NR668 Week 1
1. Code of Ethics for Nurses (ethical principles): 1. Respect for the Individual
2. Commitment to the Healthcare Consumer
3. Advocacy for the Healthcare Consumer
4. Responsibility and Accountability for Practice
5. Duties to Self and Others
6. Contributions to Healthcare Environments
7. Advancement of the Nursing Profession
8. Collaboration to Meet Health Needs
9. Promotion of the Nursing Profession
2. Person A: "I can't believe you deal with these people every day. Schizophrenics
would drive ME crazy!"
PMHNP: "Actually, schizophrenia is a chronic treatable disease, much like di-
abetes or other physical illnesses. Patients who have mental illness deserve
compassion and care."
,what ethical principle?: Respect for the Individual
Rationale: Respect for the individual aflrms the worth and dignity of those with PMH disorders by advocating to
overcome negative stigmas towards PMH diagnoses to ensure access to care.
3. The client presents to the emergency department with hallucinations and is
threatening self-harm. The PMHNP signs an involuntary admission order for
emergent psychiatric care.
what ethical principle?: Commitment to the Healthcare Consumer
Rationale: The PMHNP demonstrates a commitment to the healthcare consumer by balancing the client's human rights
with safety, including coercive measures when the client was unable to maintain their own safety.
4. The PMHNP is sharing sexually explicit memes with a client that she saw
earlier today in a group session.
what ethical principle?: Advocacy for the Healthcare Consumer
Rationale: This is an unethical scenario. The PMHNP recognizes the power differential in the therapeutic relationship
,and understands that any sort of sexual activity or intimacies with current clients, their close family members, guardians,
or significant others is unethical.
5. The PMHNP has overbooked her sessions today, so she asks the RN who
works in her office to conduct one of her phone therapy sessions today.
what ethical principle?: Responsibility and Accountability for Practice
Rationale: This is an unethical scenario. The PMHNP must understand the scope of other team members' practice in
order to delegate appropriately. Conducting a counseling session is outside of the RN's scope of practice.
6. The PMHNP takes time for daily meditation to improve mindfulness and ease
stress.
what ethical principle?: Duties to Self and Others
Rationale: The PMHNP is committed to practicing self-care, managing stress, and maintaining supportive relationships
to meet personal needs outside of therapeutic relationships.
7. A PMHNP discovers her colleague is diverting scheduled medications to
self-medicate anxiety. The PMHNP reports the concerns to the colleagues
, supervisor.
what ethical principle?: Contributions to Healthcare Environments
Rationale: The PMHNP recognizes signs/symptoms of psychiatric disorders in the workplace reporting peer observa-
tions to leadership. The PMHNP helps address problems faced by colleagues that impact client safety or violate public
trust, including substance abuse.
8. The PMHNP gives a presentation at a national conference on best practices
in depression treatment.
what ethical principle?: Advancement of the Nursing Profession
Rationale: The PMHNP contributes to advancing the professing through practice, education, administration, and
knowledge development.
1. Code of Ethics for Nurses (ethical principles): 1. Respect for the Individual
2. Commitment to the Healthcare Consumer
3. Advocacy for the Healthcare Consumer
4. Responsibility and Accountability for Practice
5. Duties to Self and Others
6. Contributions to Healthcare Environments
7. Advancement of the Nursing Profession
8. Collaboration to Meet Health Needs
9. Promotion of the Nursing Profession
2. Person A: "I can't believe you deal with these people every day. Schizophrenics
would drive ME crazy!"
PMHNP: "Actually, schizophrenia is a chronic treatable disease, much like di-
abetes or other physical illnesses. Patients who have mental illness deserve
compassion and care."
,what ethical principle?: Respect for the Individual
Rationale: Respect for the individual aflrms the worth and dignity of those with PMH disorders by advocating to
overcome negative stigmas towards PMH diagnoses to ensure access to care.
3. The client presents to the emergency department with hallucinations and is
threatening self-harm. The PMHNP signs an involuntary admission order for
emergent psychiatric care.
what ethical principle?: Commitment to the Healthcare Consumer
Rationale: The PMHNP demonstrates a commitment to the healthcare consumer by balancing the client's human rights
with safety, including coercive measures when the client was unable to maintain their own safety.
4. The PMHNP is sharing sexually explicit memes with a client that she saw
earlier today in a group session.
what ethical principle?: Advocacy for the Healthcare Consumer
Rationale: This is an unethical scenario. The PMHNP recognizes the power differential in the therapeutic relationship
,and understands that any sort of sexual activity or intimacies with current clients, their close family members, guardians,
or significant others is unethical.
5. The PMHNP has overbooked her sessions today, so she asks the RN who
works in her office to conduct one of her phone therapy sessions today.
what ethical principle?: Responsibility and Accountability for Practice
Rationale: This is an unethical scenario. The PMHNP must understand the scope of other team members' practice in
order to delegate appropriately. Conducting a counseling session is outside of the RN's scope of practice.
6. The PMHNP takes time for daily meditation to improve mindfulness and ease
stress.
what ethical principle?: Duties to Self and Others
Rationale: The PMHNP is committed to practicing self-care, managing stress, and maintaining supportive relationships
to meet personal needs outside of therapeutic relationships.
7. A PMHNP discovers her colleague is diverting scheduled medications to
self-medicate anxiety. The PMHNP reports the concerns to the colleagues
, supervisor.
what ethical principle?: Contributions to Healthcare Environments
Rationale: The PMHNP recognizes signs/symptoms of psychiatric disorders in the workplace reporting peer observa-
tions to leadership. The PMHNP helps address problems faced by colleagues that impact client safety or violate public
trust, including substance abuse.
8. The PMHNP gives a presentation at a national conference on best practices
in depression treatment.
what ethical principle?: Advancement of the Nursing Profession
Rationale: The PMHNP contributes to advancing the professing through practice, education, administration, and
knowledge development.
