Chapter 4 - Pt. Rights

Question 1

Self Determinism

Answer 1

empowerment or having free will to make moral judgements

right to choose one’s own health-related behaviors

Question 2

Key values of self-determination

Answer 2

Personal autonomy

Avoidance of dependence on others

Question 3

Pt. Self Determination Act

Answer 3

Information about advanced care documents

Right to be involved in own care

Question 4

Bill of Rights for Mental Health

Answer 4

Same rights as a regular patient.

Question 5

Americans with Disabilities Act

Answer 5

Discrimination about mental disorders in workplace, living place, etc.

Question 6

Internal rights Protection System

Answer 6

Right to refuse Tx

Question 7

Accreditation of Mental Health Care Delivery Systems

Answer 7

Joint Commission

Question 8

Compentency

Answer 8

Degree to which Pt. can understand and appreciated the information given during the consent process

Question 9

Th nurse’s role in compentency

Answer 9

The nurse can assess competency but cannot determine if the pt. is compentent

Question 10

Assessment areas of competency

Answer 10

Communicate choices
Understand relevant info
Appreciate situation and consequences
Use of logical though process to compare risks and benefits

Question 11

Who must determine if a pt. is incompetent?

Answer 11

2 different physicians must determine if a pt. is incompetent

Question 12

Who’s responsibility is it to ensure the pt. knows the benfits and costs of Tx?

Answer 12

Physician’s - Informed consent

Question 13

A pt. is being disruptive and yelling. The nurse give a sedation med to calm the pt. down. The nurse states “I have too much going on to deal with that right now”. What is your response?

Answer 13

Medication should be given only for the pt. and about the pt. Not the nurse’s sanity

Question 14

A least restrictive environment comes from what concept?

Answer 14

Pt. right to refuse Tx

Question 15

Pt. right during a voluntary commitment

Answer 15

Pt. retains full civil rights and is free to leave at any time against medical advice

Question 16

Pt. right during involuntary commitment

Answer 16

Court ordered w/o pt. consent
Right to receive Tx; possible right to refuse Tx
Not able to leave

Question 17

What are 3 elements that can get a pt. involuntarily commited

Answer 17

Mental health disorder
Dangerous to self or others
Unable to provide basic needs

Question 18

Privacy

Answer 18

Part of person’s life not governed by society’s laws and government intrusion

Question 19

Confidentiality

Answer 19

Ethical duty of nondisclosure - HIPAA

Question 20

Breach of confidentiality

Answer 20

Release of pt. info w/o consent of the pt. in absence of legal compulsion or authorization

Question 21

A pt. has told you he thinks his aunt is out to get him and he is going to get her first. You discover he plans to kidnap her so he can be safe again. What is the nurse’s action?

Answer 21

Duty to warn

The aunt is in danger so she is obligated to warn the aunt of the pt.’s thoughts

Question 22

Assualt

Answer 22

verbal threatening

Question 23

Battery

Answer 23

Intentional harmful contact

Question 24

Medical battery

Answer 24

Tx w/o consent or orders

Restraints or seclusion

Question 25

Negligence

Answer 25

Breach of reasonable care for a pt.