Mental Capacity Act and Deprivation of Liberty Safeguards help pleaseWatch
1. A client has written a statement saying that they do not wish to receive anti-psychotic medication. When can you go against this wish?
a) If a relative disagrees
b) If a doctor says so
c) If the person has lost capacity since writing the statement
d) If they are held on a relevant section of the Mental Health Act
2. A client tells you that he wishes to spend £100 on football stickers. Would you perform a capacity assessment?
b) No it is his choice
c) Only if I had concerns that he lacked financial capacity
3. One of your clients has become confused and wandered out of your facility. Do you need to assess their capacity before your bring them back?
a) Yes as it could be deprivation of liberty
b) No because it is your duty of care to keep them safe
c) Only if you think they lacked capacity
4. You have a client with Huntington's Disease admitted to your service. He is unable to tell you about the medication which he takes, should you instigate a Best Interest Meeting?
a) No I would look at other ways of assessing his understanding
b) Yes as he is unable to communicate and therefore lacks capacity
c) No as he already takes them so is consenting
d) Yes as he has HD he automatically lacks capacity
5. A young and vulnerable female client returns from leave and tells you that she plans to marry a man in her street who is 75 years old. What do you do?
a) Nothing as it is her personal choice
b) Assess her capacity
c) Assess the capacity of the man
d) Alert SOVA as it is not covered by MCA
6. A client has discovered a lump in her breast. Would you assess her capacity before referring her to a consultant?
b) No unless i had concerns about her capacity
c) No as a referral is not considered an intervention
7. One of your clients brings a collection of pen-knives to keep in his room. How would you manage this?
a) Assess their capacity
b) Allow them to keep them providing they keep them safe
c) Risk assess them
d) Not allow this as it is against the H&S of the unit
8. Someone in the later stages of dementia cannot give consent for anti-biotic medication. What should you do?
a) Give it anyway
b) Ask a relative
c) Assess their capacity with a view to making a best interest decision
d) Don't give it unless they regain capacity
9. A client has told you that they will not eat anything apart from chocolate cake. Would you assess their capacity?
a) Yes always
b) No because capacity is not relevant in terms of offering them choice
c) No as it is their choice what they eat
10. A Client needs bed rails to stop them from falling out of bed at night. Do you need to assess capacity?
a) No because it is our duty of care
b) Yes this could be deemed deprivation of liberty
c) Not if there is a risk assessment
11. If a client decides that they wish to smoke, should you assess their capacity?
a) Yes always
b) No never
c) Only if a relative
d) Only if they have a serious medical condition which will be affected by smoking
12. You suspect a Lasting Power of Attorney is not acting in the best interest of your client. What should you do?
a) Report your concerns to the Court of Protection or via SOVA
b) Ignore their decisions
c) Follow their decisions as they have lawful decision making powers
13. A client has told you that they do not wish to be resuscitated, what should you do?
a) Assess their capacity
b) Ask them to write it down
c) Ask the relatives what they think
d) Tell them that your duty of care stops you following this request
14. One of your clients lacks capacity to decide on an operation to remove his appendix to save his life. For the Best Interest decision meeting, who would you include?
a) Just the surgeon as he is performing the procedure
b) The nursing/care team as they know that he needs this
c) All people who are involved in the client's care who can be consulted within a reasonable time
d) No need to hold this meeting as it is a life saving operation
15. You have a client with a learning disability who is unable to decide what clothes to wear. Should you assess capacity with a view to making a Best Interest Decision for them?
a) Yes, as we will be making a decision for them
b) Yes, because it could be seen as assault to help them decide
c) No, but we should have a care plan to reflect our input
d) No, because we are allowed to make these decisions for people with a learning disability
16. Who needs to adhere to the Code of Practice?
a) The person whose liberty has been deprived
b) The managing authority
c) The supervisory body
17. If you feel a person's liberty has been deprived without authorization, who would you appeal to?
a) Court of Appeal
b) Court of Protection
c) Court of Defense
18. The application for a deprivation of liberty is sent to the managing authority of authorization?
19. An urgent authorization can be granted before a decision has been made an the standard authorization has been completed?
20. How much time does a managing authority have to complete an assessment?
a) 21 days
b) 24 hours
c) 24 days
21. Deprivation of liberty safeguards apply to every individual in the UK who require their protection and is over the age of 18
22. The deprivation of liberty safeguards were introduced to:
a) Protect carers from unnecessary harm caused by people in their care
b) Protect the person lacking capacity from an unlawful deprivation of liberty
c) Protect the person lacking capacity from making a wrong decision
23. Which of thse situations would trigger a review?
a) The person in care's situation changes
b) A new carer has been appointed for the person with a deprivation of liberty
c) The person in care or a relative has requested a review
24. What is the maximum time a DOL is active?
a) 12 Weeks
b) 12 Months
c) 12 Days
25. Karen, who suffers from a mild form of dementia, wants to go to town. Her managing authority have confiscated her purse so she isn't able to spend money unnecessarily. Is this a deprivation of her liberty?
26. What elements are involved in monitoring a managing authority?
(Choose two answers)
a) Inspecting care records
b) Inspecting cleanliness
c) Interviewing patients
d) Interviewing carers
Thanks in advance