Sexual offences and forensic psychiatry: advance directive: practice question

A Forensic Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Forensic Medicine · Sexual offences and forensic psychiatry: advance directive

Sample item

A woman with recurrent bipolar disorder wishes to record in writing, while well, how she should and should not be treated in a future relapse. Under the Mental Healthcare Act 2017, which instrument provides for this?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Advance directive

The Act lets an adult record an advance directive stating how she wishes or does not wish to be treated, and who her nominated representative will be. It is made in writing and acted on when she lacks capacity.

Option by option

  • A. Supported admission order

    Supported admission is admission of a person lacking capacity, not a written wish.

  • B. Advance directive (correct)

    Correct. An advance directive records treatment wishes made in advance.

  • C. Independent admission

    Independent admission is admission of a person with capacity, at her own request.

  • D. Guardianship order

    Guardianship is a court appointment, not a personal instruction.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Forensic Medicine question

What is the answer to this Forensic Medicine question?

The best answer is B, Advance directive. The Act lets an adult record an advance directive stating how she wishes or does not wish to be treated, and who her nominated representative will be.

Why is "Supported admission order" not the answer?

Supported admission is admission of a person lacking capacity, not a written wish.

Why is "Independent admission" not the answer?

Independent admission is admission of a person with capacity, at her own request.

Why is "Guardianship order" not the answer?

Guardianship is a court appointment, not a personal instruction.

What concept does this question test?

It tests Sexual offences and forensic psychiatry: advance directive in Forensic Medicine. It is made in writing and acted on when she lacks capacity.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Sexual offences and forensic psychiatry: advance directive?

Learn postmortem changes with their timelines, and toxicology as poison, sign, test and antidote. Then use the flashcards and the other Forensic Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.