Ethics & Legal Flashcards

0
Q

What criteria is necessary for admission of a mental health pt.?

A

Severity of symptoms, risk of danger to self & others, pt/fam preference & needs, financial situations, voluntary/involuntary

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1
Q

What is the only civil right mental health pt.’s don’t have?

A

The right to leave the hospital in the case of involuntary commitment

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2
Q

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?

A

Involuntary commitment

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3
Q

What is a civil or judicial involuntary commitment?

A

When the court intervenes for a longer term of the pt’s stay to protect the community from persons posing a threat.

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4
Q

What federal levels are involved in the Due Process in Civil Commitment?

A

US Constitution 5th & 14th Amendment (both federal level)

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5
Q

What is an emergency involuntary commitment?

A

When the pt. is a risk of harm to self or others, court ordered, incompetent, only lasts 72 hours for adults, 24hrs for children

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6
Q

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?

A

Due Process in Civil Commitment

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7
Q

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

A

Due Process: Petition

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8
Q

What is excluded in confidentiality vs. privileged communication for mentally ill pt’s?

A

Abuse, info that could prevent murder, if someone is at risk for harm by the MI pt, some communicable diseases

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9
Q

What is the responsibility of a treating mental health professional to notify an intended identifiable victim?

A

Tarasoff Duty to Warn

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10
Q

What is the lack of ability to understand right from wrong at the time of the offense & must be able to form intent?

A

M’Naghten Rule- Not Guilty by Reason of Insanity

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11
Q

What does not apply to minors in matters of hospitalization?

A

Right to due process bc parents/guardians make decisions for them

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12
Q

What is 1:1 interaction?

A

Directly addressing the pt. by speaking to them

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12
Q

What is seclusion?

A

Involuntary confinement in a specifically constructed, locked room w/ a security window or camera for protection of others

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13
Q

What is needed to put a pt. in seclusion or restraints?

A

A doctors order & the doc must assess w/in 1hr & a 1:1

D/C ASAP, check restraints q15min & document CAREFULLY.

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14
Q

What is needed in order for a mentally ill pt. to stand trial?

A

Competency to understand proceeding of due process & assist attorney in preparing for hearing

16
Q

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?

A

Guilty But Mentally Ill

17
Q

What is 1:1 observation?

A

“Sitter” observing the pt’s behavior

18
Q

What is defined by the location of the work or the legal status of the pt. rather than by role functions?

A

Correctional nursing

19
Q

What is the term used to describe actions taken based on end results that will produce the most good (happiness) for the most people?

A

Utilitarianism

20
Q

What is the term used to describe decisions should be made & actions should be taken out of a sense of duty?

A

Kantianism

21
Q

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?

A

Christian Ethics

22
Q

What is the term used to describe decisions about right & wrong are self-evident & are determined by human nature?

A

Ethical egoism

23
Q

What amendments cover a mental health pt’s rights?

A

1st, 8th, 5th, & 4th

24
Q

What is the term used to describe enacted by legislative bodies like congress, city/county council or the state?

A

Statutory law

25
Q

What is the term used to describe derived from decisions made in previous cases?

A

Common law

26
Q

What is the term used to describe protecting private & property rights of people & businesses? An ex. would be torts- negligence or breached contracts

A

Civil law

27
Q

What is the term used to describe a condition where an individual as a result of MI is in danger of serious physical harm resulting from inability to provide for basic needs?

A

Gravely disabled pt.

28
Q

What is the term used to describe shared info that’s detrimental to a pt’s reputation & the person sharing the info will be liable for it?

A

Defamation of character

29
Q

What is the term used to describe shared info detrimental to a pt’s reputation in writing?

A

Libel

30
Q

What is the term used to describe shared info detrimental to a pt’s reputation in orally?

A

Slander

31
Q

What is it called when a pt. is searched w/o probable cause?

A

Invasion of privacy

32
Q

What is the term used to describe an act resulting in persons fear they’ll be touched w/o consent?

A

Assault

33
Q

What is the term used to describe unconsented touch?

A

Battery

34
Q

What is the term used to describe protecting from conduct deemed injurious to public welfare? Ex. would be theft of meds

A

Criminal law

35
Q

What are the least to most restrictive alternatives?

A

1:1 interaction, separating pt. from area/stimulus, redirecting the pt., limit setting, voluntary med admin., quiet room/time out, involuntary med admin, restraints or seclusion

36
Q

What is the maximum time a pt can be put in restrains or seclusion?

A

24hrs

37
Q

When should a doc order of restraints or seclusion be renewed?

A

q4h if 18+, q2h if 9-17, & q1h if 9 & younger