Ethical and Legal Aspects of Behavioral Health Nursing

Question 1

What is a stigma?

Answer 1

negative attitudes, beliefs, and stereotypes people may hold towards people

Question 2

What is a fundamental goal in psychiatric care?

Answer 2

Have a balance between the rights of an individual patient and the rights of society

Question 3

What is bioethics?

Answer 3

Ethics in health care

Question 4

What is beneficence?

Answer 4

To do good

Question 5

What is autonomy?

Answer 5

Right to choose or make decisions

Question 6

What is justice?

Answer 6

Fairness

Question 7

What is equity

Answer 7

Everyone having fair access

Question 8

What is equality?

Answer 8

Everyone having equal access

Question 9

What is fidelity?

Answer 9

Loyal

Question 10

What is Nonmaleficence?

Answer 10

To do no harm

Question 11

What is veracity?

Answer 11

to tell the truth

Question 12

What are morals?

Answer 12

Things we believe as individuals. These beliefs determine what is right and wrong

Question 13

What are ethics?

Answer 13

Accepted principles of what is right and wrong

Question 14

What are laws?

Answer 14

They reflect the ethical values of our society

Question 15

Liberty v Commitment: The Humphrey V Cady case in 1972 talked about the Writ of habeas corpus and Least restrictive alternative doctrine, what are those? What does this case say>

Answer 15

Cases ruled that involuntary commitment to the mental hospital was depriving someone of their liberty, so processes were put in place if needed.

Writ of habeas corpus is a formal written order to free a person

The doctrine states that the least restrictive measures need to be taken first

Question 16

Law and Admissions: Olmsted v L.C 1999 case, what did it rule?

Answer 16

It ruled that patients with mental health issues are to be placed in a less restrictive environment rather than in institutions. Illness must be present an immediate crisis and problem has to be based on the DSM-5

Question 17

What are the 2 types of admissions?

Answer 17

Voluntary and involuntary

Question 18

What is voluntary admission?

Answer 18

Chosen admission by patient or pt’s guardian. They have the right to be released at any time they choose

Question 19

What is involuntary admission. What are the types?

Answer 19

Patient enters against will, usually needed when pt is a danger to themselves or others.
Types include: Judicial, administrative, and agency

Question 20

How long does someone stay for an emergency involuntary hospitalization?

Answer 20

1-10 days

Question 21

How long does someone stay for an observational hospitalization?

Answer 21

72 hr hold

Question 22

How long does someone stay for a temporary involuntary hospitalization?

Answer 22

10+ days

Question 23

How long does someone stay for an involuntary outpatient commitment:

Answer 23

Tim’s Law. This is usually court ordered

Question 24

How long does someone stay for a long-term or formal commitment

Answer 24

months

Question 25

What is conditional release?

Answer 25

A type of discharge, outpatient treatment, specific conditions and still under supervision

Question 26

What is Unconditional release?

Answer 26

A type of discharge, where no more treatment is needed, no longer needs institution

Question 27

What is AMA or against medical advice?

Answer 27

Where patient chooses to leave without the advice of a physician. NEEDS DOCUMENTED

Question 28

Laws and right to treatment: 1964 Hospitalization of the mentally Ill Act, what did it state?

Answer 28

Patients have the right to treatment in a humane environment with qualified staff

Question 29

Right to refuse treatment, what does that mean?

Answer 29

The patient has the right to withhold consent, right to withdraw consent at any time and can retract consent

Question 30

Laws and Right to Informed Consent: 1972 Canterbury v spence, it states that

Answer 30

Adults with a sound mind has the right to determine what shall be done to his or her body. Unless determined incompetent

Question 31

Duty to warn 1974 and 1976, what does it state?

Answer 31

Physicians have the duty to warn a patient’s potential victim. Also says there is a duty to protect

Question 32

A nurse has a duty to communicate and record relevant information to the police and relatives, if a nurse fails to do so this is deemed?

Answer 32

Negligent

Question 33

As Nurses we have a duty to make sure that our patients are safe at the hospital but also at home. Meaning what else is their duty to report?

Answer 33

Elder and Child Abuse

Question 34

What does it mean to have the duty to intervene as a nurse?

Answer 34

That means we will intervene on the patient’s behalf when their safety or well-being is at risk

Question 35

There have been laws made about restraints and seclusion, what do these laws consist of?

Answer 35

Prohibits used of unnecessary physical restraint or isolation. Less restrictive measures should be used first

Question 36

When a patient has on restraints, what needs to happen?

Answer 36

Need to be assess regularly for physical needs, safety, and comfort every 15-30 minutes

Question 37

When charting in general it needs to be?

Answer 37

Accurate, descriptive, and legible. Always document