Psych Flashcards

1
Q

Mental Health Act

Section 2

A
  • assessment
  • 28 days
  • 2 Drs (1 S12 approved) + 1 AMHP
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2
Q

Mental Health Act

Section 3

A
  • treatment
  • 6 months
  • 2 Drs + 1 AMHP
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3
Q

Mental Health Act

Section 4

A
  • emergency order
  • 72hrs
  • 1 Dr + 1 AMHP
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4
Q
Mental Health Act
Section 5(4)
A
  • for patient already admitted + wanting to leave
  • 6 hours
  • nurse’s holding power
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5
Q
Mental Health Act
Section 5(2)
A
  • for patient already admitted + wanting to leave
  • 72 hours
  • F2 Dr and above
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6
Q

Mental Health Act

Section 136

A
  • public place

- police can detain them

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7
Q

Mental Health Act

Section 135

A
  • court order to enter patient’s home

- move them to Place of Safety or for further assessment

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8
Q

the 5 Statutory Principles of the Mental Capacity Act

A
  1. assume person has capacity
  2. all practicable steps to help person make decision has been taken without success
  3. unwise decision doesn’t mean unable to make decision
  4. decision made in the person’s best interests
  5. decision achieved in a way that is less restrictive of the person’s rights + freedom of action
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9
Q

How to assess Mental Capacity

A

1) diagnostic test

2) functional test

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10
Q

assess Mental Capacity

Diagnostic test

A

1) impairment/disturbance in functioning of mind/brain?

2) does impairment/disturbance meant they’re unable to make a specific decision when they need to?

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11
Q

assess Mental Capacity

Functional test

A

A person is unable to make a specific decision if they cannot:

1) understand
2) retain
3) use or weigh up that info
4) communicate their decision

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12
Q

what are the core symptoms of depression

A
  1. low mood
  2. anergia: loss of energy
  3. anhedonia: loss of pleasure
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13
Q

classification of depression

A

Mild

  • core
  • 2-3 others

Moderate

  • core
  • 4 others
  • functioning affected

Severe without psychotic symptoms

  • several
  • suicidal
  • marked loss of functioning

severe with psychotic symptoms
- typically mood congruent (nihilistic + guilty delusions, derogatory voices)

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14
Q

inx depression

A
  • FBC, TFT, metabolic
  • vit B12, folate, cortisol
  • PHQ-9
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15
Q

PHQ-9 depression severity

A
  • 0-4 none
  • 5-9 mild
  • 10-14 moderate
  • 15-19 moderately severe
  • 20-27 severe
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16
Q

depression medication

A

1st line: SSRIs

  • citalopram
  • fluoxetine
  • sertraline