Legal and Ethical

Question 1

What are the ethical principles?

Answer 1

Autonomy ( informed consent is based on autonomy)
Beneficence
Nonmaleficence
Justice
Veracity
Fidelity

Question 2

what seven areas need to be considered when thinking about clinical scenarios

Answer 2

1. rights
2. autonomy
3. beneficence and non-maleficence
4. justice
5. fidelity
6. veracity
7. trust and reciprocity

Question 3

Rights

Answer 3

right form the basis of most profession, codes, legal judgement and consider ideas such as self-determination rights, rights and cultural relativism the right to health care and right to privacy and confidentiality

Question 4

Automony

Answer 4

people are free to choose, maker their own decisions and act on their own preference so long as they dont impinge on the moral interest of others

Question 5

Beneficence

Answer 5

“above all, do good” a positive obligation on nurses to act in the benefit of others clients and whanau

Question 6

Justice

Answer 6

can be considered as fairness, nurses frequently face decisions in which a sense of justice should prevail (mental health act), facilitating what is due and owed to a consumer e.g. their rights.

Question 7

Fidelity

Answer 7

being faithful to agreements and responsibilities one has undertaken.

Question 8

Veracity

Answer 8

telling the truth, consumers expect nurses to be truthful in matters such as planned treatment/ any limits to autonomy

Question 9

Trust and Reciprocity

Answer 9

trust that colleagues will act in a way that is mutually supportive and do not harm each other. Essential of building trust in working relationships.

Question 10

Section 30 MHA92 (mental disorder)

Answer 10

inpatient order every patient order shall require the continued detention of the patient in the hospital specified in the order or where the patient is being detained. the admission of the patient and his/her detention in the hospital soufl be specified for the purpose of treatment and shall require the patient to accept treatment

Question 11

Section 8 MHA92

Answer 11

Any person may fill out an application form. Anyone who believed that a person may be suffering from a mental disorder may at any time fill out an application form asking the director of Area mental health services for an assessment of the person , if at anytime the patient during current inpatient oder responsible clinician patient and continue treatment outside notice in writing is required.

Question 12

Section 16 MHA92

Answer 12

judges review. at any stage during the first (section 11) and second (section 13) periods of assessment and treatment, an application may be made by the court for a review if the clients status. The judge will consider all reports , client and others involved in client care in order to determine the person is subject to the act, must stay in the act or can be released from the act. A RN (usually case manager) is expected to write a second opinion report for this hearing and accompany the client.

Question 13

Section 2 MHA92

Answer 13

interpretation, in this act unless the context otherwise requires. Biometric information, clinical means, court means, deputy director means, district inspector means, duty authosior means, first period means, fit to be released from compulsory status means, health practitioners hospital means… ect.

Question 14

Section 4 MHA92 (exceptions)

Answer 14

exclusions: the act cannot be invoked solely by reason o the person’s
- political, religious or personal beliefs
- persons sexual preference
- person’s criminal or delinquent behaviour
- substance abuse
- intellectual disability

Question 15

how could a nurse help to minimise feelings of powerlessness for people committed under the act?

Answer 15

communication, involvement and some authority over care and care planning, therapeutic communication

Question 16

can we put someone under the act who is refusing to take their medication for a physical condition?

Answer 16

no, someone can only be placed under the mental health act if they are a danger to themselves or others.

Question 17

non-maleficence

Answer 17

“above all, do no harm” in providing care it obligated nurses to remain fro acts that unnecessarily cause injury or harm of suffering