Legal & Ethical Aspects of Psychiatric Nursing
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Questions and Answers

Which type of hospital admission involves a written application by the patient or their guardian?

  • Voluntary Admission (correct)
  • Emergency Hospitalization
  • Involuntary Admission
  • Informal Admission

    • What is the primary purpose of an emergency hospitalization?

  • To address complex legal issues related to mental illness
  • To control an immediate threat to self or others (correct)
  • To provide long-term care for chronic mental health conditions
  • To conduct a comprehensive psychiatric evaluation

    • In an informal admission, what right does the patient have?

  • The right to refuse treatment
  • The right to leave the hospital at any time (correct)
  • The right to receive specific therapies
  • The right to demand and obtain discharge

    • Under what circumstances is involuntary hospitalization considered necessary?

    <p>When a patient poses a danger to themselves or others due to a mental disorder (D)</p> Signup and view all the answers

    What is the primary advantage of a voluntary admission?

    <p>It promotes patient participation in their care (A)</p> Signup and view all the answers

    Which of these is NOT a reason for involuntary hospitalization?

    <p>A patient's family requests the patient's hospitalization (A)</p> Signup and view all the answers

    What is the typical duration of an emergency hospitalization?

    <p>48 to 72 hours (B)</p> Signup and view all the answers

    Who are typically authorized to detain mentally ill individuals who pose a danger?

    <p>Police officers, physicians, and psychiatrists (B)</p> Signup and view all the answers

    What does the term 'Absolute Discharge' refer to in the context of hospital discharge?

    <p>A type of discharge where the patient is deemed unlikely to improve and is discharged without further treatment options. (A)</p> Signup and view all the answers

    Which of the following is NOT a right granted to patients in the context of mental health care?

    <p>The right to a trial by jury. (A)</p> Signup and view all the answers

    What is the purpose of 'Judicial Discharge'?

    <p>To allow for a legal review of the hospital's decision to discharge a patient. (B)</p> Signup and view all the answers

    What does the 'Right to Informed Consent' imply in the context of psychiatric treatment?

    <p>The physician must explain the risks and benefits of treatment options to the patient. (D)</p> Signup and view all the answers

    Which of the following situations might necessitate breaking a patient's confidentiality in psychiatric treatment?

    <p>When the patient expresses suicidal thoughts. (B)</p> Signup and view all the answers

    What is the primary purpose of the 'Right to Independent Psychiatric Examination'?

    <p>To ensure that patients receive a second opinion from a different psychiatrist. (B)</p> Signup and view all the answers

    What is the significance of the 'Right to Religious Freedom' in the context of mental health care?

    <p>Patients are allowed to practice their faith privately within the hospital setting. (B)</p> Signup and view all the answers

    What is the main point of the passage regarding 'Patient's Rights'?

    <p>Patients have a range of rights that empower them to participate in their own care. (B)</p> Signup and view all the answers

    • What is the primary purpose of short-term hospitalization?

    <p>Observe, diagnose, and treat individuals posing a danger to themselves or others. (C)</p> Signup and view all the answers

    • How are individuals admitted to long-term hospitalization?

    <p>Through judicial or administrative action, or a medical certificate. (C)</p> Signup and view all the answers

    • How is the level of danger posed by mentally ill individuals generally perceived?

    <p>Most mentally ill individuals are not dangerous to themselves or others. (B)</p> Signup and view all the answers

    • What rights do voluntary patients have regarding discharge?

    <p>Voluntary patients have the right to demand and receive release at any time. (A)</p> Signup and view all the answers

    • What is the primary advantage of a conditional discharge?

    <p>It allows the patient to gradually reintegrate into the community. (A)</p> Signup and view all the answers

    • What is an absolute discharge?

    <p>A final discharge granted when the patient is deemed fit for community living. (D)</p> Signup and view all the answers

    • What factors are assessed to determine a patient's readiness for a conditional discharge? (Select all that apply.)

    <p>The patient's compliance with prescribed medication. (A), The patient's ability to manage their finances. (B), The patient's ability to engage in social activities. (C), The patient's ability to retain information about their illness. (D)</p> Signup and view all the answers

    If a committed patient leaves the hospital against medical advice, what are the staff legally obligated to do? (Select all that apply.)

    <p>Attempt to locate the patient. (B), Notify the police. (D)</p> Signup and view all the answers

    Study Notes

    Legal & Ethical Aspects of Psychiatric Nursing

    • The legal context of care is crucial for psychiatric nurses, focusing on patient rights and quality of care.
    • Patient rights (civil, criminal, and consumer) have expanded through the legal system.
    • Psychiatric nurses must understand the legal provisions of their state of practice. This enhances both nurse and patient freedom, ultimately improving psychiatric care.

    Hospitalization of Patients (Admission)

    • There are three types of admission: informal, voluntary, and involuntary.

    Informal Admission

    • Patients request entry and release orally.
    • Patients can leave at any time, even before treatment completion.
    • Patients may be asked to sign themselves out "against medical advice" (AMA), but it's not mandatory.

    Voluntary Admission

    • Admission is through a written application by the patient or guardian.
    • The individual agrees to treatment and hospital rules.
    • Patients may seek help based on personal decision or professional advice.
    • This type of admission is preferred as it mirrors a typical medical hospitalization.
    • Patients have the right to demand and obtain discharge.

    Involuntary Admission

    • Admission is without patient request.
    • It's necessary when a person is a danger to themselves or others, due to a mental disorder, or in need of psychiatric treatment.
    Emergency Hospitalization
    • Necessary for acutely ill patients.
    • Aims for short-term control over immediate threats to self or others.
    • Admission duration is from 48 to 72 hours.
    • Police officers, physicians, and psychiatrists can authorize detention of dangerous individuals.
    Short-Term or Observational Hospitalization
    • Primary purpose is observation, diagnosis and treatment.
    • A person is admitted if they have a mental illness or pose a danger to themselves or others, with a medical certificate from two physicians.
    • Focuses on extended care and treatment of mentally ill persons.
    • Admissions could be ongoing until the patient is ready for discharge.

    Dangerousness of Mentally Ill Persons

    • Most mentally ill persons are not dangerous.
    • Studies show violence rates are similar to the general population.
    • Specific mental disorders and conditions can increase risk.
    • No differences are found in the offenses committed by mentally disordered suspects compared with non-mentally disordered suspects.

    Discharge of Mentally Ill Patients

    • Voluntary patients have the right to demand and receive release.
    • Involuntary patients can't demand release until a court order or medical certificate states their condition has improved.
    • Regular reviews of the patient's status are conducted.
    • Patients who secretly leave are subject to the hospital's obligation to alert police.

    Kinds of Discharge

    • Three kinds of discharges exist: conditional, absolute, and judicial.

    Conditional Discharge

    • A specific treatment period determines the patient's compliance and reintegration into society.
    • Allows gradual adjustment in the community.
    • If the patient adjusts, a final "absolute discharge" can follow.

    Absolute Discharge

    • A final discharge, given when the patient successfully functions in the community.
    • Cases where patients don't improve are also considered for absolute discharge.
    • Family/guardians are notified to assist in aftercare planning.

    Judicial Discharge

    • Patients or families can appeal a discharge if they disagree (with the hospital).
    • Provides another way for patients and/or families to advocate for appropriate discharge conditions.

    Patient Rights

    • Civil and personal rights of the mentally ill are legally supported.

    Patient Rights (Specific Examples)

    • Right to communicate with outsiders (phone, letters)
    • Right to personal possessions (clothing, belongings).
    • Right to religious freedom
    • Right to employment
    • Right to education
    • Right to independent psychiatric examination
    • Right to privacy
    • Right to informed consent—doctors must provide adequate treatment information and get the patient's agreement
    • Right to treatment in the least restrictive setting—focuses on patient autonomy and preventing unnecessary isolation.

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    Related Documents

    Legal & Ethical Aspects of Psychiatric Nursing PDF

    Description

    Explore the crucial legal and ethical dimensions that psychiatric nurses face in their practice. This quiz will cover patient rights, types of admissions, and the legal framework guiding psychiatric care. Understanding these concepts is essential for quality patient treatment and nursing practice.

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