIs/Benzos

39
Q

What are Anxiolytics:

A

o decrease anxiety by stimulating inhibitory GABA receptors
o Highly addictive Overdose can cause deep sedation/death
o Prescribed in short duration 3-4 weeks to prevent dependence.

40
Q

Bipolar affective disorder: type 1 and type 2

A

o Bipolar 1: periods of severe mood shift from mania-depression.
o Bipolar 2: milder form of mood elevation involving milder episodes of hypomania that alternate with periods of severe depression.

41
Q

Hypomanic symptoms

A

o form of elevated mood but less severe than manic
o no significant impairment
o still functioning but may be sleepless
o more activity
o very talkative

42
Q

manic episode symptoms

A

o extreme physical/mental overactivity
o poor judgement
o Distractable
o Irritable
o flight of ideas

43
Q

mood stabilizer side effects

A

o Sleepiness
o Dizziness
o metallic taste
o increased appetite
o increased weight
o nausea

44
Q

How to diagnose schizophrenia

A

must have two or more of the following for at least 1 month:
1. Delusions
2. Hallucinations
3. Disorganized speech

45
Q

(Antipsychotics) What is first-generation for positive symptoms + med names

A

blocks dopamine D2 receptors in CNS (Haloperidol, Zuclopenthixol).

46
Q

side effects of o First-generation for positive symptoms:

A

Movement and muscle disords

47
Q

(antipsychotics) What is Atypical generation for negative symptoms + med names

A

block both dopamine D2 and serotonin receptors. (Clozapine – regular bloods required to ensure agranulocytosis doesn’t occur).

48
Q

Side effects of Atypical generation for negative symptoms:

A

o increased appetite/weight
o insulin dysregulation
o increased prolactin
o metabolic syndrome
o increased salivation.

STATE EXAM (24 decks)

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