Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 3514 Mental Health & Illness > Week 3 MMHA/MSE > Flashcards

Week 3 MMHA/MSE Flashcards

1
Q

what is the manitoba mental health act (MMHA)?

A

sets out in law the admission and treatment requirements for patients in psychiatric facilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What two principles does the act try to strike a balance?

A
  1. canadian charter of rights and freedoms
  2. societies obligation to care and provide treatment for those who may not understand their need for treatment d/t their mental illness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What two status’ can someone have who is admitted to a psychiatric facility?

A
  1. voluntary
  2. involuntary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the first step (form) that can be filled out on the pathway to involuntary psychiatric assessement and who fills it out?

A
  1. Form 1 - application for an order of Involuntary medical examination
    concenred family/friend/support
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the second step (form) that can be filled out on the pathway to involuntary psychiatric assessement and who fills it out?

A
  1. Form 2 - judicial order
    - order of involuntary medical examination
    a judge (gives it to police via form 3)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the third step (form) that can be filled out on the pathway to involuntary psychiatric assessement and who fills it out?

A
  1. Form 3 - Notice to person in custody (it’s given to the person)
    provided by police
    - reason for detained
    - where they are going and why
    - right to retain counsel
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When someone is in the ER, what form are they under?

A

Form 2 (judicial order)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How many hours must someone be examined after they arrive at the ER under form 2?

A

within 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If criteria is met for an involuntary assessment what form gets filled out?

A
  1. Form 4
    by the doctor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how long is form 4 (doctor given) valid for after admission to psych ward?

A

72 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is form 6 and when is it used?

A
  1. Form 6 is when someone is involuntarily admitted to psych ward (due to form 4, the psych evaluation)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the 3 options after psych evaluation (form 4)

A
  1. involuntary admission (form 6)
  2. Voluntary admission
  3. Discharge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Can the person who signs form 4 also sign form 6?

A

no. must be a psychiatrist/not the same one as form 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how long does form 6 last?

A

21 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Can form 6 be renewed or changed?

A

Yes, can be renewed after 21 days.
status can change to voluntary or be discharged as well
- patients can appeal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the job of the nurse when it comes to involuntary admission?

A
  • ensure patients know their rights
  • have a legal responsiblity to provide patients with information and forms required to appeal the desicion if they want
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is form 9 and who signs it?

A
  1. Certificate of incompetence to make treatment decisions.
    - doctor and files with medical director
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Where does a form 9 take place?

A

only in hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What happens if a form 9 is written?

A

Person is deemed incompetent to make treatment decisions.
SDM named and patient and them are informed via writing
- they have a right to appeal

20
Q

if there is no form 9, can a patient refuse treatment?

A

Yes

21
Q

What determines whether someone is allowed to deny their medications?

A

competency whether they are involuntary or voluntary
competent= right to decline meds
incompetent= SDM decides

22
Q

if staff or patient safety is at risk, is it ok to administer medication against patients will without form 9?

A

yes
patient and staff safety is priority
- contact the psychiatrist for reassessment of competence.

23
Q

What 3 things are needed to give medication against a patients wishes in non-emergent situations?

A

form 9 + SDM consent+ doc order

24
Q

What is form 13 and who fills it out?

A
  1. Voluntary patient request for discharge AMA
    - must be assessed by psychiatrist
    - request verbally or via form 13 (bumps up timeline)
25
Q

How many hours must a person be assessed when they request discharge?

A

24 hours

26
Q

Can someone who is being held voluntarily leave anytime they want if they sign the AMA?

A

no. They still need to be assessed by a psychiatrist
- granted, not-granted, or changed to involuntary if appropriate

27
Q

What is form 14 and who can fill it out?

A
  1. Form 14 Order for return of an individual absent without permission
    - AWOL
    - psychiatrist
    - allows police to go find them
    -voluntary must be assessed about their status
28
Q

What is form 18 and who fills it out?

A
  1. Form 18 is the individual’s application to mental health review board
    - Individual can fill this out to have status reviewed under the MMHA
29
Q

What are the rights of patients in a psych ward?

A
  • know why they’re being detained
  • communicate - provincial ombudsman, patient rep and mental health advocate
  • retain lawyer asap
  • apply to mental health review board
  • appeal any decision made by the review board (apply to MB court)
30
Q

Who is on the review board?

A
  1. lawyer who presides at meetings at the panel
  2. psychiatrist
  3. person who is not lawyer or psychiatrist
31
Q

What does it mean when someone is not criminally responsible?

A
  • suffering from a mental disorder and were incapable of knowing it was wrong
  • incapable of appreciating the nature and quality of the act
32
Q

Is the law of not criminally responsible under the criminal code of Canada or the mental health act?

A

Criminal code of Canada

33
Q

What is Bill 5?

A

Allows medical staff to let third party (like family ) know when someone is at risk of harming themselves or another person in order to reduce the risk
- resolves responsibility of HCP to follow MHA and PHIA

34
Q

What is the purpose of the mental health act?

A

To help people when their illness makes it so they can’t see their need for medical assistance and/or ability to seek it

34
Q

What are the 6 components of trauma-informed care?

A
  1. safety
  2. Trustworthiness and transparency
  3. Peer support
  4. Collaboration and mutuality
  5. Empowerment, voice and choice
  6. Cultural, historical and gender issues
35
Q

In TIC, what questions do we ask right when they are admitted?

A
  • what helps/doesn’t help you stay calm?
  • how can we avoid revisiting past traumatic experiences?
  • What upsets you?
  • What are some signs that you are getting upset?
  • are you willing to talk to one of the staff if you feel upset?
36
Q

what are the components of the MSE?

A

general observations
speech characteristics
mood and affect
thoughts (content and process)
Perception
sensorium/cognition
insight
judgement

37
Q

is mood self report or clinician observation?

A

mood- self report

38
Q

what is affect, self report or clinician observiation?

A

clinician observation

39
Q

what is through process?

A

is the way thoughts are formed and expressed. The manner in which the patient links ideas and words together.​

40
Q

What is thought content?

A

refers to the subject matter occupying a person’s thoughts. The patient’s beliefs, ideas and interpretations of their surroundings.

41
Q

ideas of reference

A

the news broadcast is about me

42
Q

thought broadcasting

A

they can hear what i’m thinking

43
Q

Ideas of influence

A

my mother is making me swear at my roommate

44
Q

illusion

A

misinterpreting sensory input
electrical cords are snakes

45
Q

hallucinations

A

false sensory perceptions
there’s nothing there but there is to the person
- auditory
- visual
- olfactory
- gustatory - taste
- tactile

NURS 3514 Mental Health & Illness (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions