Mental Health Revision Flashcards
What act of parliament is the legislation pertaining to mental health, including the year of proclamation?
Mental Health Act 2014
Who is considered to have overall responsibility for implementing the Mental Health Act?
The Office of the Chief Psychiatrist
What are the 3 reasons required for admission as an involuntary patient?
- Presents a risk of harm to themselves
- Presents a risk of harm to others or damage to property.
- Has been diagnosed with a mental health condition and requires treatment.
What is meant by the term “Community Treatment Order”?
A legal order made that permits treatment for an involuntary patient in a community setting, which requires the patient to comply with set obligations, failure of which will require them to be admitted to a mental health facility.
What are the main functions of the Mental Health Tribunal?
An independent body consisting of a lawyer, a psychiatrist, and a layperson, whose main functions are to decide if patients are to undergo electro-convulsive therapy, to review treatment orders for ceasation or extension, investigate complaints, and to protect involuntary patient rights.
What is meant by the term stigma, and what are three ways it impacts on a person with mental illness?
The influence of shame or guilt onto a person with a mental health condition, and then discriminated against and stereotyped. The effect of stigma may influence a person to not seek adequate mental health treatment; to have difficulties transitioning back to normal life following treatment; and affect their employment opportunities.
What are seclusion and restraint, and what are the legal requirements for their implementation?
Seclusion involves the isolation of a person in an environment which they do not have the ability to leave of their own volition. Can only occur with a written order; with a doctor’s permission, who can also extend or cease the order; for a maximum of 2 hours; and with observations conducted every 15 minutes. Restraint is the mechanical, physical, or chemical restraining of a person, to prevent them harming or damaging themselves, others, or property.
What are the legal aspects of confidentiality and consent?
Confidentiality ensure that the patient’s sensitive medical information is kept secure and only divulged to those who need to know, and is guaranteed unless there is a threat of harm to themselves or others, or conduct of illegal activity. Informed consent is the clear written or verbal confirmation of understanding and agreement from a patient.
What are mental health consumer rights?
Guarantee of inherent dignity, the right to a second opinion, and equal protection of rights as per any other health care consumer.
What are the four broad classifications of mental health disorders?
Anxiety Disorders, Mood Disorders, Personality Disorders, Psychotic Disorder.
What are 2 major, and 4 minor symptoms of someone with depression?
- Low mood for at least 2 weeks.
- Anhedonia (Lack of pleasure)
- Fatigue
- Poor hygiene
- Reduced or disordered appetite
- Reduced or disordered sleep
What are the positive signs of schizophrenia?
Delusions, disordered thinking, hallucinations
What is an appropriate response to a patient to exclaims “You are the best nurse, I want you to remember me!”?
Thank you that is very nice, but I’m concerned that you are thinking of self-harm or suicide?
What is the best intervention for a patient experiencing a panic attack?
Stay with the patient and reassure them.
What underlying emotion is most common in persons with borderline personality disorder?
Anger
What typifies the speech of someone in the acute phases of mania?
Pressure of speech (Urgent and erratic speech)
What are 3 common anxiety disorders?
Generalised anxiety, PTSD, OCD
What are delusions?
A false, fixed belief that has no basis in reality and is unresponsive to logic or reason.
What is repression?
A blocking of wishes or desires by the conscious mind
What are hallucinations?
Sensory perceptions in the absence of any corresponding stimuli.
What is denial?
A refusal to accept facts of reality, the existence of feelings, or the happening of an event.
What are phobias?
An extreme and irrational fear of certain objects or situations.
What is de-realisation?
A sense that everything and everyone in an environment is not real or unreal.
What are the differences between anxiety and fear?
Anxiety is a non-specific, general state of fear. Fear is a triggered and directed sense of distress.
