Legal And Ethical Basis Flashcards
Define Beneficence
The duty to act so as to benefit or promote the good of others
Define Autonomy
Respecting the rights of others to make their own decisions
Define Fidelity (nonmaleficence)
Maintaining loyalty and commitment to the patient and doing no wrong to the patient
Define Veracity
One’s duty to communicate truthfully
Spending extra time to help calm an extremely anxious patient is an example of what?
Beneficence
Acknowledging the patient’s right to refuse medication is an example of what
Autonomy
Devoting equal attention to both a friendly patient and a patient who will not speak or make eye contact is an example of what
Justice
Define Justice
The duty to distribute resources or care equally regardless of person attributes
Maintaining expertise in nursing skill through nursing education is an example of what
Fidelity
Describing the purpose and side effects of psychotropics medications in a thuthful and no misleading way is an example of what
Veracity
What can happen during a voluntary inpatient psych stay (3)
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
What happens during an involuntary psych hospital stay
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
How soon must a physician provide a medical certificate?
How many physician must sign it?
24 hours
2 physician
How soon must a judge sign an order of protective custody (OPC)
48 hours
How soon must a probable cause hearing case
Within 72 hours
How long can a psych patient be ordered for involuntary stay
60-180 days
Do patients have a right to refuse psychotropic medication?
Yes
What is Furlough
Conditional release
What is a medication commitment hearing
A hearing to force a patient to take medication
What is a conservatorship
A legal guardianship used to commit patients into the hospital
What are the 6 goals for acute hospitalizations for patients
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
What happens during a safety search
2 staff members of the same gender search the patient
safe items are returned
Unsafe items are secured until discharge
What are some examples of unsafe items (6)
Sharp objects
Medications/drugs
Alcohol
Strings
Belts
Lighters/matches
What is best practice with disruptive patients
Verbal de-escalation
What is the proper order in restraining patients
Verbal interventions
Medications
Restraints- for the shortest amount of time
The is seclusion
The involuntary confinement in specially constructed room where patient is prevented from leaving
What is the order of involuntary admission to the hospital
Bench Warrant is ordered- patient is detained
Physician provides medical certificate
Judge orders order of protective custody
Commitment hearing
Restraint patients are 1:1
What are the order time limits for
18 years and older
9-17
Under 9
4 hours
2hours
1 hour
What is Battery
Purposeful touching of a person resulting in physical or emotional harm
What is assault
Verbal or physical action what causes a reasonable belief of immediate harm
False imprisonment
Intentional restriction of movement without justification or consent
What four elements are needed to prove negligence
Duty to provide a specific level of care
Breach of conduct
Causation
Damages
