Psychiatry - Law/MSE Flashcards
mental state examination consists of?
AB SMT PCI
Appearance
Behaviour
Speech
Mood
Thoughts
Perceptions
Cognition
Insight
What is Circumstantiality
Circumstantiality is the inability to answer a question without giving excessive, unnecessary detail. However, this differs from tangentiality in that the person does eventually return the original point.
What is Tangentiality
Tangentiality refers to wandering from a topic without returning to it.
What is Neoligisms
Neoligisms are new word formations, which might include the combining of two words.
What is Clang association
Clang associations are when ideas are related to each other only by the fact they sound similar or rhyme.
What is Word salad
Word salad is completely incoherent speech where real words are strung together into nonsense sentences.
What is Knight’s move thinking
Knight’s move thinking is a severe type of loosening of associations, where there are unexpected and illogical leaps from one idea to another. It is a feature of schizophrenia.
What is Flight of ideas
Flight of ideas, a feature of mania, is thought disorder where there are leaps from one topic to another but with discernible links between them.
What is Perseveration
Perseveration is the repetition of ideas or words despite an attempt to change the topic.
What is Echolalia
Echolalia is the repetition of someone else’s speech, including the question that was asked.
Sectioning under the Mental Health Act is used for
someone over the age of 16 years who will not be admitted voluntarily.
Mental Health Act encompasses those under the influence of drugs or alcohol
FALSE
Patients who are under the influence of alcohol or drugs are specifically excluded
Mental Health Act Section 2 includes admission for up to
28 days
Mental Health Act Section 2 is/is not renewable
not renewable
Mental Health Act Section 2 - who can sanction this?
an Approved Mental Health Professional (AMHP) or rarely the nearest relative (NR) makes the application on the recommendation of 2 doctors
one of the doctors should be ‘approved’ under Section 12(2) of the Mental Health Act (usually a consultant psychiatrist)
Mental Health Act Section 2 treatment can be given against a patient’s wishes
true
Mental Health Act Section 3 includes admission for up to?
admission for treatment for up to 6 months
Mental Health Act 3 can/cannot renewable
can be renewed
Mental Health Act Section 3 can be sanctioned by?
AMHP along with 2 doctors, both of which must have seen the patient within the past 24 hours
Mental Health Act Section 3 treatment can be given against a patient’s wishes
true
What is Section 4?
72 hour assessment order
Which section is used for an emergency?
Section 4 is used as an emergency, when a section 2 would involve an unacceptable delay
Who can approve section 4?
a GP and an AMHP or NR
Section 4 is often changed to a section 2 upon arrival at hospital
true
What is section 5(2)?
a patient who is a voluntary patient in hospital can be legally detained by a doctor for 72 hours
Difference between section 5(2) & 5(4)
Section 5(4) is similar to section 5(2), allows a nurse to detain a patient who is voluntarily in hospital for 6 hours
Describe section 17a
Supervised Community Treatment (Community Treatment Order)
can be used to recall a patient to hospital for treatment if they do not comply with conditions of the order in the community, such as complying with medication
Describe section 135?
a court order can be obtained to allow the police to break into a property to remove a person to a Place of Safety
Describe section 136
someone found in a public place who appears to have a mental disorder can be taken by the police to a Place of Safety
can only be used for up to 24 hours, whilst a Mental Health Act assessment is arranged
