Podcast
Questions and Answers
There are fewer persons with mental illness, so less hospital beds are needed.
There are fewer persons with mental illness, so less hospital beds are needed.
True
Most people with mental illness are still in psychiatric institutions.
Most people with mental illness are still in psychiatric institutions.
False
Psychiatric institutions violated patients' rights.
Psychiatric institutions violated patients' rights.
True
What should the nurse do regarding the technician's comment to the patient experiencing psychosis?
What should the nurse do regarding the technician's comment to the patient experiencing psychosis?
Signup and view all the answers
Which documentation of a patient's behavior best demonstrates a nurse's observations?
Which documentation of a patient's behavior best demonstrates a nurse's observations?
Signup and view all the answers
Which individual diagnosed with a mental illness may need involuntary hospitalization?
Which individual diagnosed with a mental illness may need involuntary hospitalization?
Signup and view all the answers
Which actions violate the civil rights of a psychiatric patient? (Select all that apply)
Which actions violate the civil rights of a psychiatric patient? (Select all that apply)
Signup and view all the answers
The nurse must obtain ______________ before releasing information regarding a patient diagnosed with a mental illness.
The nurse must obtain ______________ before releasing information regarding a patient diagnosed with a mental illness.
Signup and view all the answers
In which situations would a nurse have the duty to intervene and report? (Select all that apply)
In which situations would a nurse have the duty to intervene and report? (Select all that apply)
Signup and view all the answers
What is required for documentation of administration of a prn medication?
What is required for documentation of administration of a prn medication?
Signup and view all the answers
Which action by a psychiatric nurse best applies the ethical principle of autonomy?
Which action by a psychiatric nurse best applies the ethical principle of autonomy?
Signup and view all the answers
A nurse finds a psychiatric advance directive in the medical record of a patient currently experiencing psychosis. The directive was executed during a period when the patient was stable and competent. The nurse should
A nurse finds a psychiatric advance directive in the medical record of a patient currently experiencing psychosis. The directive was executed during a period when the patient was stable and competent. The nurse should
Signup and view all the answers
Two hospitalized patients fight whenever they are together. During a team meeting, a nurse asserts that safety is of paramount importance, so treatment plans should call for both patients to be secluded to keep them from injuring each other. This assertion
Two hospitalized patients fight whenever they are together. During a team meeting, a nurse asserts that safety is of paramount importance, so treatment plans should call for both patients to be secluded to keep them from injuring each other. This assertion
Signup and view all the answers
In a team meeting, a nurse expresses concern about whether they are behaving ethically by using restraint to prevent one patient from self-mutilation, while the care plan for another self-mutilating patient requires one-on-one supervision. Which ethical principle most clearly applies to this situation?
In a team meeting, a nurse expresses concern about whether they are behaving ethically by using restraint to prevent one patient from self-mutilation, while the care plan for another self-mutilating patient requires one-on-one supervision. Which ethical principle most clearly applies to this situation?
Signup and view all the answers
Select the example of a tort.
Select the example of a tort.
Signup and view all the answers
What is the legal significance of a nurse's action when a patient verbally refuses medication and the nurse gives the medication over the patient's objection? The nurse
What is the legal significance of a nurse's action when a patient verbally refuses medication and the nurse gives the medication over the patient's objection? The nurse
Signup and view all the answers
Which nursing intervention demonstrates false imprisonment?
Which nursing intervention demonstrates false imprisonment?
Signup and view all the answers
Which patient meets criteria for involuntary hospitalization for psychiatric treatment? The patient who
Which patient meets criteria for involuntary hospitalization for psychiatric treatment? The patient who
Signup and view all the answers
A nurse prepares to administer a scheduled intramuscular injection of an antipsychotic medication to an outpatient diagnosed with schizophrenia. As the nurse swabs the site, the patient shouts, 'Stop! I don't want to take that medicine anymore. I hate the side effects.' Select the nurse's best action.
A nurse prepares to administer a scheduled intramuscular injection of an antipsychotic medication to an outpatient diagnosed with schizophrenia. As the nurse swabs the site, the patient shouts, 'Stop! I don't want to take that medicine anymore. I hate the side effects.' Select the nurse's best action.
Signup and view all the answers
A nurse is concerned that an agency's policies are inadequate. Which understanding about the relationship between substandard institutional policies and individual nursing practice should guide nursing practice?
A nurse is concerned that an agency's policies are inadequate. Which understanding about the relationship between substandard institutional policies and individual nursing practice should guide nursing practice?
Signup and view all the answers
A newly admitted acutely psychotic patient is a private patient of the medical director and a private-pay patient. To whom does the psychiatric nurse assigned to the patient owe the duty of care?
A newly admitted acutely psychotic patient is a private patient of the medical director and a private-pay patient. To whom does the psychiatric nurse assigned to the patient owe the duty of care?
Signup and view all the answers
Which action by a nurse constitutes a breach of a patient's right to privacy?
Which action by a nurse constitutes a breach of a patient's right to privacy?
Signup and view all the answers
An adolescent hospitalized after a violent physical outburst tells the nurse, 'I'm going to kill my father, but you can't tell anyone.' Select the nurse's best response.
An adolescent hospitalized after a violent physical outburst tells the nurse, 'I'm going to kill my father, but you can't tell anyone.' Select the nurse's best response.
Signup and view all the answers
A voluntarily hospitalized patient tells the nurse, 'Get me the forms for discharge. I want to leave now.' Select the nurse's best response.
A voluntarily hospitalized patient tells the nurse, 'Get me the forms for discharge. I want to leave now.' Select the nurse's best response.
Signup and view all the answers
Insurance will not pay for continued private hospitalization of a mentally ill patient. The family considers transferring the patient to a public hospital but expresses concern that the patient will not get any treatment if transferred. Select the nurse's most helpful reply.
Insurance will not pay for continued private hospitalization of a mentally ill patient. The family considers transferring the patient to a public hospital but expresses concern that the patient will not get any treatment if transferred. Select the nurse's most helpful reply.
Signup and view all the answers
Which individual diagnosed with mental illness may need emergency or involuntary admission? The individual who
Which individual diagnosed with mental illness may need emergency or involuntary admission? The individual who
Signup and view all the answers
A patient in alcohol rehabilitation reveals to the nurse, 'I feel terrible guilt for sexually abusing my 6-year-old before I was admitted.' Select the nurse's most important action.
A patient in alcohol rehabilitation reveals to the nurse, 'I feel terrible guilt for sexually abusing my 6-year-old before I was admitted.' Select the nurse's most important action.
Signup and view all the answers
A family member of a patient with delusions of persecution asks the nurse, 'Are there any circumstances under which the treatment team is justified in violating a patient's right to confidentiality?' The nurse should reply that confidentiality may be breached
A family member of a patient with delusions of persecution asks the nurse, 'Are there any circumstances under which the treatment team is justified in violating a patient's right to confidentiality?' The nurse should reply that confidentiality may be breached
Signup and view all the answers
A new antidepressant is prescribed for an elderly patient diagnosed with major depressive disorder, but the dose is more than the usual geriatric dose. The nurse should
A new antidepressant is prescribed for an elderly patient diagnosed with major depressive disorder, but the dose is more than the usual geriatric dose. The nurse should
Signup and view all the answers
A patient diagnosed with schizophrenia believes a local minister stirred evil spirits. The patient threatens to bomb a local church. The psychiatrist notifies the minister. Select the answer with the correct rationale. The psychiatrist
A patient diagnosed with schizophrenia believes a local minister stirred evil spirits. The patient threatens to bomb a local church. The psychiatrist notifies the minister. Select the answer with the correct rationale. The psychiatrist
Signup and view all the answers
A patient experiencing psychosis became aggressive, struck another patient, and required seclusion. Select the best documentation.
A patient experiencing psychosis became aggressive, struck another patient, and required seclusion. Select the best documentation.
Signup and view all the answers
Why aren't people with mental illness kept in state institutions anymore?
Why aren't people with mental illness kept in state institutions anymore?
Signup and view all the answers
Study Notes
Ethical Principles in Psychiatric Nursing
- Autonomy: Emphasizes the patient's right to make informed decisions regarding their treatment.
- Beneficence: A duty to act for the benefit of patients and promote their well-being.
- Justice: Focuses on fair treatment and distribution of care among patients.
- Fidelity: Involves loyalty and maintaining trust with patients.
Informed Consent and Patient Rights
- Advanced psychiatric directives should be respected, even during episodes of psychosis.
- Patients possess a legal right to treatment in the least restrictive environment; unnecessary seclusion can result in legal repercussions.
- Nurses must advocate for patient autonomy and engage in discussions about treatment decisions.
Legal Implications and Torts
- Battery: Occurs when a nurse administers treatment against a patient's will, violating their rights.
- False Imprisonment: Holding a patient against their will without medical necessity, especially of competent individuals.
- Reporting suspected child abuse is often a legal requirement for nurses.
Involuntary Hospitalization Criteria
- Involuntary hospitalization is warranted for patients posing danger to themselves or others and unable to care for basic needs.
- Violent behaviors, such as threatening harm to others, signify a need for immediate intervention.
Documentation Standards
- Accurate, concise, and specific documentation is essential in psychiatric nursing to capture patient behavior and treatment rationale.
- Documentation of inappropriate comments from staff indicating disrespect or negligence must be addressed.
Confidentiality and Duty to Warn
- Confidentiality may be breached when a patient expresses intentions to harm another person, necessitating communication to protect potential victims.
- Duty to warn encompasses the responsibility of healthcare professionals to inform intended victims when threats are made.
Patient Admission and Discharge
- Patients admitted voluntarily can demand their discharge; however, exploration of their decision is crucial for their best interests.
- Policies within healthcare agencies do not exempt nurses from adhering to professional standards of care.
Rights and Responsibilities of Mental Health Professionals
- Mental health professionals owe their primary duty of care to the patient, transcending institutional or supervisory obligations.
- Care should be provided without discrimination and uphold the dignity of individuals with mental illness.
Community Care and Treatment Evolution
- Mental health treatment has shifted from institutionalization towards community-based, less restrictive environments.
- The change is driven by a broader understanding of patient rights and the negative impacts of prolonged institutional confinement.### Documentation in Nursing Practice
- Nurses must strictly adhere to documentation protocols; fraudulent documentation is subject to disciplinary action by state boards.
- Omitting documentation of medication administration necessitates reporting the incident to the charge nurse to follow hospital policy.
Involuntary Hospitalization Criteria
- Involuntary hospitalization is required when individuals pose a danger to themselves or are unable to meet basic needs.
- Overdose, such as taking 38 acetaminophen tablets, signals dangerous behavior justifying hospitalization.
Patient Rights in Dietary Choices
- Patients' rights must always be respected; offering menu choices promotes individual dignity and autonomy.
- Nurses should respond positively to suggestions while reinforcing the importance of patient individuality in treatment.
Release of Health Information
- To share patient information with other facilities or third parties, a signed consent from the patient specifying the information is essential.
- Nurses are responsible for maintaining the confidentiality and privacy of patient records.
Duty to Intervene in Nursing
- Nurses must intervene in clear cases that endanger patient safety, such as a peer providing care while impaired or violating relationship boundaries with a patient.
- Situations like difficulty with documentation or a patient refusing medication do not meet the threshold for mandated reporting.
Violations of Psychiatric Patients' Rights
- Patients have the right to send and receive mail freely, and opening personal letters without consent violates this right.
- Restraining a patient simply for using profanity is inappropriate and infringes on their civil rights.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge of legal and ethical principles in psychiatric nursing with this quiz based on Varcarolis Chapter 6. Focus on the ethical principle of autonomy and its application in nursing practice. Understand how autonomy influences patient decision-making and nursing interventions.
