Psychiatry - Law/MSE

Question 1

mental state examination consists of?

Answer 1

AB SMT PCI
Appearance
Behaviour

Speech
Mood
Thoughts

Perceptions
Cognition
Insight

Question 2

What is Circumstantiality

Answer 2

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.

Question 3

What is Tangentiality

Answer 3

Tangentiality refers to wandering from a topic without returning to it.

Question 4

What is Neoligisms

Answer 4

Neoligisms are new word formations, which might include the combining of two words.

Question 5

What is Clang association

Answer 5

Clang associations are when ideas are related to each other only by the fact they sound similar or rhyme.

Question 6

What is Word salad

Answer 6

Word salad is completely incoherent speech where real words are strung together into nonsense sentences.

Question 7

What is Knight’s move thinking

Answer 7

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.

Question 8

What is Flight of ideas

Answer 8

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.

Question 9

What is Perseveration

Answer 9

Perseveration is the repetition of ideas or words despite an attempt to change the topic.

Question 10

What is Echolalia

Answer 10

Echolalia is the repetition of someone else’s speech, including the question that was asked.

Question 11

Sectioning under the Mental Health Act is used for

Answer 11

someone over the age of 16 years who will not be admitted voluntarily.

Question 12

Mental Health Act encompasses those under the influence of drugs or alcohol

Answer 12

FALSE

Patients who are under the influence of alcohol or drugs are specifically excluded

Question 13

Mental Health Act Section 2 includes admission for up to

Answer 13

28 days

Question 14

Mental Health Act Section 2 is/is not renewable

Answer 14

not renewable

Question 15

Mental Health Act Section 2 - who can sanction this?

Answer 15

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)

Question 16

Mental Health Act Section 2 treatment can be given against a patient’s wishes

Answer 16

true

Question 17

Mental Health Act Section 3 includes admission for up to?

Answer 17

admission for treatment for up to 6 months

Question 18

Mental Health Act 3 can/cannot renewable

Answer 18

can be renewed

Question 19

Mental Health Act Section 3 can be sanctioned by?

Answer 19

AMHP along with 2 doctors, both of which must have seen the patient within the past 24 hours

Question 20

Mental Health Act Section 3 treatment can be given against a patient’s wishes

Answer 20

true

Question 21

What is Section 4?

Answer 21

72 hour assessment order

Question 22

Which section is used for an emergency?

Answer 22

Section 4 is used as an emergency, when a section 2 would involve an unacceptable delay

Question 23

Who can approve section 4?

Answer 23

a GP and an AMHP or NR

Question 24

Section 4 is often changed to a section 2 upon arrival at hospital

Answer 24

true

Question 25

What is section 5(2)?

Answer 25

a patient who is a voluntary patient in hospital can be legally detained by a doctor for 72 hours

Question 26

Difference between section 5(2) & 5(4)

Answer 26

Section 5(4) is similar to section 5(2), allows a nurse to detain a patient who is voluntarily in hospital for 6 hours

Question 27

Describe section 17a

Answer 27

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

Question 28

Describe section 135?

Answer 28

a court order can be obtained to allow the police to break into a property to remove a person to a Place of Safety

Question 29

Describe section 136

Answer 29

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