Ethics and the mental health act

Question 1

What is the MHA?

Answer 1

-Protect and provide care for those struggling with mental health who can’t make decisions for themselves.
-Reduced, diminished decision-making capacity
-Can’t recognize that they need help
-Health care system can step in and give the help they need
-Providing care without their permission or consent.

Question 2

The study of ethics provides

Answer 2

• logical and consistent basis for decision-making
  -approach for resolving dilemmas
• understanding of right, wrong, and controversial actions
• understanding of obligatory, permissible and wrong actions

Question 3

when something is not in the policy manual you use

Answer 3

Ethical standards to guide decision-making

Question 4

Ethics underplay

Answer 4

anything you do as a nurse

Question 5

Autonomy

Answer 5

ability to make your own decisions
can choose what you want to do
we want people do do as much as they can on their own and we support them through it
try to offer it where we can

Question 6

beneficence

Answer 6

doing an action that does good to someone

Question 7

scenario where tension between autonomy and beneficence

Answer 7

Person refusing to take medication
going out for a smoke break

Question 8

Non-maleficence

Answer 8

to do no harm

Question 9

Ethical principle ________ each other

Answer 9

contradict
cant have all of them at once

Question 10

Confidentiality

Answer 10

Maintaining client privacy by not sharing or disclosing personal information

Question 11

Equality

Answer 11

everyone is treated the same, equal, the law

Question 12

Fairness

Answer 12

justice, very context dependent, people able to anticipate

Question 13

Equity

Answer 13

providing everyone with what they need to be successful, outcome-based (the nursing mindset, the process is irrelevant)

Question 14

example of equity and equality

Answer 14

equality- everyone gets 20 mins of your time
equity- one person gets 2 hours another 5 mins

Question 15

How to determine if someone can make their own decisions

Answer 15

• A&O x3
• articulate the outcomes of their decisions and the consequences
• have they explain why

Question 16

In MH the ________________ is compromised

Answer 16

Ability to make decisions

Question 17

Decision making capacity is determined through

Answer 17

an assessment

Question 18

When does confidentiality need to be broken

Answer 18

-When pt. is at risk to themselves or others, how significant the threat determines when confidentiality should be broken
- risk to children or harm to minors, they don’t have ability to advocate for themselves

Question 19

how much information do we give

Answer 19

• give as much information as you can without causing harm or making them overwhelmed
• constant negotiation between how much to give and what to withhold will it help

Question 20

considerations with truth telling

Answer 20

• lying is wrong
• telling the truth the wrong way can have consequences
• or not telling the whole truth
• when is holding back information necessary in MH
• consider ethics

Question 21

The rights of a mental health patients

Answer 21

• everyone has the right to know they are certified and why
• as soon as decision-making capability has returned its your duty to report what happened

Question 22

What is certification

Answer 22

certified when admitted to a designated treatment center to receive treatment for their mental illness AGAINST THEIR WILL.

Question 23

The Mental Health Act is

Answer 23

• provincial law to ensure the treatment of those with mental health issues who need protection and care

Question 24

MHA serves 2 purposes

Answer 24

1. Protect them: provides a safe env. Care and treatment they need when can’t make decisions ensure they are not abused or taken advantage of when receiving care. Need a system in place free from abuse and power.
2. Protect us: when we do things like, lock in a room, and give meds against their will. Cant touch someone in a code white if they re not certified

Question 25

criteria to be certified

Answer 25

1- the person is suffering from a mental disorder that seriously impairs their ability to react appropriately to their environment or associate with others.
2- the person requires treatment in a hospital so that they will not become more ill
3- person should be in hospital to prevent substantial mental or physical deterioration or to protect them or other people
4- the person would not seek help on their own

Question 26

Certification only lasts

Answer 26

• as long as all 4 criteria are being met
• 2 independent doctors need to sign and do their own assessment
• they have expiry dates
• one without an expiry date expires within 48 hours
• good for 1 month and need to review prior to renew, then 3 months then 6 months
• nurse assess every shift

Question 27

this issue of certification needs to be assessed

Answer 27

before ALL care given to the patient against their will