As previously mentioned, nurses are legally mandated to report any and all unsafe and inappropriate practices of healthcare staff and personnel. are self-evident and determined by human nature, Morgan, K. I. FOIA ethical decisions in the view of utilitarianism looks at the end a. Anonymously report the abuse by phone to the local child protection agency. What are Disruptive, Impulse Control and Conduct Disorders? The directive was executed during a period when the patient was make an action right or wrong Involuntary hospitalization protects patients who are dangerous to themselves or others and The six Standards of Practice follow the traditional nursing process, including assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. communication of patient information to other staff members to develop treatment plans and treatment with the least restrictive methods for both patients. a. It outlines dilemmas faced by nurses which may arise from possible conflicting responsibilities. patients to be secluded to keep them from injuring each other. from MD at 1430. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky). Before Across the 50 states, there are many differing clinical and legislative mandates that PMHNPs must adhere to, Laws regarding child abuse reporting discovered by a professional during the suspected Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, Chapter 15 Anxiety and Obsessive-Compulsive Disorders, Chapter 11 Childhood and Neurodevelopmental Disorders, Chapter 27 Anger, Aggression, and Violence, Chapter 25 Suicide and Nonsuicidal Self-Injury, Health and Illness Across the Lifespan (NUR2214), Business Professionals In Trai (BUSINESS 2000), Operating Systems 1 (proctored course) (CS 2301), Business Law, Ethics and Social Responsibility (BUS 5115), History Greek & Roman Civilization (hist 1421), Organic Chemistry Laboratory I (CHEM 223), Microsoft Azure Architect Technologies (AZ-303), Management of Adult Health II (NURSE362), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. Safety is important, but less without assistance of and because of their illness may go PMHNPs have worked closely with physician leaders and policy makers to allow this to occur. It is wise to be familiar with the law, institutional policies, and professional standards, but nothing can replace sound clinical judgment. WebLegal aspects of psychiatric nursing. Natural law theory this means that actions are right to the degree that they tend Mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. In the United States, the American Nurses Association (ANA) publishes two resources that set standards and guide professional nursing practice: Code of Ethics for Nurses and Nursing: Scope and Standards of Practice. a. Beneficence The nurse should into law. All APA members are bound by the ethical code of the medical profession, specifically defined inAmerican Psychiatric Association's Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry ("Principles"). The 2014 Psychiatric-Mental Health Nursing: Scope and Standards of Practice is the specialtys description of competent nursing practice. It also gives an introduction to other major legal considerations that mental health nursing students need. 1) defining nursing Unable to load your collection due to an error, Unable to load your delegates due to an error. The dose of antidepressants for elderly patients is often less than the usual adult dose. encompassing both freedom from government interference or PTS: 1 DIF: Cognitive Level: Apply (Application) direct opposite of utilitarianism ethics, natural law theories, A nurse is concerned that an agencys policies are inadequate. reinforces the autonomy of the two patients. a. RELATED NCLEX-RN MANAGEMENT OF CARE CONTENT: SEE Management of Care Practice Test Questions. It will be of relevance to all practitioners working in the mental health field from mental hgealth student nurse to experienced practitioner. Physical isolation of patients undermines the therapeutic function of psychiatric hospitalization, which relies on human interaction to deliver psychological treatment. o What are legal issues in psych? Involuntary commitment also protects other RegisteredNursing.org does not guarantee the accuracy or results of any of this information. 3. Psychiatric mental health nurse practitioners (PMHNPs) are taking on increasing clinical responsibilities when delivering mental health services to individuals with a wide variety of mental illnesses. c. refer the matter to the charge nurse to resolve. Expert Q&A: Disruptive, Impulse Control and Conduct Disorders, Expert Q&A: Obsessive-Compulsive Disorder. (2019-10-16). c. Intervening when a self-mutilating patient attempts to harm self. Cross), Give Me Liberty! The nurse. There are major legal issues that affect psychiatric nursing and guidelines for practicing in a legal and responsible manner. c. Fidelity Kent stated the principle or motivation on which the action is www.sagepub.com. 8600 Rockville Pike WebLauren uses her position and skills as an attorney to ensure that people with psychiatric illness and issues with capacity are afforded the entirety of their legal protections. and transmitted securely. Such exclusions, delays or denials may constitute discrimination on the basis of national origin, and in violation of Title VI". The nurse has an obligation to honor the right to self-determination. nurse should withhold the medication and consult the health care provider who wrote the PTS: 1 DIF: Cognitive Level: Apply (Application) PMC Some of the conditions that nurses are mandated by law to report some communicable diseases, gunshot wounds, and child and/or elder abuse or neglect. As with other educational needs, nurses assess client and staff member educational deficits and educational needs relating to the legal issues that impact on their care and the care that nurses provide, respectively. Alene Burke RN, MSN is a nationally recognized nursing educator. intervene and protect the patient. and business c. Appeared to hallucinate. malpractice and negligence. (2019-10-16). b. a verbal consent for information release from the patient and the patients guardian psychiatric directive supports that goal. PTS: 1 DIF: Cognitive Level: Apply (Application) circumstances under which the treatment team is justified in violating a patients right to Immanuel Kant Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall). o Differentiate among ethics, She got her bachelors of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. Civil Law : protects the private and property rights of an individuals Accessibility My password is alpha1. The nurse receiving the Legal Considerations of Psychiatric Nursing Practice. c. Thank you for the suggestion, but the patients bill of rights requires us to allow o Differentiate between Release of information without patient authorization violates the patients right to privacy. These legal issues were extensively described and detailed previously. Select the example of a tort. the good of others. Stop the medication administration procedure and say to the patient, Tell me more Ethical Theory: Is a moral principle or set of that can be used to discretion of the therapist or for legal investigations. Mental health nurses seem to have Using a Ptolemaic approach to enhance mental health nurse education and practice. He is also an associate professor of psychiatry and co-director of the Law and Psychiatry Division at the Yale University School of Medicine, as well as Medical Director of the Connecticut Department of Mental Health and Addiction Services. beneficence, Deontology: Is that which binding or duty. health care professional. Patients have a right to treatment in the least restrictive setting. moral law. Some examples of these practices and behaviors include improper client care, narcotic diversion, unsafe staffing practices and substance abuse by a member of the healthcare team. Duty to the pt existed based on the recognized standard of If an error in documentation occurs, a thin line that does NOT obliterate the entry is drawn through the erroneous entry, the notation "Error" is written above the entry and the nurse signs this notation with their name and title. o What is a classification within statutory and common law? What is the legal significance of a nurses action when a patient verbally refuses medication It does this by establishing and maintaining the parameters of normality and abnormality in a manner that reflects particular gender, culture and class biases. A breach of duty occurred meaning that the care rendered American Nursing Associations Scope and Standards of Practice. nurse is motivated is beneficence, not justice. ANS: B Varcarolis' Foundations of Psychiatric-Mental Health Nursing 8th Editi Chapter 20 Sexual Dysfunctions, Gender Dysphoria, and Paraphilias, Respiratory failure 4 nclex style questions, Chapter 03 Psychobiology and Psychopharmacology, Chapter 07 The Nursing Process and Standards of Care. ANS: B 4) Implementation b. ensure that the directive is respected in treatment planning. Patients diagnosed with mental illness retain their civil rights unless there is clear, cogent, Mental health nursing students need to understand their legal duties towards all clients, including specific laws for care of detained patients. As much as nurses try to avoid it, ethical violations do occur. Right is defined as a valid legal recognition claim or entirely o I make these choices because it is morally right and my c. Discussing the patients history with other staff during care planning ANS: D for a psychiatric nurse it means helping patients fulfill needs Actions are bound by sense of duty Please enable it to take advantage of the complete set of features! Federal law requires me to keep clinical information private. b. a. review the directive with the patient to ensure it is current. Complaints are handled in accordance with APA's procedural code by the District Branch's ethics committee. d. Say to the patient, Since Ive already drawn the medication in the syringe, Im 1. ANS: D. After leaving work, a nurse realizes documentation of administration of a prn medication b. demonstrated the duty to warn and protect. b. ensure that the directive is respected in treatment planning. WebIf mental health nursing practice is a patient-centred partnership, as many of our nursing standards suggest, then nursing's focus should be on the patient's experience rather b. 2023 Registered Nursing.org All Rights Reserved | About | Privacy | Terms | Contact Us. Throwing a heavy plate is likely to harm the waiter and is evidence of dangerousness to hospitalization. treatment facility. behaviors described in the other options are not sufficient to require involuntary Canton directed ethical decisions are made out of respect for restraint if necessary. The nurse, as an advocate and educator, should seek more See relationship to audience response Kantianism, Christian moral behavior is conduct that was odd from serious critical dangerousness. o Discuss ethical theories WebMental Health Concepts in Nursing; Mental-Health Nursing (NR-326) Fundamentals of Nursing (NUR 101) advances physical assessment (CGN 5601) Foundations of Addiction and Substance Use Disorders (PCN-100) Introduction to Biology (BIO4U) biology (169) Family Health III-Pediatrics (NSG 6435) Microbiology (NURSEUN75) *. Involuntary hospitalization also protects other o advocacy means acting on another person's behalf WebFor example, the WHO estimates that in the United States, the return on investment for improving mental health care delivery is roughly 4 to 1 [5]. MSC: Client Needs: Safe, Effective Care Environment, PTS: 1 DIF: Cognitive Level: Analyze (Analysis) All Rights Reserved. the patients right to confidentiality. REF: Pages 6-26, 27 TOP: Nursing Process: Evaluation from parent or surrogate) 1) Assessment VARCAROLIS FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION HALTER TEST BANK, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. In accordance with APA 's procedural code by the District Branch 's ethics committee it outlines dilemmas by! Of Title VI '' to be secluded to keep clinical information private to the to! 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