legal, ethical, cultural, spiritual and socioeconomic issues (halter ch 5 + 6)

Question 1

a standard of behavior or a belief valued by an individual or group

Answer 1

ethics

Question 2

steps in ethical decision making

Answer 2

• assess
• problem and component identification
• clarify rights and responsibilities
• explore all possible options
• apply principles
• take action

Question 3

ethical principle: the most good for the most people

Answer 3

utilitarianism

Question 4

ethical principle: the most good for me

Answer 4

egoism

Question 5

ethical principle: be truthful

Answer 5

veracity

Question 6

ethical principle: treat all fairly

Answer 6

fairness/justice

Question 7

ethical principle: patient has right to choose

Answer 7

autonomy

Question 8

ethical principle: do no harm

Answer 8

nonmaleficence

Question 9

ethical principle: best interest of patient

Answer 9

beneficence

Question 10

criteria for voluntary admission

Answer 10

• consent to admission (legal guardian or pt >16 yo)

- may be discharged (when inpatient no longer needed, in response to letter of release, or AMA)

Question 11

criteria for involuntary admission

Answer 11

• admitted by physician/court
• meets criteria for commitment
• discharged by doctor

Question 12

4 legal standards that are criteria for commitment

Answer 12

• diagnosable (DSM 5) mental illness
• danger to self or others
• unable to provide for basic needs
• needs treatment but unable to seek voluntarily

Question 13

when does a order of protective services (OPC) need to be obtained for involuntary admission

Answer 13

within 24 hours of admission

Question 14

when does a mental health hearing need to be held for involuntary admission

Answer 14

within 2 weeks of admission

Question 15

up to how many days can a judge order inpatient treatment

Answer 15

up to 90 days

Question 16

confidentiality exceptions examples

Answer 16

• emergency (pts best interest)
• court ordered)
• pt incompetence
• criminal proceedings
• protecting 3rd parties
• child custody disputes
• state laws

Question 17

essential components for informed consent

Answer 17

• info about procedure
• pros and cons
• Tx alternative options
• why believed this Tx is most appropriate
• possible outcomes (risks adverse effects)
• time for consideration
• permission

Question 18

what is the m’naghten rule

Answer 18

used in insanity case: pt doesn’t know right from wrong at time of crime

Question 19

legal issue for nurses: injury to person, property, or reputation

Answer 19

tort

Question 20

examples of intentional tort

Answer 20

assault
battery
false imprisonment

Question 21

example of unintentional tort

Answer 21

negligence
(omission - forgetting to give med
commission - giving wrong med)

Question 22

intentional threat designed to make another person fearful that you will cause that person harm

Answer 22

assault

Question 23

actual harmful or offensive touching of another person

Answer 23

battery

Question 24

ability to view each pt as a unique individual, fully considering pts cultural experiences within context of common developmental challenges faced by all people

Answer 24

cultural competency

Question 25

vulnerable populations for developing mental illnesses (6)

Answer 25

- immigrants - refugees - minorities - homeless - incarcerated - rural dwellers

Question 26

3 explanation theories for mental illness

Answer 26

- imbalance/harmony - spiritual causes - environmental causes

Question 27

negative attitudes toward mental illness and its treatment

Answer 27

stigma

Question 28

shared beliefs, values, and practices that guide a group’s members in patterned ways of thinking and acting

Answer 28

culture

Question 29

6 risk factors for psych disorders

Answer 29

- age: 25-44 - ethnicity: depends on access to care - gender: substance abuse = male, affective disorder and anxiety = female - education: less education = less likely to utilize resources - income: poverty - beliefs: incompatibility between pt and provider

Question 30

what is the FICA spiritual assessment tool

Answer 30

F: Faith I: importance C: community A: address