MCQ- Legal and Ethical decision making

Q2: Which version of the Mental Health Act is the key piece of legislation underpinning most patients' treatment in England? Select one: 1. Mental Health Act (1983) 2. Mental Health Act (2007) 3. Mental Capacity Act (2005) 4. Mental Health Act (1959) 5. DoLS (2008)

1. Mental Health Act (1983)

Q2: Under the Fraud Act 2006 - what constitutes Fraud? a) False representation b) Abuse of power c) Bullying others d) Not raising and escalating concerns e) Failure to disclose information related to insurance policies Select one: 1. a, b and e 2. c and d 3. c, d and e 4. e 5. a and b

1. a, b and e (False representation, abuse of power, and failure to disclose information related to insurance companies)

Q4: Parental responsibility can be: a) Transferred between adults b) Only held by the birth mother c) Retained when a child is placed on a court order d) Transferred temporarily to a foster carer e) Can be limited or modified by the courts Select one: 1. c and e 2. a and d 3. b and c 4. a and e 5. b and e

1. c and e (Retained when a child is placed on a court order, and Can be limited or modified by the courts)

Q2: Which other Act is used in relation to consent to treatment? Select one: 1. Human Rights Act (1998) 2. Family Law Reform Act (1969) 3. Children Act (1989) 4. Data Protection act (1989) 5. Sexual Offences Act (2003)

2. Family Law Reform Act (1969)

Q2: According to the Code before treating a patient what must a student nurse, nurse or midwife do? Select one: 1. Inform the relatives of the proposed care or treatment? 2. Gain informed consent and document it prior to treatment? 3. Give a patient fundamental care? 4. Duly consider the Mental Health Act (2007)? 5. Raise any conscientious objections to treatment?

2. Gain informed consent and document it prior to treatment

Q3: The Assisted Suicide Guidance (2010) does NOT deem the following to be an offence: Select one: a) Health care professionals increasing pain relief at the end of life. b) Carers accessing information on assisted suicide clinics abroad. c) Patients travelling outside of the U.K. to engage in assisted suicide. d) Nurses discussing euthanasia with patients. e) Social media which encourages young people to engage in suicidal thought and act Select one: 1. b 2. a 3. d 4. e 5. c

2. a (Health care professionals increasing pain relief at the end of life)

Q1: Which key stakeholders had input into creating the NMC new Code (2018)? a) The Public b) The Minister for Health c) Patients d) Qualified nurses e) Student nurses Select one: 1. a, b, c, d and e 2. a, c, d, and e 3. a, b, c and d 4. a and b only 5. d and e

2. a,c,d and e (The public, Patients, Qualified Nurses, and Student Nurses)

Q4: What is one of the changes to how we assess deprivation of someone's liberty under the new Liberty Protection Safeguards? Select one: a) All assessments now carried out by both a section 12 Dr and an specially trained Mental Capacity assessor b) 6 assessments are now required in order to safeguard those potentially being deprived of their liberty c) To safeguard patients the authorisation to deprive someone of thier liberty needs to renewed and reassessed yearly for as long as it is needed d) As long as some has appropriate knowledge and experience they can undertake the required assessments; a specially trained approved mental capacity professional is only required for complex cases or where they is objection. e) We no longer need to consult patients of their family members Select one: 1. a 2. d 3. c 4. e 5. b

2. d (As long as some has appropriate knowledge and experience they can undertake the required assessments; a specially trained approved mental capacity professional is only required for complex cases or where they is objection.)

Q5: Which body governs clinical research in the UK? a) Human Tissue Act 2004 b) UK Transplant c) NICE d) Human Research Authority e) Health Research Authority Select one: 1. c 2. e 3. d 4. a 5. b

2. e (Health research Authority)

Q2: In order to be valid, a Do Not Attempt Resuscitation Order must include the following: Select one: a) Be written, placed in the medical record and signed by the medical consultant responsible for the patients care b) Be reviewed if the patient's condition changes c) A discussion with the patient d) Ideally involve discussion with those close to the patient (family) e) All of the above Select one: 1. a 2. e 3. b 4. c 5. d

2. e (all of the above)

Q5: Who has the power to make recommendations under Section 2 of the MHA (1983)? Select one: 1. A Consultant Psychiatrist alone 2. A mental health nurse 3. 2 doctors 4. An adult nurse 5. A social worker

3. 2 Doctors (and an AMHP)

Q1: Parental responsibility is described in which Act? Select one: 1. Health and Social Care act (2012) 2. Family Law Reform Act (1969) 3. Children Act (2004) 4. Human Rights Act (1998) 5. Children Act (1989)

3. Children Act (2004)

Q3: What is the role of the Children's Commissioner? Select one: 1. Oversee the services of C & YP 2. Fund research into C & YP treatment 3. Represent the voices of children 4. Inform evidence based care 5. Commission services related to C & YP

3. Represent the voices of children

Q3: Under section 2 how long can a person be detained in hospital? Select one: 1. 72 Hours 2. Indefinitely 3. Up to 28 days 4. 1 Year 5. Up to 6 months

3. Up to 28 days

Q1: Under the Mental Health Act (1983) people can only be detained if they meet how many of the following criteria? a) suffering from a mental disorder b) risk to self or others c) appropriate (necessary) to compulsorily admit to hospital d) hearing voices e) experiencing visual hallucinations Select one: 1. a, d and e 2. d and e 3. a, b and c 4. a and b 5. b, d and e

3. a, b and c (suffering from a mental disorder, risk to self or others, appropriate (necessary) to compulsorily admit to hospital)

Q1: If an advance decision exists that records the patient's wishes not to be resuscitated it must be followed Select one: a) Without question b) Only if it is applicable and specific to the circumstances of the collapse c) Only if it is signed and witnessed by a solicitor d) Even if the patient has changed their minds e) If it was created in the last 10 years Select one: 1. a 2. d 3. b 4. e 5. c

3. b (only if it is applicable and specific to the circumstances of the collapse)

Q1: Which Human Rights Articles are particularly at risk in the CJS? a Article 2- The Right to Life b Article 6- The Right to a Fair Trial c Article 8- Right to private and family life d Article 5- The right to liberty and security e Article 3- The right to be free from inhuman and degrading treatment Select one: 1. c, d and e 2. b, c and d 3. b, c and e 4. a, b and e 5. a and e

3. b, c and e ( Article 6- The Right to a Fair Trial, Article 8- Right to private and family life, Article 3- The right to be free from inhuman and degrading treatment)

Q5: When considering using restraint which factors must be considered under the MCA 2005? Select one: a) Whether to only use physical restraint b) Whether to only use chemical restraint c) Use the least restrictive method d) Get family consent e) Check for an advance care plan that sanctions restraint Select one: 1. e 2. b 3. c 4. a 5. d

3. c (Use the least restrictive method)

Q4: Which of these acts would be illegal in the UK- and is not part of palliative care? a) Withdrawing fluid and food at the end of life after discussion with the patient/family b) Administering sedation to alleviate difficulties with breathing c) Increasing morphine dosage if a patient is still in pain d) Withholding antibiotics in line with a valid advance decision e) Administering a large does of potassium with the intent of inducing cardiac arrest Select one: 1. b 2. d 3. e 4. a 5. c

3. e (Administering a large does of potassium with the intent of inducing cardiac arrest)

Q4: What treatment is permitted under Section 2 of the MHA (1983) Select one: 1. Depo injections only 2. Assessment only 3. Treatment for physical health issues 4. Medication and other forms of treatment 5. Electroconvulsive Therapy (ECT)

4. Medication and other forms of treatment (for mental health problems)

Q3: People aged 60+ are the fastest growing age group in prisons. Which of the following statements are true a 8 out of 10 report serious illness or disability b 64% report a mental health problem c Prisoners are entitled to the same healthcare standards as the general population d Most 'end of life' prisoners will die within the prison environment e the average age of death from terminal/incurable illnesses amongst prisoners in custody is 61 Select one: 1. all of the above 2. a, b and e 3. a and b 4. a, b, c and e 5. a and e

4. a, b, c and e (8 out of 10 report serious illness or disability, 64% report a mental health problem, Prisoners are entitled to the same healthcare standards as the general population, the average age of death from terminal/incurable illnesses amongst prisoners in custody is 61)

Q5: What are the most common health problems that nurses care for in the CJS? a mental health issues b end of life care c self-harm d restraint injuries e substance misuse Select one: 1. a, b and c 2. a and d 3. b and e 4. a, c and e 5. c, d and e

4. a, c and e (mental health issues, self-harm, substance misuse)

Q1: What is fraud in the NHS? a) The misuse of public money/resources b) Deception that gets you something that you were not entitled to c) Always committed by organised crime d) Only committed by people in authority e) Usually caused by ignorance of policies Select one: 1. a 2. d 3. c 4. b 5. e

4. b (Deception that gets you something that you were not entitled to)

Q4: Which service/role could be key to preventing the vulnerable from being sent to prison & obtaining the relevant health care? a Custody nurse b Custody nurse practitioner c Prison nurse d Liaison and diversion nurses e A & E nurse Select one: 1. c 2. e 3. a 4. d 5. b

4. d (Liaison and diversion nurses)

Q3: When can you share confidential information regarding a patient's details or care? Select one: 1. When another health care professional asks for information regardless of whether they are treating the patient 2. To the next of kin or family with or without the patient's knowledge 3. Only if a patient consents to the sharing of information 4. After a patient has died; there is no duty of confidentiality to the deceased 5. In the interests of patient safety and public protection

5. In the interests of patient safety and public protection

Q5: The Children Act 1989 was amended in 2004 following which significant event? Select one: 1. Change in Government 2. Update of the UNCRC 3. Publication of the Green Paper 'Every Child Matters' 4. Peter Connolly Public Inquiry 5. Victoria Climbie Public Inquiry

5. Victoria Climbie Public Inquiry

Q3: Under the Mental Capacity Act in what situation should a Liberty Protection Safeguard order be applied for? Select one: a) For every patient who lacks capacity in hospital b) For every patient who lacks capacity in a care home c) It is necessary to deprive of their liberty a resident or patient who lacks capacity to consent to their care and treatment in order to keep them safe from harm d) If a family are caring for a patient at home who lacks capacity e) When a patient permanently loses capacity Select one: 1. e 2. d 3. a 4. b 5. c

5. c (It is necessary to deprive of their liberty a resident or patient who lacks capacity to consent to their care and treatment in order to keep them safe from harm)

Q2: Which groups are vulnerable in the CJS? a people with mental health issues b people with learning disabilities c children and young people d older adults e all of the above Select one: 1. b 2. a 3. c 4. d 5. e

5. e (all of the above)

Q5: What new duty does the Code support? Select one: 1. To deliver the fundamentals of care 2. To maintain confidentiality 3. The Duty of Candour 4. To adhere to all UK law 5. To always act with compassion

Duty of Candour

Q4: Which statute law does the Code cite that nurses must be particularly mindful of? Select one: 1. Mental Capacity Act (2005) 2. Children Act (1989) 3. All case law 4. Mental Health Act (1983) 5. Human Rights Act (1998)

Mental Capacity Act (2005)

Q1: The Health and Social Care Act (2012) mandated for the following functions regarding mental health matters: Select one: a. The provision of after-care following discharge from the inpatient setting. b. Changed all preceding law regarding admission under a section. c. Mandatory access to Independent Mental Health Advocates only for those with no next of kin. d. The provision of increased pocket money for inpatients. e. Changed all preceding law regarding discharge from a section.

a (The provision of after-care following discharge from the inpatient setting)

Q3: Which of the below did the Health and Social Care Act (2012) NOT sanction: Select one: a. Privatisation of the NHS b. NHS England Formation c. Devolved power of commissioning to groups of GPs d. Creation of a new body for regulation of Trust's - Monitor e. Promoting patient centred care

a. Privatisation of the NHS

Q5: Under Which article of the Human Rights Act (1998) did the European Court of Human Right's agree the UK was violating Debbie Purdy's human rights? Select one: a. Article 14: the right to be free from discrimination b. Article 8: the right to private and family life c. Article 2: the right to life d. Article 3: the right to be free from inhuman and degrading treatment e. Article 5: the right to liberty

b. Article 8: the right to private and family life

Q2: Under the Mental Capacity Act (2005) how are best interests assessed? Select one: a. Only by speaking to the family b. By considering the patients past wishes c. The treating team decide only on the basis of whether the treatment will work d. Referral for a second opinion from another team e. By assessing quality of life as the most important factor

b. By considering the patients past wishes

Q4: Which out of the following did the Act confer legal status on in order to create clinical guidelines? Select one: a. Royal College of Nursing b. National Service Frameworks c. National Institute of Clinical Excellence d. Nursing Midwifery Council e. Codes of Practice

c. National Institute of Clinical Excellence

Q4: Health care professionals can treat CYP without their parent's knowledge only if: Select one: a. The child is of sufficient maturity to understand the treatment b. The child is an orphan c. The child is 'looked after' by the local authority d. Not to do so would harm the child e. The CYP requests the parents not to be involved (excludes contraception)

d. Not to do so would harm the child

Q5: What did the Act try and raise the profile of by stating that the public has a right to expect this....? Select one: a. GPs purchasing services b. Public involvement in clinical decisions c. Random inspections d. Research e. Nurses being compassionate

d. Research

Q2: Under the Health and Social Care Act (2012) who is ultimately in charge of the NHS? Select one: a. Patients b. CCGs c. GPs d. The Secretary of State e. The Prime Minister

d. The Secretary of State

Q3: Which of the following Human Rights Act (1998) principles is always listed as being absolute? Select one: a. All of the articles b. Article 5: The right to liberty and security c. Article 2: The right to life d. Article 8: The right to a private and family life e. Article 3: The right to be free from inhuman and degrading treatment

e. Article 3: The right to be free from inhuman and degrading treatment

Q1: The NHS Constitution states: Select one: a. The curriculum content of nursing courses b. How the NHS will be monitored c. How different health services should work together d. How the Government will deliver services e. NHS Values

e. NHS Values