Ethics & Legal Flashcards
What criteria is necessary for admission of a mental health pt.?
Severity of symptoms, risk of danger to self & others, pt/fam preference & needs, financial situations, voluntary/involuntary
What is the only civil right mental health pt.’s don’t have?
The right to leave the hospital in the case of involuntary commitment
What is the process where a person is suffering from a mental illness, unable to care for self, or is a danger to self or others & may be temporarily detained & committed to a hospital or outpt. treatment, but is governed by individual states?
Involuntary commitment
What is a civil or judicial involuntary commitment?
When the court intervenes for a longer term of the pt’s stay to protect the community from persons posing a threat.
What federal levels are involved in the Due Process in Civil Commitment?
US Constitution 5th & 14th Amendment (both federal level)
What is an emergency involuntary commitment?
When the pt. is a risk of harm to self or others, court ordered, incompetent, only lasts 72 hours for adults, 24hrs for children
What has a goal of balancing a persons right to freedom w/ protection of the mental ill person who is unable to care for self & the protection of society?
Due Process in Civil Commitment
What do the courts need to do to be able to commit a mentally ill pt. for longer than 72 hrs by determining if standards are met through a hearing
Due Process: Petition
What is excluded in confidentiality vs. privileged communication for mentally ill pt’s?
Abuse, info that could prevent murder, if someone is at risk for harm by the MI pt, some communicable diseases
What is the responsibility of a treating mental health professional to notify an intended identifiable victim?
Tarasoff Duty to Warn
What is the lack of ability to understand right from wrong at the time of the offense & must be able to form intent?
M’Naghten Rule- Not Guilty by Reason of Insanity
What does not apply to minors in matters of hospitalization?
Right to due process bc parents/guardians make decisions for them
What is 1:1 interaction?
Directly addressing the pt. by speaking to them
What is seclusion?
Involuntary confinement in a specifically constructed, locked room w/ a security window or camera for protection of others
What is needed to put a pt. in seclusion or restraints?
A doctors order & the doc must assess w/in 1hr & a 1:1
D/C ASAP, check restraints q15min & document CAREFULLY.
What is needed in order for a mentally ill pt. to stand trial?
Competency to understand proceeding of due process & assist attorney in preparing for hearing
What is it called when one’s mental illness takes over & they don’t have the will power to say no or stop themselves even though they know it is wrong?
Guilty But Mentally Ill
What is 1:1 observation?
“Sitter” observing the pt’s behavior
What is defined by the location of the work or the legal status of the pt. rather than by role functions?
Correctional nursing
What is the term used to describe actions taken based on end results that will produce the most good (happiness) for the most people?
Utilitarianism
What is the term used to describe decisions should be made & actions should be taken out of a sense of duty?
Kantianism
What is the term used to describe all decisions about right & wrong should be centered in love for God & to treat others w/ the same respect/dignity as we would like to be treated?
Christian Ethics
What is the term used to describe decisions about right & wrong are self-evident & are determined by human nature?
Ethical egoism
What amendments cover a mental health pt’s rights?
1st, 8th, 5th, & 4th
