Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Module 6 (Psych Mental Health) > Legal Ethics > Flashcards

Legal Ethics Flashcards

You may prefer our related Brainscape-certified flashcards:
Psychology 101 flashcards GRE® Psychology flashcards
1
Q

Ethics

A

study of beliefs about what is right or wrong
- mortality through different approaches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Bioethics

A

ethical questions arise in healthcare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Laws tend to reflect

A

ethical values of society

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Standards of Practice for Nurses

A
  • assess
  • nursing dx
  • outcome what
  • plan
  • implement
  • intervention
  • evaluate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Code of Ethics in Nursing

A

Ethics, advocacy, respectful, and equitable practice communicate, elaborate, continue education, scholarly inquiry, quality of practice, stewardship, professional practice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

the goal of psychiatric care is to

A

to balance the rights of the psychiatric patient and the rights of society

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The ethical dilemma is the

A

moral conflict between two or more courses of action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the 9 codes of ethics for nurses?

A
  1. Compassion and respect for every person
  2. commitment to the patient
  3. advocacy and protect their rights and safety
  4. responsibility, decision-making, consistent
  5. maintain personal self-care
  6. improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care
  7. research
  8. teamwork
  9. Uphold nursing policies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Beneficence

A

duty to act to benefit or promote the good of others
- spend extra time to calm an extremely anxious pt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Autonomy

A

Respecting the rights of others to make their own decisions
- right to refuse medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Justice

A

duty to distribute resources or care equally regardless of person attributes
- devote equal attention to all patients regardless

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Fidelity (Nonmaleficence)

A

Maintaining loyalty and commitment to the patient and doing no wrong to the patient
- maintain expertise through education

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Veracity

A

One’s duty to communicate truthfully
- no misleading

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Community Mental Health Center Act 1963 by JFK for Rosemary

A

Widespread use of psychotropic drugs enabling people to integrate into the community instead of living in asylums
- insurance coverage for mental health or substance abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Civil Rights for the mentally ill

A
  • vote
  • civil service ranking
  • granting, forfeit, or denial of license
  • purchases/contracts unless incompetent
  • press charges
  • personal/religious expression
  • humane care and tx
  • courts for nonviolent cases with mental illness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hx of inhumane tx

A

segregated in asylums not to tx or cure
“social deviants” - divine punishment
hydrotherapy to lower agitation
restraints
forced to expel “demons”
infected so removing body parts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Tx environment order

A

Outpt - PCP, specialty, clinics
Psych home care, day programs,(PHP&IOP), ACT
Inpt - emergency care hold, crisis stabilization, locked unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Admission/D/C Procedures

A
  • Due process for commitment
  • Admission to hospital (least restrictive to most)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Due process

A

fair procedures before depriving someone of life, liberty, or property

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Voluntary patient in TX mental health laws

A

seeks tx and has right to request discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Involuntary patient in TX mental health laws

A

brought in for eval against their will
- application for emergency detention (family)
- order of insurance of mental health warrant (court)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Voluntary Inpatient Admission

A

adult (younger than 18 than parent)
- request admission in writing
- right to request d/c (in writing and be reevaluated
- released unless risk of harm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

InVoluntary Inpatient Admission

A

admitted w/o consent can’t request D/C
- Tx and danger to self/others/UNABLE TO MEET own basic needs
- legal process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

For a family member to involuntary sign patient for hospitalization, what legal process occurs?

A

Bench warrant if reasonable cause - detainment
- Physician must provide a medical certificate within 24 and Order of Protective Custody signed by a judge with 48 hours
- Probable cause hearing within 72 hours
- Certificate of Medical Exam by 2 physicians w/in 2 weeks
- Commitment hearing: judge, attorney, witness, pt, physician
D/C or committed for 60-180 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

If an involuntary pt refuses tx, should you still make them take the medication.

A

No, they have a right to refuse medication even psychotropic meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

The pt’s right to treatment

A

environment humane
qualified staff and sufficient to provide adequate tx
an individual plan of care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Right to Informed Consent

A

presence of psychotic symptoms not mean pt is incompetent to incapable of understanding
- legally competent until declared not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Competency

A

capacity to understand the consequences of one’s decisions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Medicine Commitment Hearing

A

forced by law to take medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Bench Warrant

A

forensic study to determine competency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Furlough

A

conditional release with appointments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Conservatorship

A

patient is found incompetent, a guardian is appointed to speak for the patient

33
Q

An incompetent pt can not

A

provide his or her shelter, food, and clothing;
cannot act in his or her own best interests;
cannot run his or her own business and financial affairs.

34
Q

Acute Hospitalization Goals (6)

A

Prevention selfharm
Prevent harm to others
Stabilization of crisis with return to community programs
Psychotropic medications
Brief, specific problem-solving
Rapid establishment of output tx

35
Q

Safety Issues and Precautions for Psych patients

A

Searches (remove contraband)
Milieu
Prevent self-injury
Manage aggressive/violent behavior
Prevent elopement/escape
Manage emergencies
Assualt and Elopement Precautions

36
Q

What to do in a safety search?

A

2 staff (1 as the same gender)
No cavity searches
Belongings. pockets of clothing searched
Safe items returned
If unsafe - secured till D/C
Policy

37
Q

Unsafe Items include

A

sharp objects
medications/drugs
alcohol
strings, belt
lighters/matches

38
Q

When a pt becomes aggressive, how many people communicate with the pt?

A

only 1

39
Q

What should the nurse avoid wearing,

A

dangling earrings
stethoscope
lanyard
watch
eyeglasses
- know layout of area

40
Q

When addressing an aggressive pt stand

A

10 ft away and to the side
- avoid confrontation

41
Q

Agitation

A

acute behavioral emergency requiring immediate interventions (least restrictive)

42
Q

What is the best practice when dealing with agitation?

A

verbal de-escalation (engage, relationship)
- ensure safety pt and others
- help pt manage emotions/control
- Avoid restraints and coercive interventions

43
Q

Traditional Interventions for agitation

A

involuntary medication or seclusion/restraint

44
Q

Anger

A

Emotional response to frustration of desires, threat to one’s needs (physical or emotional), or a challenge

45
Q

Aggression

A

Action or behavior that results in a verbal or physical attack

46
Q

Violence

A

Intentional use of force that results in, or has potential to result in, injury to another person

47
Q

Predictive Factors for Violent Outcomes

A

Recent acts of violence
Angry, irritable affect
Pacing, restless, slamming doors
Clenched jaw or fist, tense expression
Verbal abuse, profanity, arguing
Loud voice or stone silence
Suspicious or paranoid
ETOH or drug intoxication
Possession of weapon
Milieu conducive to violence (loud, crowded, staff inexperience or controlling, poor limit setting)

48
Q

De-escalation Technique Interventions

A

pt’s self-esteem and dignity
calm and clear voice
- respond ASAP to assess pt and situation
- immediate need
- personal 10 ft space
- avoid verbal struggles
- set limits
- communication skills(don’t stare)
- safety
- injection if forced

49
Q

Rights regarding restraint and seclusion

A
  • least restrictive for shortest amount of time
  • 1st verbal and cooperation
  • 2nd medications
  • Emergency, staff restrain/seclude and retain order within 1 hour
  • Pt can request seclusion
50
Q

The psychiatrist needs to assess the patient how long after sedation?

A

1 hour

51
Q

Tx for acute anger and aggression are

A

antipsychotics and antianxiety

52
Q

What medications can be added in an emergency situation to reduce extrapyramidal side effects?

A

Diphenhydramine or benztropine

53
Q

Antipsychotics for Anger and aggression acute episodes

A

Haloperidol (Haldol)
Ziprasidone (Geodon)
Olanzapine (Zyprexa)

54
Q

Antianxiety for Anger and aggression acute episodes

A

Lorazepam (benzo)

55
Q

Seclusion:

A

involuntary confinement in specially constructed, room where person is prevented from leaving (lock door)

56
Q

Restraint

A

any manual method or physical or mechanical device that immobilizes the ability of person to move

57
Q

Seclusion/Restraint Interventions

A

Use of least restrictive means of restraint for the shortest duration of time
- harmful to self/others
- less restrictive are insufficient
- decrease sensory stim required
- request seclusion

58
Q

Behavioral Seclusion/Restraint order need

A

written order of physician
time limited
reason listed
Seclusion: assess/doc every 15 minutes
Restraint: 1:1 with them
food, toilet, hydration, comfort, safety
NEVER USE FOR PUNISHMENT/CONVENIENCE

59
Q

Restraints/Seclusion is contraindicated for

A

fractures

60
Q

Time limit of seclusion/restraint if 18+

A

4 hours

61
Q

Time limit of seclusion/restraint if 9-17

A

2 hours

62
Q

Time limit of seclusion/restraint if less than 9

A

1 hour

63
Q

Confidentiality

A

HIPAA
duty to warn and protect 3rd party
- protective privilege ends where public peril begins”
Notify who is threatened
- notify potential victim, family, and police
-discharge by therapist

64
Q

Duty to protect and report

A
  • suspected child/elder/disabled abuse, neglect, exploitation
65
Q

When the abuser is in drug/alcohol tx disclosure cannot be made until

A

Court order is obtained
Report can be made without identifying abuser
Report can be made anonymously

66
Q

Intentional Torts

A

bullying, theft, physical assault, sexual misconduct, exploitation, or fraud
- Battery, Assualt, False Imprisonment

67
Q

Battery

A

purposeful touching of another person resulting in physical or emotional harm

68
Q

Assault

A

verbal or physical action that causes a reasonable belief of immediate harm

69
Q

False Imprisonment

A

Intentional restriction of movement without justification or consent
- May carry criminal penalties
- Punitive damages awarded
- Not covered by professional insurance

70
Q

What are the 4 elements to prove negligence?

A
  • duty to provide a specific level of care
  • Breach BY FAILING TO ACT
  • Causation (purpose and proximate/legal)
  • Damages/pain/suffering
71
Q

Breach is a

A

conduct that exposes the patient to an unreasonable risk of harm through actions for failure to act

72
Q

Causation

A
  • Cause in fact /purpose “but for the nurse’s action, would this injury have occurred”
  • Proximate cause or legal cause “was there unforeseeable, intervening actions or inactions that were the actual cause of harm to the patient (indirect)
73
Q

Guidelines to Avoid Liability

A

Patient’s rights and welfare first
within scope of practice
go by practice standards
policy and procedures
documentation

74
Q

Protection of Patient
- legal issues r/t failure to protect patients

A

Suicidal left alone with means to harm themselves
prevent harm when restrained
protect from other violent/abusive patients
Abuse of therapist-patient relationship (sexual misconduct)

75
Q

Guidelines for Nurses Suspecting Negligence

A

art and take action regarding incompetent, unethical, illegal practices that place rights in jeopardy
- communicate your concerns to person immediately

76
Q

As a patient advocate, if a nurse believes an order needs to clarified or changed, it is their duty to

A

intervene and protect the patient.

77
Q

Patient abandonment –

A

nurse does not leave a patient safely reassigned to another health care professional when leaving
- pass off has no occurred
- no follow through care

78
Q

3 Unethical or illegal practices

A

diversion of drugs
sexual misconduct with patients
report colleague as a pt advocate

Module 6 (Psych Mental Health) (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions