Legal And Ethical Issues

Question 1

Civil rights

Answer 1

Right to:
-Humane tx and care
-To vote
-Relates to granting, forfeiture or denial of a drivers license
-due process of law, right to rpess legal charges against another person

Question 2

Specific rights to health care

Answer 2

-informed consent
-to refuse tx (unless SI)
-confidentiality
-written plan (discharge,f/u) allowed to review it
-communicate with people outside of facility
(unless SI)
-interpretive services
-care w/ respect, dignity, without discrimination

Question 3

Specific rights to specific to psych

Answer 3

-freedom from harm related to physical or pharmological restraint, seculsion and any physical or mental abuse/neglect

-psychiatric advance directive

-least restrictive interventions necessary, without allowing them to be a threat

Question 4

Beneficence

Answer 4

Benefit pt

Question 5

Autonomy

Answer 5

Self governance

Question 6

justice

Answer 6

Fairness
Equality
All treated equally

Question 7

Fidelity

Answer 7

Loyal to pt

(MD says he wont take ovaries but the informed consent says he will, you should tell the pt this bc your on the side of the pt)

Question 8

Veracity

Answer 8

Truthfullness even when it is hard

Question 9

Confidentiality

Answer 9

HIPPA

Only “need to know”

Need consent to share info

Duty to stop breach of confidentiality

(Duty to warn: if there is a threat)
Ex: pt says they are going to kill someone

Question 10

Ethical resources

Answer 10

ANA (american nurses asso.)
AHA (american hospital asso.)
KSN kentucky state nurses practice acts)
Facility
Attorney
Clergy
Health care providers

Question 11

Mental health admission

Informal/voluntary
Vs
Temporary emergency/involuntary
Long term voluntary

Answer 11

Informal/voluntary:
Some one comes and asks for help

Involuntary : SI

Long term: severe psychiatric impairement

Question 12

Seclusion and restraints

Answer 12

Shortest time possible

Least restrictive measures

May intitiate but need provider written order (within 15-30min after intitating)

Let them go once behavior is safe

Question 13

Order of restraints

Answer 13

1. Distractions
2. Sitter
3. Meds (haldol)
4. Restraints

Question 14

Rules to follow with restrictions

Answer 14

Order is required and limited on pt age:
Younger they are the shorter amount of time:
-4hr, 2hrs, 1hr

Orders must be rewritten every 24hrs

Must document/check every 15-30 mins

Question 15

Tort law

Intentional vs unintentional

Answer 15

Intentional:
-false imprisonment
-assault (threatening)
-battery

Nonintentional: deviating from standard of care
Negligence
Malpractice (do something obviously wrong)

Question 16

Documentation of violent behavior

Answer 16

Objectiviely:
Client did X
Staff did X

Time of provider notification

Med given and time it was given