MH Forms
This form is used by a physician to place a person on an involuntary psychiatric hold for up to 72 hours for assessment.
What is a Form 1?
This SSRI is commonly used first-line for depression and anxiety.
What is Sertraline? (also acceptable: fluoxetine, escitalopram)
The most important first step when a patient expresses suicidal ideation.
What is conducting a suicide risk assessment such as the C-SSRS?
This communication technique involves restating what the patient has said in your own words.
What is paraphrasing?
This principle requires respecting a patient's right to make their own decisions.
What is autonomy?
This section of the Mental Health Act allows police to bring a person for psychiatric examination when there are reasonable grounds the person may be a danger to themselves or others.
What is Section 17?
This mood stabilizer requires monitoring of blood levels and can cause tremor and renal issues.
What is Lithium?
This observation level requires the patient to remain within arm’s length of staff at all times.
What is constant or 1:1 observation level?
Saying “Tell me more about that” is an example of this technique.
What is using open-ended questions?
This refers to a patient's ability to understand and appreciate treatment decisions.
What is capacity?
This form is completed when a physician determines a patient meets criteria for ongoing involuntary admission after the initial assessment period.
What is a Form 3?
These side effects include tremor, rigidity, and bradykinesia caused by antipsychotics.
What are Extrapyramidal Symptoms (EPS)?
A patient is escalating verbally; the best initial intervention is this technique.
What is verbal de-escalation?
This response type should be avoided: “Everything will be fine.”
What is giving false reassurance?
Admission without patient consent due to risk of harm falls under this type of admission.
What is an involuntary admission?
This form is issued by a justice of the peace ordering a person to attend a psychiatric examination by a physician.
A life-threatening condition with fever, muscle rigidity, and autonomic instability linked to antipsychotic use.
What is Neuroleptic Malignant Syndrome (NMS)?
These are used only as a last resort when there is imminent risk to self or others.
What are restraints (physical or chemical)?
A patient says, “I feel worthless.” The best response includes acknowledging feelings, this is called:
What is validation?
This law protects patient information from being shared without consent.
What is confidentiality (or PHIPA)?
Under Ontario’s Mental Health Act, these criteria must be assessed before a patient can be deemed incapable of consenting to treatment.
What are the ability to understand relevant information and appreciate the reasonably foreseeable consequences of a decision or lack of decision?
This medication for alcohol use disorder causes an aversive reaction when alcohol is consumed.
What is disulfiram or Antabuse?
A patient suddenly becomes withdrawn, gives away belongings, and appears calm after distress, this may indicate this risk.
What is increased suicide risk
Maintaining professional limits and avoiding dual relationships refers to this concept.
What are professional boundaries/maintaining a therapeutic nurse-client relationship?
This legal principle allows intervention without consent in an emergency to prevent serious harm.
What is implied consent (in emergencies)?