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Mental Health > Objective 3 > Flashcards

Objective 3 Flashcards

1
Q

expression of values that guide practice

A

ethics

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2
Q

system of ethics with the central concepts of reason and duty

A

deontology

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3
Q

used in relation to ethical dilemmas surrounding health care

A

bioethics

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4
Q

what are the 6 principles of bioethics?

A

autonomy
nonmaleficence
beneficence
justice
principle of impossibility
fidelity

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5
Q

respecting the rights of others to make their own decisions

A

autonomy

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6
Q

doing no wrong to a pt

A

nonmaleficence

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7
Q

the duty to promote good

A

beneficence

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8
Q

the duty to distribute resources or care equally

A

justice

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9
Q

that rights or obligations that cannot be met in the circumstances are no longer obligations

A

principle of impossibility

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10
Q

maintaining loyalty and commitment

A

fidelity

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11
Q

what are the guidelines for ensuring adherence to standards of care?

A

Student nurses and practicing nurses have a
legal duty to report risks for harm from
Negligence, irresponsibility, or impairment
Unethical or illegal practices

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12
Q

what are the core responsibilities for Canadian nurses?

A

providing safe, compassionate, competent and ethical care
promoting health and well-being
promoting and respecting informed decision-making
preserving dignity
maintaining privacy and confidentiality
promoting justice
being accountable

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13
Q

Provides Competent Professional
Care Through the Development of a Therapeutic
Relationship

A

Standard I

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14
Q

Performs/Refines Client
Assessments Through the Diagnostic and
Monitoring Function.

A

standard II

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15
Q

Administers and Monitors
Therapeutic Interventions.

A

standard III

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16
Q

Effectively Manages Rapidly
Changing Situations

A

standard IV

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17
Q

intervenes Through the Teaching-
Coaching Function

A

standard V

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18
Q

Monitors and Ensures the Quality
of Health Care Practices

A

standard VI

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19
Q

Practices Within Organizational
and Work-Role Structure.

A

standard VII

20
Q

The domain of international human rights and
declarations and the protection of these covenants

A

international/national

21
Q

Provinces & territories each establish mental health
legislation
Distinctions exist with regard to involuntary admission
criteria, the right to refuse treatment, and who has the
authority to authorize treatment

A

provencial/territorial

22
Q

what are the pts rights under the law?

A

Right to treatment/authorization of treatment
Consent
Competency (legal guardian)
Right to refuse treatment
Community treatment orders (CTO’s)
Involuntary admission criteria
Provision of least restrictive type of care
Advance Directive
Guardianship
Confidentiality
Duty to warn
Duty to protect
Reporting of child abuse (Box 7.7)
Confidentiality of communicable diseases
Confidentiality after death
Protection of patients

23
Q

A record’s usefulness is determined by evaluating—
when the record is read later—how accurately and
completely it portrays the patient’s behavioural status
at the time it was written
Used by the facility for quality improvement
Used as evidence
Electronic documentation

A

documentation of care

24
Q

A civil wrong for which money
damages may be collected by the
injured party (plaintiff) from the
responsible party (the defendant)

A

tort

25
Q

Willful or
intentional acts that violate another
person’s rights or property

A

intentional tort

26
Q

what are the types of intentional torts

A

assault
battery
false imprisonment
invasion of privacy
defamation of character

27
Q

Unintended acts
against another that produce injury
or harm

A

unintentional tort

28
Q

what are the types of unintentional torts?

A

negligence
malpractice

29
Q

refers to the process
(section 241.1 of the Criminal Code) where an eligible
healthcare provider:
 Prescribes and administers a medication to a client, at
their request, that causes their death; or
 Prescribes or provides a medication to a client, at their
request, so that they may self-administer the substance
and in doing so cause their own death

A

MAID

30
Q

who is permitted to determine who is eligible for MAID?

A

LPNs are NOT permitted to determine who is eligible
for MAiD, this is the responsibility of the Physician

31
Q

what is the criteria for MAID?

A

is eligible for health services in Canada
 is 18 years of age and capable of making decisions
with respect to their health
 has a grievous and irremediable medical condition
 makes a voluntary request for MAiD that was not
made as a result of external pressure
 gives informed consent to receive MAiD
If you have a physical disability and wish to seek medical
assistance in dying, you may be eligible
 Eligibility is assessed on an individual basis
 If a mental illness is the only medical condition leading you to
consider MAID, you are not eligible to seek MAID at this time.
Under the new changes made to the law, the exclusion will
remain in effect until March 17, 2023

32
Q

what is the role of LPNS in MAID?

A

To have the knowledge, skill, ability and judgement to
provide care
 To provide safe, competent, compassionate, and
ethical care
 Work within LPN Standards, Regulations, and Employer
policies

33
Q

what are the guidelines provided by CLPNNL for LPNs and MAID?

A
  1. LPNs can aid in MAiD under the direction of a medical
    practitioner or nurse practitioner
  2. If requested, LPNs may support access to accurate and
    objective information about MAiD to clients so that they may
    make informed decisions about their care
  3. LPNs must not initiate a discussion on MAiD with clients
  4. LPNs must have the knowledge, skill, ability and judgement
    to provide safe, competent, ethical and compassionate end
    of life care
  5. If the LPN has reason to believe that the client does not
    meet the eligibility criteria, or all mandatory safeguards are
    not in place, the LPN must immediately discuss this with the
    client’s health care team.
  6. LPNs can insert an intravenous line that will be used for
    the administration of the medication that will cause death
  7. LPNs are NOT authorized under any circumstances to
    administer the substance that causes the death
  8. LPNs can be present to provide end of life nursing care
    during the administration of the medication that will
    cause death
  9. LPNs must document their involvement in MAiD in
    accordance with the standards of practice and
    employer policy
34
Q

what is the CMHA position on MAID?

A

CMHA does not believe that mental illnesses are
irremediable, though they may be grievous or
unbearable
 CMHA recognize that people with Mental Illnesses can
experience unbearable psychological suffering as a
result of their illness, but there is always the hope of
recovery
 CMHA’s position on MAiD is that people with a mental
health problem or illness should be assisted to live an
thrive

35
Q

Ability of nurses to apply knowledge and skill
appropriately in cross - cultural situations

A

cultural competence

36
Q

what are the 5 constructs of cultural competence?

A
  1. Cultural awareness
  2. Cultural knowledge
  3. Cultural encounters
  4. Cultural skill
  5. Cultural desire
37
Q

colonization
ethnocentrism

A

cultural safety

38
Q

immigration policy
refugees in Canada

A

multicultural contexts

39
Q

what are mental health concerns of refugees?

A

 Post-traumatic stress
 Adjustment disorders
 Depression
 Suspiciousness and distrust of authorities
 Needs for culturally relevant and appropriate services
(including for those without dominant language skills, or
for English or French as an additional language)

40
Q

what are the barriers to quality mental health services?

A

Communication barriers
 Stigma of mental illness
 Misdiagnosis
Culture-bound syndromes
 Genetic variations in pharmacodynamics
 Populations at Risk of Mental Illness and Inadequate Care
* Immigrants
* Refugees
* Cultural “minorities”

41
Q

Identity found in individuality
* Values Autonomy, Independence & Self-reliance
* Mind and body separate entities
* Disease has a cause, treatment is aimed at cause
* Time is linear
* Success is obtained in preparing for the future

A

western tradition

42
Q

Family basis for identity
* Body–mind–spirit one entity
* Time is circular and recurring
* Born into a fate; duty to comply
* Disease caused by fluctuations in opposing forces

A

eastern tradition

43
Q

The Indigenous world view of mental
health acknowledges the connection
between an individual and the
collective. It is reflective of the
balance that is achieved between
physical, emotional, cognitive, and
spiritual dimensions.

A

indigenous population

44
Q

an ancient
symbol that can be interpreted in
many ways: the four directions, the
four grandfathers, the four
components of human nature
(physical, mental, spiritual, and
emotional).

A

medicine wheel

45
Q

Places significance on place of humans in natural
world
* Basis of identity is the tribe
* Person is an entity only in relation to others

A

indigenous culture

46
Q

lack of harmony between individual and env

A

disease

47
Q

what are mental health concerns of indigenous peoples?

A

intergenerational trauma
hopelessness and suicide
family violence, family separation, and community violence
substance use
needs for culturally relevant and appropriate services

Mental Health (13 decks)

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