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IM 6 Test 2 > Legal And Ethical Basis > Flashcards

Legal And Ethical Basis Flashcards

1
Q

Define Beneficence

A

The duty to act so as to benefit or promote the good of others

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2
Q

Define Autonomy

A

Respecting the rights of others to make their own decisions

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3
Q

Define Fidelity (nonmaleficence)

A

Maintaining loyalty and commitment to the patient and doing no wrong to the patient

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4
Q

Define Veracity

A

One’s duty to communicate truthfully

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5
Q

Spending extra time to help calm an extremely anxious patient is an example of what?

A

Beneficence

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6
Q

Acknowledging the patient’s right to refuse medication is an example of what

A

Autonomy

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7
Q

Devoting equal attention to both a friendly patient and a patient who will not speak or make eye contact is an example of what

A

Justice

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8
Q

Define Justice

A

The duty to distribute resources or care equally regardless of person attributes

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9
Q

Maintaining expertise in nursing skill through nursing education is an example of what

A

Fidelity

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10
Q

Describing the purpose and side effects of psychotropics medications in a thuthful and no misleading way is an example of what

A

Veracity

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11
Q

What can happen during a voluntary inpatient psych stay (3)

A

the adult patient (or guardian of a minor) can request an admission in writing
The patient can request discharge or be reevaluated
Must be released unless risk of harm is determined

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12
Q

What happens during an involuntary psych hospital stay

A

The patient is admitted without consent and cannot request discharged
Must be a danger to self or others or is unable to meet their own basic needs
Stay must follow legal process

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13
Q

How soon must a physician provide a medical certificate?
How many physician must sign it?

A

24 hours
2 physician

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14
Q

How soon must a judge sign an order of protective custody (OPC)

A

48 hours

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15
Q

How soon must a probable cause hearing case

A

Within 72 hours

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16
Q

How long can a psych patient be ordered for involuntary stay

A

60-180 days

17
Q

Do patients have a right to refuse psychotropic medication?

A

Yes

18
Q

What is Furlough

A

Conditional release

19
Q

What is a medication commitment hearing

A

A hearing to force a patient to take medication

20
Q

What is a conservatorship

A

A legal guardianship used to commit patients into the hospital

21
Q

What are the 6 goals for acute hospitalizations for patients

A

Prevention of self harm
Prevention of harm of others
Stabilization of crisis
Brief, specific problem solving
Initiation or modification of psychotropic meds
Rapid establishment of plan for treatment

22
Q

What happens during a safety search

A

2 staff members of the same gender search the patient
safe items are returned
Unsafe items are secured until discharge

23
Q

What are some examples of unsafe items (6)

A

Sharp objects
Medications/drugs
Alcohol
Strings
Belts
Lighters/matches

24
Q

What is best practice with disruptive patients

A

Verbal de-escalation

25
Q

What is the proper order in restraining patients

A

Verbal interventions
Medications
Restraints- for the shortest amount of time

26
Q

The is seclusion

A

The involuntary confinement in specially constructed room where patient is prevented from leaving

27
Q

What is the order of involuntary admission to the hospital

A

Bench Warrant is ordered- patient is detained
Physician provides medical certificate
Judge orders order of protective custody
Commitment hearing

28
Q

Restraint patients are 1:1

A
29
Q

What are the order time limits for
18 years and older
9-17
Under 9

A

4 hours
2hours
1 hour

30
Q

What is Battery

A

Purposeful touching of a person resulting in physical or emotional harm

31
Q

What is assault

A

Verbal or physical action what causes a reasonable belief of immediate harm

32
Q

False imprisonment

A

Intentional restriction of movement without justification or consent

33
Q

What four elements are needed to prove negligence

A

Duty to provide a specific level of care
Breach of conduct
Causation
Damages

IM 6 Test 2 (6 decks)

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