Podcast
Questions and Answers
Psychiatric-mental health nurses frequently encounter ethical dilemmas that necessitate decisions concerning:
Psychiatric-mental health nurses frequently encounter ethical dilemmas that necessitate decisions concerning:
- Personal relationships with patients and boundary setting.
- Financial resource allocation and insurance limitations.
- Staff scheduling and managing nurse-patient ratios in acute settings.
- Distinguishing between beneficence and non-maleficence, or determining life-sustaining interventions. (correct)
What is the primary function of the American Nurses Association (ANA) Code of Ethics for nurses?
What is the primary function of the American Nurses Association (ANA) Code of Ethics for nurses?
- To serve as a guiding framework for nurses in making ethical choices and decisions. (correct)
- To provide specific legal statutes for nursing practice in mental health settings.
- To dictate hospital policy and procedures related to patient care and resource management.
- To offer a rigid set of rules for every ethical challenge encountered in nursing.
According to the ANA Code of Ethics, a psychiatric-mental health nurse's responsibilities extend to whom?
According to the ANA Code of Ethics, a psychiatric-mental health nurse's responsibilities extend to whom?
- Exclusively to the patient and their immediate family members involved in care decisions.
- Primarily to the employing healthcare organization and its financial stability.
- Solely to the individual patient under their direct care in a clinical setting.
- To the patient (individual, family, group, community, or population), themselves, and all individuals they interact with. (correct)
The ANA Code of Ethics interpretive guidelines emphasize the importance of teamwork and collaboration in healthcare, aligning with recommendations from which organization focused on healthcare improvement?
The ANA Code of Ethics interpretive guidelines emphasize the importance of teamwork and collaboration in healthcare, aligning with recommendations from which organization focused on healthcare improvement?
What is the role of 'Psychiatric-Mental Health Nursing: Scope and Standards of Practice' published by the ANA and associated organizations?
What is the role of 'Psychiatric-Mental Health Nursing: Scope and Standards of Practice' published by the ANA and associated organizations?
Why is knowledge of the 'Code of Ethics for Nurses' and 'Psychiatric-Mental Health Nursing: Scope and Standards of Practice' considered 'essential' for psychiatric-mental health nurses?
Why is knowledge of the 'Code of Ethics for Nurses' and 'Psychiatric-Mental Health Nursing: Scope and Standards of Practice' considered 'essential' for psychiatric-mental health nurses?
In addition to ethical considerations, what other domain of issues is crucial for psychiatric-mental health nurses to understand in their professional practice?
In addition to ethical considerations, what other domain of issues is crucial for psychiatric-mental health nurses to understand in their professional practice?
The content emphasizes that legislation shapes societal norms of 'right or good'. How does this relate to legal issues in psychiatric-mental health nursing?
The content emphasizes that legislation shapes societal norms of 'right or good'. How does this relate to legal issues in psychiatric-mental health nursing?
What is the primary purpose of the SBAR model in healthcare settings?
What is the primary purpose of the SBAR model in healthcare settings?
According to the Quality and Safety Education for Nurses standards, what is an essential nursing competency?
According to the Quality and Safety Education for Nurses standards, what is an essential nursing competency?
How does the ethical theory of utilitarianism determine what is right and good?
How does the ethical theory of utilitarianism determine what is right and good?
What approach is recommended for handling 'suit-prone' patients?
What approach is recommended for handling 'suit-prone' patients?
Which ethical theory is based on adhering to a sense of duty?
Which ethical theory is based on adhering to a sense of duty?
What is a potential consequence for nurses if legal issues arise due to their actions?
What is a potential consequence for nurses if legal issues arise due to their actions?
Which of the following is included in civil law protections?
Which of the following is included in civil law protections?
What does the ethical principle of autonomy emphasize?
What does the ethical principle of autonomy emphasize?
What is the significance of building a rapport with patients in preventing lawsuits?
What is the significance of building a rapport with patients in preventing lawsuits?
Which ethical principle is concerned with fairness and equality?
Which ethical principle is concerned with fairness and equality?
Which ethical theory prioritizes actions that maximize happiness for the greatest number of people?
Which ethical theory prioritizes actions that maximize happiness for the greatest number of people?
According to Kantianism, the morality of an action is determined by its:
According to Kantianism, the morality of an action is determined by its:
Which ethical theory is based on the teachings of Jesus Christ?
Which ethical theory is based on the teachings of Jesus Christ?
Natural Law Theory posits that the knowledge of right and wrong is:
Natural Law Theory posits that the knowledge of right and wrong is:
Which ethical theory is primarily concerned with the individual's self-interest?
Which ethical theory is primarily concerned with the individual's self-interest?
What is the term for a situation in nursing where a choice must be made between two equally justifiable options?
What is the term for a situation in nursing where a choice must be made between two equally justifiable options?
What is the definition of 'morals'?
What is the definition of 'morals'?
What does the term 'bioethics' refer to?
What does the term 'bioethics' refer to?
What is "values clarification"?
What is "values clarification"?
What is the difference between morals and ethics?
What is the difference between morals and ethics?
What are 'rights' in the context of healthcare?
What are 'rights' in the context of healthcare?
What characterizes an 'absolute right'?
What characterizes an 'absolute right'?
What is a 'legal right'?
What is a 'legal right'?
Whose guidelines pertain to patients' rights, though not legally binding?
Whose guidelines pertain to patients' rights, though not legally binding?
What are nurses responsible for upholding, despite their non-legal status?
What are nurses responsible for upholding, despite their non-legal status?
What is the primary function of the Health Insurance Portability and Accountability Act (HIPAA)?
What is the primary function of the Health Insurance Portability and Accountability Act (HIPAA)?
Which category of law is derived from decisions made in previous cases?
Which category of law is derived from decisions made in previous cases?
What right does an individual have with regard to their mental health-care records?
What right does an individual have with regard to their mental health-care records?
What is a tort in the context of civil law?
What is a tort in the context of civil law?
Which law provides protection from conduct deemed injurious to public welfare?
Which law provides protection from conduct deemed injurious to public welfare?
What does the Fourth Amendment protect in terms of legal issues in psychiatric-mental health nursing?
What does the Fourth Amendment protect in terms of legal issues in psychiatric-mental health nursing?
What is an intentional tort in healthcare settings?
What is an intentional tort in healthcare settings?
What must a client provide for health information to be shared outside the current treatment team?
What must a client provide for health information to be shared outside the current treatment team?
When must clients be informed of their privacy policies under HIPAA?
When must clients be informed of their privacy policies under HIPAA?
How are civil and criminal components classified within statutory and common law?
How are civil and criminal components classified within statutory and common law?
What is the most common violation of criminal law by nurses?
What is the most common violation of criminal law by nurses?
What are PHI identifiers under HIPAA intended to protect?
What are PHI identifiers under HIPAA intended to protect?
Upon discharge, what right does a client have regarding referrals to other providers?
Upon discharge, what right does a client have regarding referrals to other providers?
Which amendment of the U.S. Constitution is associated with the protection of privacy in health records?
Which amendment of the U.S. Constitution is associated with the protection of privacy in health records?
Under civil law, what type of legal action is brought for breach of a contract?
Under civil law, what type of legal action is brought for breach of a contract?
Which ethical perspective supports giving the patient information to respect her autonomy and decrease the chance of pregnancy?
Which ethical perspective supports giving the patient information to respect her autonomy and decrease the chance of pregnancy?
Why might withholding information be considered harmful in this scenario?
Why might withholding information be considered harmful in this scenario?
Which ethical principle is primarily concerned with promoting good and doing no harm?
Which ethical principle is primarily concerned with promoting good and doing no harm?
What potential consequence does Alternative 3 have on Kimberly?
What potential consequence does Alternative 3 have on Kimberly?
Which of the following legal considerations are relevant for administering involuntary medication?
Which of the following legal considerations are relevant for administering involuntary medication?
Which principle emphasizes treating a psychiatric patient with the least restrictive measure?
Which principle emphasizes treating a psychiatric patient with the least restrictive measure?
What does 'Kendra’s Law' in New York State allow regarding mental health patients?
What does 'Kendra’s Law' in New York State allow regarding mental health patients?
What does the utilitarian perspective focus on in ethical decision-making?
What does the utilitarian perspective focus on in ethical decision-making?
When selecting an alternative, how is the principle of autonomy respected with Alternative 3?
When selecting an alternative, how is the principle of autonomy respected with Alternative 3?
What outcome would indicate an acceptable resolution of Tonja's case?
What outcome would indicate an acceptable resolution of Tonja's case?
What might motivate Kimberly to seek employment elsewhere?
What might motivate Kimberly to seek employment elsewhere?
Which alternative respects the patient's autonomy while aligning with Kimberly’s Christian ethic?
Which alternative respects the patient's autonomy while aligning with Kimberly’s Christian ethic?
What is the primary purpose of informed consent in medical procedures?
What is the primary purpose of informed consent in medical procedures?
What is a common criterion for forcing medication without client consent?
What is a common criterion for forcing medication without client consent?
Which of the following is NOT typically included in the information provided for informed consent?
Which of the following is NOT typically included in the information provided for informed consent?
Which option indicates an understanding of utilitarian ethical theory?
Which option indicates an understanding of utilitarian ethical theory?
In what situation can treatment be administered without obtaining informed consent?
In what situation can treatment be administered without obtaining informed consent?
How does the 'right to the least restrictive treatment alternative' influence psychiatric care planning?
How does the 'right to the least restrictive treatment alternative' influence psychiatric care planning?
Under what condition can a physician withhold information about a treatment according to therapeutic privilege?
Under what condition can a physician withhold information about a treatment according to therapeutic privilege?
Which element is NOT a major component of informed consent that nurses ensure?
Which element is NOT a major component of informed consent that nurses ensure?
Which type of patient may require consent from a legal guardian due to inability to provide informed consent?
Which type of patient may require consent from a legal guardian due to inability to provide informed consent?
What role does a nurse play regarding informed consent?
What role does a nurse play regarding informed consent?
What legislation protects an individual's right to freedom from restraint except in emergencies?
What legislation protects an individual's right to freedom from restraint except in emergencies?
What is a primary concern about the use of seclusion and restraint?
What is a primary concern about the use of seclusion and restraint?
What does the term 'restraints' refer to in psychiatric settings?
What does the term 'restraints' refer to in psychiatric settings?
Who bears the legal liability for securing informed consent?
Who bears the legal liability for securing informed consent?
Which practice is essential when a patient or guardian withdraws consent after treatment begins?
Which practice is essential when a patient or guardian withdraws consent after treatment begins?
In what circumstance does a hospital administrator act in the consent process?
In what circumstance does a hospital administrator act in the consent process?
What must be considered when using restraint in psychiatric settings?
What must be considered when using restraint in psychiatric settings?
Which scenario exemplifies informed consent not being required?
Which scenario exemplifies informed consent not being required?
What must be demonstrated to justify involuntary hospitalization?
What must be demonstrated to justify involuntary hospitalization?
Which case emphasized that mental illness alone is insufficient for involuntary hospitalization?
Which case emphasized that mental illness alone is insufficient for involuntary hospitalization?
What is a key element of involuntary outpatient commitment (IOC)?
What is a key element of involuntary outpatient commitment (IOC)?
Which state enacted legislation known as Kendra's Law?
Which state enacted legislation known as Kendra's Law?
What are the eligibility criteria for North Carolina's IOC in terms of preventing deterioration?
What are the eligibility criteria for North Carolina's IOC in terms of preventing deterioration?
How does Kendra's Law in New York choose candidates for IOC?
How does Kendra's Law in New York choose candidates for IOC?
What is a common criticism of IOC legislation?
What is a common criticism of IOC legislation?
What is typically required for legal restoration of competency?
What is typically required for legal restoration of competency?
What does the term 'gravely disabled' refer to?
What does the term 'gravely disabled' refer to?
Which of the following outcomes is associated with IOC according to some studies?
Which of the following outcomes is associated with IOC according to some studies?
What is a 'preventive approach' in the context of IOC?
What is a 'preventive approach' in the context of IOC?
How can involuntary treatments ensure respect for individual rights?
How can involuntary treatments ensure respect for individual rights?
What is a stated objective of IOC legislation?
What is a stated objective of IOC legislation?
What standard is used to measure the adequacy of a therapist's conduct?
What standard is used to measure the adequacy of a therapist's conduct?
What does research suggest about IOC outcomes?
What does research suggest about IOC outcomes?
What was the key issue in the Tarasoff v. Regents of University of California case?
What was the key issue in the Tarasoff v. Regents of University of California case?
What is necessary for an individual deemed gravely disabled to receive a guardian?
What is necessary for an individual deemed gravely disabled to receive a guardian?
Which duty was added to therapists' responsibilities in the Tarasoff II ruling?
Which duty was added to therapists' responsibilities in the Tarasoff II ruling?
Which of the following is NOT a guideline outlined by courts for therapists to assess their obligation to take protective measures?
Which of the following is NOT a guideline outlined by courts for therapists to assess their obligation to take protective measures?
Which type of restraint is described as confining the client alone in a room from which they cannot leave?
Which type of restraint is described as confining the client alone in a room from which they cannot leave?
Which of these states does not have a duty to warn according to the content provided?
Which of these states does not have a duty to warn according to the content provided?
What must healthcare workers obtain to maintain a client's rights when involuntary commitment is necessary for protection?
What must healthcare workers obtain to maintain a client's rights when involuntary commitment is necessary for protection?
What condition can lead to health-care workers being charged with false imprisonment?
What condition can lead to health-care workers being charged with false imprisonment?
Which health professional group is typically responsible for initiating protective measures under duty to warn?
Which health professional group is typically responsible for initiating protective measures under duty to warn?
What is the professional implication of failing to report a threat according to the Tarasoff ruling?
What is the professional implication of failing to report a threat according to the Tarasoff ruling?
Which is NOT typically a reason for involuntary hospitalization?
Which is NOT typically a reason for involuntary hospitalization?
What is a key requirement before implementing seclusion or restraint according to accrediting bodies?
What is a key requirement before implementing seclusion or restraint according to accrediting bodies?
How did New Jersey's expansion of the 'duty to warn' law in 2018 affect mental health professionals?
How did New Jersey's expansion of the 'duty to warn' law in 2018 affect mental health professionals?
Why might healthcare professionals hesitate to report suspected abuse?
Why might healthcare professionals hesitate to report suspected abuse?
Which amendment provides protections against loss of liberty in involuntary hospitalizations?
Which amendment provides protections against loss of liberty in involuntary hospitalizations?
What is the legal result in states where there is no recognition of duty to warn?
What is the legal result in states where there is no recognition of duty to warn?
What must be shown before recommending involuntary hospitalization?
What must be shown before recommending involuntary hospitalization?
What is the primary focus when a nurse acts with beneficence?
What is the primary focus when a nurse acts with beneficence?
In the context of the content, what does the term 'gravely disabled' indicate?
In the context of the content, what does the term 'gravely disabled' indicate?
How is justice defined within the context of health care?
How is justice defined within the context of health care?
What does the Federal Child Abuse Prevention and Treatment Act (CAPTA) require from states?
What does the Federal Child Abuse Prevention and Treatment Act (CAPTA) require from states?
What might motivate a nurse to report a patient's potential for harm despite state laws?
What might motivate a nurse to report a patient's potential for harm despite state laws?
What is the primary focus shared by laws and policies on restraint and seclusion?
What is the primary focus shared by laws and policies on restraint and seclusion?
In what situation is the autonomy of a patient typically overridden?
In what situation is the autonomy of a patient typically overridden?
What significant change to HIPAA rules was made in 2013 regarding patient information?
What significant change to HIPAA rules was made in 2013 regarding patient information?
Under what condition can medical information be released without consent?
Under what condition can medical information be released without consent?
What does the ethical principle of nonmaleficence require from healthcare providers?
What does the ethical principle of nonmaleficence require from healthcare providers?
Which organization is mentioned as setting accrediting standards for restraint and seclusion?
Which organization is mentioned as setting accrediting standards for restraint and seclusion?
In what situation does reporting information about potential harm NOT breach confidentiality?
In what situation does reporting information about potential harm NOT breach confidentiality?
Why might an ethics committee be convened in a healthcare setting?
Why might an ethics committee be convened in a healthcare setting?
Why are emergency nurses particularly relevant in the context of assessing risks of violence?
Why are emergency nurses particularly relevant in the context of assessing risks of violence?
What type of commitment is usually initiated by police officers or health-care professionals?
What type of commitment is usually initiated by police officers or health-care professionals?
What information must be documented if patient data is disclosed in an emergency?
What information must be documented if patient data is disclosed in an emergency?
In voluntary admission, what can prevent a person from leaving the hospital at will?
In voluntary admission, what can prevent a person from leaving the hospital at will?
What consequence is generally NOT associated with failing to report child abuse when required?
What consequence is generally NOT associated with failing to report child abuse when required?
What role does patient advocacy play in psychiatric nursing?
What role does patient advocacy play in psychiatric nursing?
What is a key consideration for nurses when documenting medical records?
What is a key consideration for nurses when documenting medical records?
In which fields does the doctrine of privileged communication mostly apply?
In which fields does the doctrine of privileged communication mostly apply?
Which process aims to observe mentally ill individuals for longer than emergency commitments?
Which process aims to observe mentally ill individuals for longer than emergency commitments?
How does the concept of distributive justice relate to healthcare?
How does the concept of distributive justice relate to healthcare?
What is a characteristic feature of ethical dilemmas?
What is a characteristic feature of ethical dilemmas?
What must occur if a voluntarily admitted patient decompensates and restraint or seclusion is deemed necessary?
What must occur if a voluntarily admitted patient decompensates and restraint or seclusion is deemed necessary?
Which element is not considered Protected Health Information (PHI)?
Which element is not considered Protected Health Information (PHI)?
What is the primary focus of the new provision in the Code of Ethics for Nurses regarding social justice?
What is the primary focus of the new provision in the Code of Ethics for Nurses regarding social justice?
What triggered the duty to warn under the Tarasoff rule?
What triggered the duty to warn under the Tarasoff rule?
When is it necessary to involve a patient representative in decision-making?
When is it necessary to involve a patient representative in decision-making?
Which agency provides a significant amount of mental health services voluntarily?
Which agency provides a significant amount of mental health services voluntarily?
Under what condition might the principle of veracity be limited according to the content?
Under what condition might the principle of veracity be limited according to the content?
What is the primary focus of HIPAA?
What is the primary focus of HIPAA?
What is often the result when nurses collaborate with ethics committees?
What is often the result when nurses collaborate with ethics committees?
Which step of the ethical decision-making model involves evaluating outcomes?
Which step of the ethical decision-making model involves evaluating outcomes?
What should be a priority for nurses working in psychiatric-mental health nursing?
What should be a priority for nurses working in psychiatric-mental health nursing?
According to the content, which document informs patients of their rights in a hospital setting?
According to the content, which document informs patients of their rights in a hospital setting?
What does the principle of veracity in healthcare entail?
What does the principle of veracity in healthcare entail?
What legal basis allows patients to refuse treatment unless immediate intervention is needed?
What legal basis allows patients to refuse treatment unless immediate intervention is needed?
In ethical decision-making, what does autonomy emphasize?
In ethical decision-making, what does autonomy emphasize?
Which of these identifiers is considered protected under PHI?
Which of these identifiers is considered protected under PHI?
What is a possible negative aspect of taking no action in a healthcare setting?
What is a possible negative aspect of taking no action in a healthcare setting?
Which professionals are generally required to uphold the doctrine of privileged communication?
Which professionals are generally required to uphold the doctrine of privileged communication?
How might involuntary hospitalization criteria in the U.S. impact individuals with mental illnesses?
How might involuntary hospitalization criteria in the U.S. impact individuals with mental illnesses?
In the case study presented, what is the ethical conflict faced by Nurse Kimberly?
In the case study presented, what is the ethical conflict faced by Nurse Kimberly?
How is the principle of beneficence sometimes misunderstood in healthcare?
How is the principle of beneficence sometimes misunderstood in healthcare?
What does the Tarasoff ruling emphasize in terms of a therapist's duty?
What does the Tarasoff ruling emphasize in terms of a therapist's duty?
Why is patient education a key component of advocacy in nursing?
Why is patient education a key component of advocacy in nursing?
What is an example of a situation where veracity may not be maintained?
What is an example of a situation where veracity may not be maintained?
What did the Tarasoff case primarily highlight about patient confidentiality?
What did the Tarasoff case primarily highlight about patient confidentiality?
What consideration is necessary during the 'Problem Identification' step in ethical decision-making?
What consideration is necessary during the 'Problem Identification' step in ethical decision-making?
What should nurses keep in mind when documenting psychiatric interventions?
What should nurses keep in mind when documenting psychiatric interventions?
Which of the following is not considered individually identifiable information under HIPAA?
Which of the following is not considered individually identifiable information under HIPAA?
Which Amendment addresses the right to refuse treatment within its provisions?
Which Amendment addresses the right to refuse treatment within its provisions?
Which scenario exemplifies a breach of a psychiatric patient's right to treatment?
Which scenario exemplifies a breach of a psychiatric patient's right to treatment?
What does the principle of veracity primarily emphasize in healthcare?
What does the principle of veracity primarily emphasize in healthcare?
What is the main focus of the 'Implementation' step in the ethical decision-making process?
What is the main focus of the 'Implementation' step in the ethical decision-making process?
Why might federal health-care laws continue to change over time?
Why might federal health-care laws continue to change over time?
What is a recognized right of patients in a hospital according to the AHA?
What is a recognized right of patients in a hospital according to the AHA?
What is the main difference between negligence and malpractice?
What is the main difference between negligence and malpractice?
What must be proven for a malpractice claim to succeed?
What must be proven for a malpractice claim to succeed?
Which of the following are considered forms of defamation?
Which of the following are considered forms of defamation?
Why might a nurse be charged with false imprisonment?
Why might a nurse be charged with false imprisonment?
What is required for a body search of a mentally ill patient?
What is required for a body search of a mentally ill patient?
Which legal principle underlies most negligence decisions in professional settings?
Which legal principle underlies most negligence decisions in professional settings?
When may a nurse be liable for invasion of privacy?
When may a nurse be liable for invasion of privacy?
Which action would NOT typically result in a malpractice lawsuit?
Which action would NOT typically result in a malpractice lawsuit?
Which statement is true about sexual predator laws in the United States?
Which statement is true about sexual predator laws in the United States?
What is a key aspect of avoiding malpractice litigation?
What is a key aspect of avoiding malpractice litigation?
Which factor mostly helps a jury in malpractice cases?
Which factor mostly helps a jury in malpractice cases?
What is defamation of character when information is shared orally?
What is defamation of character when information is shared orally?
Why might a psychiatric nurse be charged with breach of confidentiality?
Why might a psychiatric nurse be charged with breach of confidentiality?
What must a plaintiff prove in a negligence claim?
What must a plaintiff prove in a negligence claim?
Which of the following describes battery in the context of nursing?
Which of the following describes battery in the context of nursing?
What was the significance of the case O'Connor v. Donaldson (1976)?
What was the significance of the case O'Connor v. Donaldson (1976)?
According to the Patient Self-Determination Act, what fundamental right must healthcare facilities provide to patients?
According to the Patient Self-Determination Act, what fundamental right must healthcare facilities provide to patients?
What is a key consideration when treating patients with mental illness according to Boland and Verduin?
What is a key consideration when treating patients with mental illness according to Boland and Verduin?
Which principle regarding patient treatment is emphasized in the Patient Self-Determination Act?
Which principle regarding patient treatment is emphasized in the Patient Self-Determination Act?
What is an important element contained in the rights under the Patient Self-Determination Act related to treatment plans?
What is an important element contained in the rights under the Patient Self-Determination Act related to treatment plans?
How does the case of Roger v. Oken (1981) impact the treatment of mentally ill patients?
How does the case of Roger v. Oken (1981) impact the treatment of mentally ill patients?
Under nurse practice acts, what is included in the definition?
Under nurse practice acts, what is included in the definition?
Which of the following rights is granted to mental health service recipients under the Patient Self-Determination Act?
Which of the following rights is granted to mental health service recipients under the Patient Self-Determination Act?
What does a nurse's participation in their profession generally require based on nurse practice acts?
What does a nurse's participation in their profession generally require based on nurse practice acts?
How does the Patient Self-Determination Act impact patient participation in experimental treatments?
How does the Patient Self-Determination Act impact patient participation in experimental treatments?
What should be taken into account when determining the restrictiveness of a patient's treatment setting?
What should be taken into account when determining the restrictiveness of a patient's treatment setting?
What is a recognized right under the Patient Self-Determination Act in cases involving restraints?
What is a recognized right under the Patient Self-Determination Act in cases involving restraints?
Which of the following indicates the correct handling of a treatment plan under the Patient Self-Determination Act?
Which of the following indicates the correct handling of a treatment plan under the Patient Self-Determination Act?
Under the Patient Self-Determination Act, what should patients be informed about regarding their condition?
Under the Patient Self-Determination Act, what should patients be informed about regarding their condition?
Which of the following illustrates a key concern addressed by the Patient Self-Determination Act regarding mental health service delivery?
Which of the following illustrates a key concern addressed by the Patient Self-Determination Act regarding mental health service delivery?
Flashcards
Ethical accountability
Ethical accountability
The obligation of nurses to make morally sound decisions in healthcare and respect patient rights.
ANA Code of Ethics
ANA Code of Ethics
A framework by the American Nurses Association outlining ethical responsibilities of nurses towards patients and society.
Teamwork in nursing
Teamwork in nursing
Collaboration among healthcare professionals to improve patient outcomes and care quality.
Psychiatric-Mental Health Nursing
Psychiatric-Mental Health Nursing
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Quality and Safety Education for Nurses (QSEN)
Quality and Safety Education for Nurses (QSEN)
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Legal issues in nursing
Legal issues in nursing
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Ethical theory
Ethical theory
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Hierarchy of patient responsibility
Hierarchy of patient responsibility
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Ethical Dilemma
Ethical Dilemma
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Conscious Conflict
Conscious Conflict
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Autonomy
Autonomy
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Beneficence
Beneficence
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Nonmaleficence
Nonmaleficence
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Veracity
Veracity
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Justice
Justice
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Patient Advocacy
Patient Advocacy
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Ethics Committee
Ethics Committee
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Informed Consent
Informed Consent
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Holistic Focus
Holistic Focus
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Patient Safety
Patient Safety
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Emotional Impact
Emotional Impact
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Psychiatric Nursing
Psychiatric Nursing
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Distributive Justice
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Ethics
Ethics
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Bioethics
Bioethics
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Morals
Morals
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Values
Values
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Rights
Rights
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Utilitarianism
Utilitarianism
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Kantianism
Kantianism
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Divine Command Ethics
Divine Command Ethics
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Natural Law Theory
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Ethical Egoism
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Legal Competency
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Values Clarification
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Patient-Centered Care
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Moral Behavior
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Patient Autonomy
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Christian Ethics
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Referral
Referral
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Contraceptives
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Involuntary Medication
Involuntary Medication
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Least Restrictive Treatment
Least Restrictive Treatment
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Emergency Consent
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Patient Compliance
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Documentation
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Evaluation of Outcomes
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Ethical Decision-Making
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Duty of Care
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Tarasoff Rulings
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Duty to Warn
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Duty to Protect
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Assessment of Threat
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Identification of Victim
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Feasible Intervention
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Confidentiality vs Public Safety
Confidentiality vs Public Safety
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Legal Obligations of Nurses
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Mandatory Reporting
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Good Faith Reporting
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Child Abuse Reporting
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Clinical Judgment
Clinical Judgment
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Adult Abuse Reporting
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Restrictiveness in interventions
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O’Connor v. Donaldson (1976)
O’Connor v. Donaldson (1976)
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Roger v. Oken (1981)
Roger v. Oken (1981)
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Patient Self-Determination Act
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Nurse Practice Acts
Nurse Practice Acts
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Patient rights in mental health
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Appropriate treatment setting
Appropriate treatment setting
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Individualized treatment plan
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Periodic review of treatment
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Freedom from restraint
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Patient explanation rights
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Right to refuse treatment
Right to refuse treatment
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Legal guardian's role
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Humane treatment rights
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Access to mental health records
Access to mental health records
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Privacy in conversations
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Notification of rights
Notification of rights
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Grievance assertion
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Exercise rights without reprisal
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Referral upon discharge
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Statutory law
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Common law
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Civil law
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Tort
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Contract breach
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Criminal law
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HIPAA
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Protected Health Information (PHI)
Protected Health Information (PHI)
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Patient Rights
Patient Rights
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Privileged Communication
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Exceptions to Confidentiality
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Objective Documentation
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Tarasoff Case
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Civil and Criminal Exemptions
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Malpractice Documentation
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Nurse's Role in PHI
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Mental Health Discrimination
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Confidentiality in Psychiatry
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Record-Keeping Best Practices
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Mechanical Restraints
Mechanical Restraints
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Seclusion
Seclusion
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High-Risk Interventions
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False Imprisonment
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Voluntary Admission
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Involuntary Commitment
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Emergency Commitments
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Mentally Ill Person in Need of Treatment
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Probable Cause
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Gravely Disabled
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Civil Commitment
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Mental Status Examination
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Coercion in Admission
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Rights to Privacy and Freedom
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Close Monitoring during Restraint
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Competency in Consent
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Emergency Situations
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Therapeutic Privilege
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Psychiatric Treatment and Consent
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Legal Guardianship
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Withdrawal of Consent
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Restraints in Psychiatry
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Informed Decision Making
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Chemical Restraint
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Crisis Intervention
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Social Justice
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Nursing Code of Ethics Revision
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Limitations of Veracity
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Right to Treatment
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Patient Bill of Rights
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Involuntary Hospitalization
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Ethical Decision-Making Model
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Assessment Step
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Problem Identification Step
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Planning Step
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Implementation Step
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Evaluation Step
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Ethical Dilemma Example
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Malpractice
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Negligence
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Breach of Duty
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Elements of Malpractice
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Confidentiality Breach
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Defamation of Character
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Assault in Nursing
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Battery in Nursing
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Invasion of Privacy
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Risk Management
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Due Process in Nursing
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Effective Communication
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O’Connor v. Donaldson
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Involuntary Outpatient Commitment (IOC)
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Preventive Approach
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Eligibility Criteria for IOC
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Kendra’s Law
Kendra’s Law
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Informed Decision
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Least Restrictive Intervention
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Coercive Care
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Community Treatment
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Legal Restoration of Competency
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Research on IOC Effectiveness
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Mental Health Legislation Variability
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SBAR model
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Electronic Health Record (EHR)
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Rapport
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Competence in Nursing
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Suit-prone patients
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Ethical theory of Utilitarianism
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Autonomy in Nursing
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Study Notes
Ethical and Legal Concepts in Psychiatric-Mental Health Nursing
- Nurses face complex ethical and legal decisions in psychiatric care, requiring a strong understanding of ethical principles and legal frameworks.
Ethical Theories
- Ethics: A branch of philosophy that systematically distinguishes right from wrong behavior.
- Bioethics: Application of ethical principles to medicine, nursing, and allied health.
- Morals: Fundamental standards of right and wrong, learned and internalized. Moral behavior involves critical thinking about how to treat others, respecting autonomy, freedom, justice, honesty, and confidentiality.
- Values: Personal beliefs about what's important and desirable. Values clarification helps individuals understand their motivations and how values affect actions.
- Rights: Expectations individuals are entitled to via law, policy, or ethical principles. Legal rights are formalized in law.
- Utilitarianism: Actions are right if they maximize happiness for the greatest number of people.
- Kantianism (Deontology): Actions are judged by their principles, not outcomes. Duty and moral law guide decisions.
- Divine Command Ethics: Ethical decisions align with God's commands. Different religions have different perspectives.
- Natural Law Theory: Good and evil are self-evident based on human nature and inherent knowledge from God.
- Ethical Egoism: Actions are right if they benefit the individual making the decision.
Ethical Dilemmas
- Ethical Dilemma: A situation where two or more equally balanced alternatives present compelling arguments for and against a choice, creating internal conflict.
- Not all ethical situations are dilemmas.
- Ethics committees are valuable resources.
Ethical Principles
- Autonomy: Respecting an individual's right to self-determination. It may be limited in certain situations.
- Beneficence: Acting to promote the well-being of others; serving the client's best interests. Patient's autonomy may be overridden in cases of harm to themselves or others
- Nonmaleficence: Avoiding harm to clients, intentionally or unintentionally.
- Justice: Treating all individuals fairly and equally, regardless of background.
- Veracity: Truthfulness and honesty in interactions. Limitations exist in cases where truth could cause harm.
Ethical Decision-Making Model
- Five-step model (Assessment, Problem Identification, Planning, Implementation, Evaluation) analogous to the nursing process.
Legal Issues in Psychiatric Nursing
- Right to Treatment: Hospitalized psychiatric patients have the right to appropriate treatment.
- Right to Refuse Treatment (Medication): Patients can refuse treatment unless urgent intervention is needed to prevent harm. Involuntary hospitalization criteria vary.
- Least Restrictive Treatment Alternative: Clients are treated in the least restrictive setting possible.
- Patient Self-Determination Act (1991): Legal documents for healthcare decisions; includes the right to refuse treatment.
- Nurse Practice Acts: State laws that define nursing practice, education, licensure, and scope of practice.
- Types of Law: Statutory law (legislature) and common law (court decisions). Categories: Civil (torts, contracts) and criminal.
Confidentiality and Privacy
- Confidentiality: Patient records and communications must be protected. Informed consent is required for sharing information.
- HIPAA: Federal law protecting protected health information (PHI).
- Duty to Warn: Therapists and (in some states) nurses have a duty to protect potential victims from harm.
- Child/Elder Abuse Reporting: Nurses have legal obligations to report suspected abuse.
Informed Consent
- Necessary for treatment procedures.
- Includes risks, benefits, alternatives.
- Circumstances allowing treatment without consent exist (e.g., emergencies, incompetence, harm to others)
- Nurses are advocates ensuring all elements of informed consent are met (knowledge, competency, free will).
Restraints and Seclusion
- Used as a last resort, short term, and under specific criteria
- Careful monitoring, training, and documentation required.
Hospitalization (Voluntary/Involuntary)
- Voluntary: Individual applies for services and stays voluntarily. Withdrawal of consent/discharge is possible..
- Involuntary: Criteria vary by state. Includes risk to self/others or inability to meet basic needs. Emergency commitments are time-limited; formal court hearings follow.
- Gravely Disabled: Unable to care for basic needs due to mental illness.
Nursing Liability
- Malpractice/Negligence: Failure to meet the standard of care, resulting in patient harm.
- Avoiding Nursing Malpractice: Effective communication, accurate records, adhering to standards of care, developing rapport with patients, and practicing to the scope of competence.
Clinical Pearl
- Patient's rights and welfare are paramount.
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