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Questions and Answers
Which of the following best defines a right?
Which of the following best defines a right?
What does moral behavior result from?
What does moral behavior result from?
What is meant by autonomy in ethical principles?
What is meant by autonomy in ethical principles?
Which ethical principle refers to one's duty to benefit or promote the good of others?
Which ethical principle refers to one's duty to benefit or promote the good of others?
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What is an ethical dilemma?
What is an ethical dilemma?
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Which principle involves acting on behalf of others as a supporter or defender?
Which principle involves acting on behalf of others as a supporter or defender?
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Which ethical principle emphasizes the importance of doing no harm?
Which ethical principle emphasizes the importance of doing no harm?
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What does the ethical principle of justice primarily focus on?
What does the ethical principle of justice primarily focus on?
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Which factor is NOT considered a personal belief in the context of values?
Which factor is NOT considered a personal belief in the context of values?
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What does the right to informed consent ensure for patients?
What does the right to informed consent ensure for patients?
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Which right allows patients to select their healthcare providers?
Which right allows patients to select their healthcare providers?
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What is an ethical dilemma?
What is an ethical dilemma?
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Which of the following is NOT included in the Bill of Rights for psychiatric nursing?
Which of the following is NOT included in the Bill of Rights for psychiatric nursing?
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In the context of psychiatric care, what is the difference between restraints and seclusions?
In the context of psychiatric care, what is the difference between restraints and seclusions?
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Which of the following is an example of a legal issue relevant to psychiatric mental health nursing?
Which of the following is an example of a legal issue relevant to psychiatric mental health nursing?
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Which principle requires healthcare providers to treat all patients fairly?
Which principle requires healthcare providers to treat all patients fairly?
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What is a primary reason for seeking involuntary commitment?
What is a primary reason for seeking involuntary commitment?
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Which behavior typically prompts an emergency commitment?
Which behavior typically prompts an emergency commitment?
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Which requirement must be met to justify involuntary commitment due to mental illness?
Which requirement must be met to justify involuntary commitment due to mental illness?
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What is the maximum time allowed before a court hearing is initiated after an emergency commitment?
What is the maximum time allowed before a court hearing is initiated after an emergency commitment?
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What defines involuntary outpatient commitment?
What defines involuntary outpatient commitment?
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What is most essential for the court to determine the need for involuntary commitment?
What is most essential for the court to determine the need for involuntary commitment?
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What might be a goal behind involuntary outpatient commitment legislation?
What might be a goal behind involuntary outpatient commitment legislation?
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Which of the following scenarios best represents a situation for involuntary commitment due to gravely disabled status?
Which of the following scenarios best represents a situation for involuntary commitment due to gravely disabled status?
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What does battery refer to in a healthcare context?
What does battery refer to in a healthcare context?
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Which action can help a nurse avoid liability when providing care?
Which action can help a nurse avoid liability when providing care?
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If a nurse uses a blood pressure cuff that is too small for the client, which potential liability may arise?
If a nurse uses a blood pressure cuff that is too small for the client, which potential liability may arise?
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What is considered when a nurse intervenes against harmful decisions made by a family member on behalf of the client?
What is considered when a nurse intervenes against harmful decisions made by a family member on behalf of the client?
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Which ethical principle applies when a client is prescribed medication but refuses to take it?
Which ethical principle applies when a client is prescribed medication but refuses to take it?
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What is the best description of seclusion in a nursing context?
What is the best description of seclusion in a nursing context?
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In the case of a mental health patient who expresses plans to harm others, what is a crucial nurse action?
In the case of a mental health patient who expresses plans to harm others, what is a crucial nurse action?
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Which ethical principle is demonstrated when a nurse removes restraints from a calm client?
Which ethical principle is demonstrated when a nurse removes restraints from a calm client?
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What is the primary focus of non maleficence in health care?
What is the primary focus of non maleficence in health care?
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Which principle is associated with treating individuals equally regardless of their background?
Which principle is associated with treating individuals equally regardless of their background?
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What does veracity in healthcare primarily refer to?
What does veracity in healthcare primarily refer to?
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Under what conditions can a client refuse medication?
Under what conditions can a client refuse medication?
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What is meant by the right to the least restrictive treatment alternative?
What is meant by the right to the least restrictive treatment alternative?
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Which of the following best describes client confidentiality?
Which of the following best describes client confidentiality?
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Which of the following is NOT a condition for the right to refuse medication described?
Which of the following is NOT a condition for the right to refuse medication described?
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Which ethical principle emphasizes the importance of avoiding harm over providing benefits?
Which ethical principle emphasizes the importance of avoiding harm over providing benefits?
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Study Notes
Ethical Issues in Mental Health Nursing
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Clients have the right to refuse medications, but limitations exist. For example:
- If the patient is a danger to themselves or others
- When medications have a reasonable chance of helping the client
- If the client is judged incompetent to make decisions
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Clients have the right to the least restrictive treatment alternative. This includes:
- Verbal rehabilitation techniques
- Behavioral techniques
- Chemical interventions
Legal Issues in Mental Health Nursing
- Confidentiality and the right to client privacy must be respected. This includes protecting pertinent health information.
Involuntary Commitment and Emergency Commitments
- There are three reasons for involuntary commitment:
- Emergency situations
- For observation and treatment of the mentally ill
- For individuals deemed gravely disabled
- Involuntary commitments require a court hearing, and typically involve a 72-hour evaluation followed by another hearing within 7-21 days.
Mentally Ill in Need of Treatment
- Involuntary commitment for treatment of mentally ill individuals requires clear and convincing evidence of abnormal conduct and probable cause.
- The courts recognize that mental illness alone does not justify involuntary commitment unless there is immediate danger.
Involuntary Outpatient Commitment
- This is a court order requiring individuals with mental illness to receive treatment on an outpatient basis.
- Goals of these commitments include reducing readmissions and lengths of stays.
Avoiding Liability in Nursing Actions
- Nursing actions to avoid liability include:
- Responding to the patient's needs
- Educating the patient about their illness and treatments
- Complying with the accepted standard of care
- Supervising the patient's care
- Following the nursing process
- Thorough documentation
- Evaluating the care provided
Seclusion
- Seclusion is placing a client in a room alone, without potentially dangerous items.
Negligence and Malpractice
- Negligence occurs when a nurse fails to provide care that meets the standard of care, resulting in harm to the client.
- Malpractice is a form of negligence specific to professional healthcare providers.
Ethical Principles and Their Application
- Autonomy: The right of the client to make their own decisions regarding their care, even if they refuse treatment.
- Beneficence: The nurse's duty to act in the best interests of their patient, even if the patient is unwilling.
- Nonmaleficence: The requirement to avoid harming the patient, even unintentionally.
- Justice: All clients have a right to receive fair and equal treatment regardless of their situation.
- Veracity: The duty to be truthful and honest with the patient.
Duty to Warn
- Nurses have a duty to warn potentially at-risk individuals if a client expresses a credible threat to harm them. This duty supersedes the right to confidentiality.
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Description
Explore the ethical and legal complexities surrounding mental health nursing. This quiz covers clients' rights regarding medication refusal, confidentiality, and conditions for involuntary commitment. Understand the balance between client autonomy and safety in mental health care.
