legal/ethical (1)

Question 1

name circumstances where informed consent can be waived

Answer 1

-mentally incompetent
-treatemtn refusal endangers lives of others
-emergency where client doesn’t have judgement
-child
-therapeutic priviledge (info may be withheld if it would hinder tx, cause psych harm, or make client so upset they can’t make decisions)

Question 2

who hold liability for informed consent

Answer 2

physician/provider

Question 3

what does competence require?

Answer 3

decision makign capacity

Question 4

what is the appointment of a person to make decisions when judgement is impaired or diabled

Answer 4

guardianship (sig other, attourney)

Question 5

can people with guardianship consent to contracts, sexual activity, or treatment?

Answer 5

no

Question 6

can guardianship be limited to finaces only?

Answer 6

yes, uses payee

Question 7

what is an informal admission

Answer 7

sought hy the patient

Question 8

what is a voluntary admission

Answer 8

sought by patient or guardian

Question 9

what is an involuntary commitment admission

Answer 9

without patient consent (mentally ill, dangerous, unable to acquire basic necessities)

Question 10

what are involuntary commitments for?

Answer 10

observation, diagnosis, or treatment

Question 11

how long to involuntary commitments last?

Answer 11

24-96 hours

Question 12

what needs to be done before discharge from an involuntary commitment?

Answer 12

court hearing to decide what to do next

Question 13

what allows state to hospitalize individuals with mental illness against their will

Answer 13

pink slip

Question 14

what requires a patient to be pink slipped

Answer 14

-hospitalized by court order
-substantial risk of physical harm to self/others if allowed to remain at liberty pending examination

Question 15

what time frame does a pink slipped aptient need to be evaluated by a psychiatrist

Answer 15

24 hours

Question 16

what section of the pink slip allows the patient to be taken to the ED for a 24h hold? (done by police officers, psychiatrists, parole officers, etc.)

Answer 16

statement of belief

Question 17

what section of a pink slip involves the detainment for further observation

Answer 17

statement of observation

Question 18

how long is the statement of observation valid for?

Answer 18

72 hours, not including weekends/holidays

Question 19

when does “day 1” of the statement of observation start?

Answer 19

on the day it is signed if before 1630, otherwise the start of the next business day.

(if at 1700 on a friday, day 1 won’t be until monday)

Question 20

what are the 3 options when a pink slip expires

Answer 20

1. discharge
2. sign voluntary admission
3. court ordered hospitalization

Question 21

what is a court-ordered treatment on an outpatient basis

Answer 21

involuntary outpatient commitment (IOC)

Question 22

what are the 3 criteria that need to be met to force meds?

Answer 22

1. behavior is dangerous to self or to others
2. med must have reasonable chance of working (FDA approved)
3. client must be judged incompetent to evaluate treatment

Question 23

in person evaluation by physician, psychiatrist, or must be completed within _____ of initiating restraint or seclusion

Answer 23

1 hour

Question 24

what kind of monitoring is needed in restraint or seclusion?

Answer 24

continuous

Question 25

how often does a restraint order to be renewed throughout the ages

Answer 25

1 hr for kids <9
2 hr for kids 9-17
4 hr adults

Question 26

when can info be released without consent

Answer 26

in life-threatening situation (document)

Question 27

what is the “duty to warn”

Answer 27

let outside people know if a patient intends to harm them!!

Question 28

what is an instance of negligence or incompetence on the part of a professional (must prove damages)

Answer 28

malpractice

Question 29

what is the failure to exercise standard of care that a reasonable prudent person would have exercised in a similar sotuation

Answer 29

negligence