CHAPTER 10: Psychiatric/ Mental Health Nursing Ethics

Question 1

Characteristics of Ethical Psychiatric Nursing:

What is the attitude for this?

Answer 1

Foundationally nonjudgmental attitude

Question 2

Characteristics of Ethical Psychiatric Nursing:

What is necessary for this type of nursing?

Answer 2

Advocacy

Question 3

Characteristics of Ethical Psychiatric Nursing:

What does advocacy entail?

Answer 3

Champion patients’ needs and well-being.
Integrate team of healthcare providers.
Cultivate humanistic environment.

Question 4

Boundaries: What are they?

Answer 4

Boundaries: Power, Choice, & Trust

Question 5

What should you maintain (having to do with boundaries)? What should you acknowledge?

Answer 5

Maintain professional boundaries & acknowledge power asymmetry.

Question 6

What should you be aware of?

Answer 6

Be aware of boundary violations- do not exceed the limit of nurse-patient relationship

Question 7

What should you be truthful to?

Answer 7

Be faithful to patient trust.

Question 8

Transparency with Confidentiality?

Answer 8

Privileged communication

Limits to confidentiality and privilege: Duty to Disclose- suicide, homicide

Question 9

Limits to confidentiality and privilege:

Answer 9

Duty to Disclose- suicide, homicide

Question 10

Relational or associational privacy

Answer 10

(relationships in which people make decisions)

Question 11

Patient-targeted Googling

Answer 11

(violation of patients’ privacy by Googling)

Question 12

Intimacy (self-disclosure)
What must the nurse do?

Answer 12

Carefully choose when to self-disclose.

Observe limits.

Retain focus on patients: Who’s needs are being served?

Question 13

Stigma: Overview

What is mental illness often associated with?

Answer 13

Associates mental illness with something shameful

Question 14

Stigma: Overview
What does the view that mental illness is shameful lead to?

Answer 14

Results in hostility

Prevents some people from seeking care

Held even by healthcare professionals

Question 15

Neglect, Abuse, and Restraint:

How often should patient be restrained?

Answer 15

Seclude or restrain patients minimally.

Question 16

Decisional Capacity: Who assesses capacity?

Answer 16

Healthcare professionals assess capacity.

Question 17

Decisional Capacity: Who determines competence?

Answer 17

Courts determine competence.

Question 18

Psychiatric Proxys:

Answer 18

when a competent patient is incapacitated, someone else is appointed to make decisions