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mental health/psych > legal, ethical, cultural, spiritual and socioeconomic issues (halter ch 5 + 6) > Flashcards

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

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1
Q

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

A

ethics

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2
Q

steps in ethical decision making

A
  • assess
  • problem and component identification
  • clarify rights and responsibilities
  • explore all possible options
  • apply principles
  • take action
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3
Q

ethical principle: the most good for the most people

A

utilitarianism

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4
Q

ethical principle: the most good for me

A

egoism

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5
Q

ethical principle: be truthful

A

veracity

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6
Q

ethical principle: treat all fairly

A

fairness/justice

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7
Q

ethical principle: patient has right to choose

A

autonomy

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8
Q

ethical principle: do no harm

A

nonmaleficence

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9
Q

ethical principle: best interest of patient

A

beneficence

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10
Q

criteria for voluntary admission

A
  • 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)

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11
Q

criteria for involuntary admission

A
  • admitted by physician/court
  • meets criteria for commitment
  • discharged by doctor
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12
Q

4 legal standards that are criteria for commitment

A
  • diagnosable (DSM 5) mental illness
  • danger to self or others
  • unable to provide for basic needs
  • needs treatment but unable to seek voluntarily
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13
Q

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

A

within 24 hours of admission

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14
Q

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

A

within 2 weeks of admission

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15
Q

up to how many days can a judge order inpatient treatment

A

up to 90 days

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16
Q

confidentiality exceptions examples

A
  • emergency (pts best interest)
  • court ordered)
  • pt incompetence
  • criminal proceedings
  • protecting 3rd parties
  • child custody disputes
  • state laws
17
Q

essential components for informed consent

A
  • 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
18
Q

what is the m’naghten rule

A

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

19
Q

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

A

tort

20
Q

examples of intentional tort

A

assault
battery
false imprisonment

21
Q

example of unintentional tort

A

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

22
Q

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

A

assault

23
Q

actual harmful or offensive touching of another person

A

battery

24
Q

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

A

cultural competency

25
Q

vulnerable populations for developing mental illnesses (6)

A
  • immigrants
  • refugees
  • minorities
  • homeless
  • incarcerated
  • rural dwellers
26
Q

3 explanation theories for mental illness

A
  • imbalance/harmony
  • spiritual causes
  • environmental causes
27
Q

negative attitudes toward mental illness and its treatment

A

stigma

28
Q

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

A

culture

29
Q

6 risk factors for psych disorders

A
  • 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
30
Q

what is the FICA spiritual assessment tool

A

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

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