Mental Healthcare Act 2017, Capacity and Forensic Assessment MCQs

Psychiatry · 15 free questions with answers & explanations.

1. Under the Mental Healthcare Act (MHCA) 2017 of India, which of the following statements about the right to make an Advance Directive is CORRECT?
2. A 45-year-old patient with schizophrenia refuses amputation for gas gangrene of his right foot. He says 'the hospital is trying to poison me.' The treating team requests a capacity assessment. Which component of decision-making capacity is SPECIFICALLY impaired in this case?
3. Under MHCA 2017, which body at the state level has the authority to review involuntary admissions and hear appeals against the treating team's decisions?
4. A 35-year-old man committed a serious violent offence. During psychiatric evaluation for legal purposes, he demonstrates clear understanding of the charges and proceedings, can instruct his lawyer, but describes hearing a divine voice ordering the killing at the time of the offence. The court requests a forensic opinion on criminal responsibility. Which medico-legal doctrine is MOST relevant to the defence?
5. Under the Mental Healthcare Act (MHCA) 2017, an Advanced Directive allows a person with mental illness to make decisions about their treatment. Which of the following statements about Advanced Directives under MHCA 2017 is CORRECT?
6. Under MHCA 2017, what is the MAXIMUM initial period for which a person can be admitted as an 'independent patient' (previously voluntary admission) without review, and who can admit them?
7. In a forensic assessment of criminal responsibility in India (under BNS 2023, replacing IPC Section 84), a person is deemed not guilty by reason of unsoundness of mind if at the time of the act they:
8. Under the Mental Healthcare Act (MHCA) 2017, which statement CORRECTLY describes Advance Directive provisions?
9. The Mental Healthcare Act 2017 mandates that every person has the right to access mental healthcare from the government. Under which section is this right enshrined?
10. The four components of decisional capacity assessment are: understanding, appreciation, reasoning, and communication of a choice. A patient with schizophrenia understands the information but believes the doctors are conspiring against him and so refuses treatment. Which component of capacity is PRIMARILY impaired?
11. Under the McNaughten rules for legal insanity in India, the accused is considered not guilty by reason of insanity if:
12. Under the Mental Healthcare Act (MHCA) 2017 of India, which of the following is a Right explicitly guaranteed to persons with mental illness?
13. A 40-year-old man with schizophrenia is charged with murder. The defence claims he did not know the nature and quality of his act. The legal standard being invoked is:
14. A 65-year-old man with moderate dementia is admitted electively for hip surgery. He does not understand what the surgery involves and cannot retain the explanation. Which of the following correctly describes his legal situation regarding consent?
15. Under MHCA 2017, an Advance Directive made by a person with mental illness is INVALID in which of the following circumstances?