CHAPTER 4: Patient Rights and Legal
Issues all questions and answers well
explained latest updated version
How long can someone be held under a temporary detention
order (TDO) in an inpatient facility before a court hearing has
to occur?
72 hours
What are the criteria for involuntary hospitalization?
1. Harm to Self
2. Harm to Others
3. Inability to Care for Self (due to a Psychiatric Illness)
what should the nurse do to help prevent negative outcomes
of malpractice litigations in psychiatric health
- evaluate risk, especially when privileges broaden or care is
transferred
- document decisional processes and reasons for choices among
alternatives
- involve family in important decisions
- make decisions within team model and document this shared
,responsibility
- adhere to agency's policy and procedure
- seek consultation and record input
what should the nurse consider when using seclusion or
restraints
- they must never be used out of convenience, punishment, or
means of coercion
- they must only be used as a last resort
- must be used for the least amount of time necessary to ensure
safety
- when mechanical restraint is necessary, only the least number
of the restraint points must be used and the individual must be
under continuous observation.
three common elements of involuntary commitment statutes
1- mentally ill to the degree that the person's thought or mood
grossly impairs judgment, behavior, or ability to negotiate
demands of life.
2- dangerous to self or others
3- unable to provide for basic needs
, What is an emergency containment order (ECO)?
Court order that holds someone in the ER or assessment center
while they are being assessed to see if they meet criteria for
hospitalization.
After 72 hours and a hearing is done for the TDO, what are the
three possibilities?
A person can be admitted to the hospital if they continue to
meet criteria and are refusing
A person can continue to meet criteria and sign in voluntarily to
avoid involuntary commitment
A person does not meet criteria for involuntary hospitalization -
TDO is dismissed and person is discharged
What was the main effect of HIPAA?
Patient authorization necessary for the release of information
with the exception of that required for treatment, payment,
and health care administrative operations
What is competency and capacity?
Competency - The individual's cognition is not impaired to an
extent that would interfere with decision making. If cognition is
impaired, the individual has a legal representative.
Issues all questions and answers well
explained latest updated version
How long can someone be held under a temporary detention
order (TDO) in an inpatient facility before a court hearing has
to occur?
72 hours
What are the criteria for involuntary hospitalization?
1. Harm to Self
2. Harm to Others
3. Inability to Care for Self (due to a Psychiatric Illness)
what should the nurse do to help prevent negative outcomes
of malpractice litigations in psychiatric health
- evaluate risk, especially when privileges broaden or care is
transferred
- document decisional processes and reasons for choices among
alternatives
- involve family in important decisions
- make decisions within team model and document this shared
,responsibility
- adhere to agency's policy and procedure
- seek consultation and record input
what should the nurse consider when using seclusion or
restraints
- they must never be used out of convenience, punishment, or
means of coercion
- they must only be used as a last resort
- must be used for the least amount of time necessary to ensure
safety
- when mechanical restraint is necessary, only the least number
of the restraint points must be used and the individual must be
under continuous observation.
three common elements of involuntary commitment statutes
1- mentally ill to the degree that the person's thought or mood
grossly impairs judgment, behavior, or ability to negotiate
demands of life.
2- dangerous to self or others
3- unable to provide for basic needs
, What is an emergency containment order (ECO)?
Court order that holds someone in the ER or assessment center
while they are being assessed to see if they meet criteria for
hospitalization.
After 72 hours and a hearing is done for the TDO, what are the
three possibilities?
A person can be admitted to the hospital if they continue to
meet criteria and are refusing
A person can continue to meet criteria and sign in voluntarily to
avoid involuntary commitment
A person does not meet criteria for involuntary hospitalization -
TDO is dismissed and person is discharged
What was the main effect of HIPAA?
Patient authorization necessary for the release of information
with the exception of that required for treatment, payment,
and health care administrative operations
What is competency and capacity?
Competency - The individual's cognition is not impaired to an
extent that would interfere with decision making. If cognition is
impaired, the individual has a legal representative.
