Podcast
Questions and Answers
What is the primary reason for involuntary hospitalization?
What is the primary reason for involuntary hospitalization?
- A patient requires long-term care and support for their mental health.
- A patient requests hospitalization for psychiatric treatment.
- A patient is seeking a safe environment to recover.
- A patient poses a danger to themselves or others due to a mental disorder. (correct)
What is a defining characteristic of an informal admission to a psychiatric hospital?
What is a defining characteristic of an informal admission to a psychiatric hospital?
- Patient is admitted by a court order.
- Patient requires a guardian's signature for admission.
- Patient verbally requests admission and can leave at any time. (correct)
- Patient signs a written application for admission.
Which of these is NOT a benefit of a voluntary admission to a psychiatric hospital?
Which of these is NOT a benefit of a voluntary admission to a psychiatric hospital?
- The patient is able to actively participate in finding solutions to their problems.
- The patient is automatically committed for a specific duration of time. (correct)
- Patient has the legal right to refuse treatment.
- Patient maintains control over their treatment decisions.
What is the primary goal of an emergency hospitalization for a patient?
What is the primary goal of an emergency hospitalization for a patient?
Which of these individuals can typically authorize an emergency hospitalization?
Which of these individuals can typically authorize an emergency hospitalization?
Why is it important for psychiatric nurses to understand the legal context of care?
Why is it important for psychiatric nurses to understand the legal context of care?
What is the significance of a patient leaving a psychiatric hospital against medical advice (AMA)?
What is the significance of a patient leaving a psychiatric hospital against medical advice (AMA)?
In most states, who can authorize the voluntary admission of a minor to a psychiatric hospital?
In most states, who can authorize the voluntary admission of a minor to a psychiatric hospital?
What is NOT a reason for a patient to be granted an absolute discharge?
What is NOT a reason for a patient to be granted an absolute discharge?
What right is NOT explicitly granted to patients under the Patient Rights section?
What right is NOT explicitly granted to patients under the Patient Rights section?
What is the significance of a judicial discharge?
What is the significance of a judicial discharge?
What is the main purpose of informed consent?
What is the main purpose of informed consent?
What is the legal and ethical implication of breaking confidentiality in psychiatric treatment?
What is the legal and ethical implication of breaking confidentiality in psychiatric treatment?
What does the right to religious freedom for patients in a psychiatric hospital entail?
What does the right to religious freedom for patients in a psychiatric hospital entail?
What is a common misconception about patients' rights in psychiatric hospitals?
What is a common misconception about patients' rights in psychiatric hospitals?
Which of these is NOT a right generally granted to patients in psychiatric hospitals?
Which of these is NOT a right generally granted to patients in psychiatric hospitals?
What is the primary purpose of short-term hospitalization?
What is the primary purpose of short-term hospitalization?
How is a patient typically admitted to a long-term hospitalization facility?
How is a patient typically admitted to a long-term hospitalization facility?
What is the general relationship between mental illness and violence?
What is the general relationship between mental illness and violence?
What is the difference between the discharge of voluntary and involuntary patients?
What is the difference between the discharge of voluntary and involuntary patients?
What is the primary goal of a conditional discharge?
What is the primary goal of a conditional discharge?
Which of the following is a factor considered in determining a patient's compliance with medication during a conditional discharge?
Which of the following is a factor considered in determining a patient's compliance with medication during a conditional discharge?
What is an 'absolute discharge' in the context of mental health hospitalization?
What is an 'absolute discharge' in the context of mental health hospitalization?
What is the primary purpose of a 'judicial discharge'?
What is the primary purpose of a 'judicial discharge'?
Flashcards
Short-term Hospitalization
Short-term Hospitalization
Hospitalization for observation, diagnosis, and treatment of mental illness.
Long-term Hospitalization
Long-term Hospitalization
Extended care for mentally ill persons through judicial or medical action.
Involuntary Admission
Involuntary Admission
Admission without consent due to mental illness requiring treatment.
Voluntary Patients
Voluntary Patients
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Conditional Discharge
Conditional Discharge
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Absolute Discharge
Absolute Discharge
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Discharge Types
Discharge Types
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Dangerousness of Mental Illness
Dangerousness of Mental Illness
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Legal context in psychiatric nursing
Legal context in psychiatric nursing
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Types of admission
Types of admission
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Informal Admission
Informal Admission
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Children in voluntary admission
Children in voluntary admission
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Emergency Hospitalization
Emergency Hospitalization
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Role of authorities in involuntary admission
Role of authorities in involuntary admission
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Judicial Discharge
Judicial Discharge
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Patient Rights
Patient Rights
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Right to Communicate
Right to Communicate
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Right to Keep Personal Effects
Right to Keep Personal Effects
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Right to Privacy
Right to Privacy
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Right to Informed Consent
Right to Informed Consent
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Right to Independent Psychiatric Examination
Right to Independent Psychiatric Examination
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Study Notes
Legal and Ethical Aspects of Psychiatric Nursing
- Legal context is crucial for psychiatric nurses, focusing on patient rights and quality of care
- Civil, criminal, and consumer rights have been established over the past two decades
- Psychiatric nurses need to understand the legal provisions of their state
- This knowledge improves care for psychiatric patients by safeguarding both the nurse's and the patient's rights.
Hospitalization (Admission)
- Three types of admission: informal, voluntary, and involuntary
- Informal: Patient requests entry and release. Patients are free to leave at any time before treatment, often required to sign themselves out against medical advice (AMA), although not legally required
- Voluntary: Admission is through a written application by the patient or guardian, and involves agreement to treatment and hospital rules. Individuals seek help based on personal decisions or the advice of family or professionals; a preferred method of admission due to its resemblance to medical hospitalization. Children under 16 may be admitted if their parents sign the form
- Involuntary: Admission occurs when the patient is a danger to themselves or others, or in need of psychiatric treatment. The individual did not request hospitalization.
Involuntary Admission Categories
- Emergency Hospitalization: Necessary for an immediate threat to self or others, typically lasting 48-72 hours. Police, physicians, and psychiatrists are involved in authorization
- Short-Term/Observational Hospitalization: Primarily for observation, diagnosis, and treatment of individuals posing a danger or suffering from mental illness; required medical certificate by two physicians.
Long-Term Hospitalization
- Primarily for extended care and treatment of mentally ill patients
- Involvement of judicial or administrative action or medical certification
Dangerousness of Mentally Ill Persons
- Studies suggest that violence among psychiatric patients is similar to the general population
- Mental illness in certain conditions can lead to violence, but not all mentally ill individuals are dangerous
- No significant difference in crime types between mentally ill and non-mentally disordered suspects
Discharge of Mentally Ill Patients
- Voluntary patients can request their release
- Involuntary patients cannot demand release until court order or improvement is certified; re-evaluation is needed periodically if released early
- Three types of discharges: conditional, absolute, and judicial
- Conditional: out-patient treatment for a period, determining the client's compliance with medication and their ability to reintegrate into the community.
- Absolute: final discharge, granted when a patient can function in the community; and for those who aren't likely to improve.
- Judicial: hospital does not agree with release but patients or family can appeal
Patient Rights
- Patients have rights including communication, personal belongings, religious freedom, and possible employment
- Right to education (exercised by parents on behalf of emotionally ill or mentally retarded children)
- Right to an independent psychiatric examination is by choosing a physician
- Right to privacy
- Right to treatment in the least restrictive setting, balancing patient autonomy and protecting others
- Right to informed consent from physician, and consent forms, requiring signatures of patients or family
- Important factors for treatment include patient preference, religious beliefs, effect on family, side effects, risks, and prognosis
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