SOLUTIONS 100% PASS
Ethics - Set of moral principles, especially ones relating to or affirming a specified
group, field, or form of conduct.
Bioethics - Ethics of medical and biological research.
Beneficence - The duty to act so as to benefit or promote the good of others.
Autonomy - Respecting the rights of others to make their own decisions.
Justice - The duty to distribute resources or care equally, regardless of personal
attributes.
Fidelity (Nonmaleficence) - Maintaining loyalty and commitment to the patient and
doing no wrong to the patient.
Veracity - One's duty to communicate truthfully.
Voluntary Admission - Sought by patient or guardian through a written application to the
facility.
Involuntary Admission - Made without the patient's consent
- Judicial Determination (judge involved)
- Administrative Determination
- Agency Determination - What 3 commitment procedures are available for involuntary
admission?
Agency Determination - A specified number of physicians must certify that the person's
mental health status justifies detention and treatment.
Emergency Involuntary Hospitalization - Civil comittment for a specified amount of time
to prevent dangerous behavior involving police officers, physicians, and mental health
professionals that may be designated by law to authorize the detention of an individual
believed to have mental illness who present a danger to themselves or others.
Involuntary Outpatient Commitment - A preventive measure, allowing a court order
before the onset of a psychiatric crisis that would result in an inpatient commitment.
, Long-Term Commitment (Formal) - Extended care and treatment for patients with
mental illness comitted through medical certification, judicial, or administrative action;
usually lasts 60-180 days.
1964 Hospitalization of the Mentally Ill Act - Medical and psychiatric care and treatment
must be provided to everyone admitted to a public hospital.
- Humane environment
- Qualified and sufficient staff
- Individualized plan of care - According to the 1964 Hospitalization of the Mentally Ill
Act, what 3 criteria must treatment meet?
Right to:
- Withold consent
- Withdraw consent at any time
- Right to retract consent - What are the 3 rights to refuse treatment?
Canterbury v. Spence Right to Self-Determination - An adult with sound mind has a
right to determine what shall be done with his or her own body.
Implied Consent - If a clinician approaches the patient with medication in hand and the
patient indicates a willingness to receive the medication, then _____ has occurred.
Informed Consent - Patients must be informed of the nature of their problem or
condition, the nature and purpose of a proposed treatment, the risks and benefits of that
treatment, the alternative treatment options available, the probability of success, and the
risks of not concenting to treatment.
ANA Code of Ethics - Reporting unethical, illegal, and incompetent or impaired nursing
practices, even when done appropriately, may present substantial risk to the nurse;
nevertheless, such risks do not eliminate the obligation to address serious threats to
patient safety.
- Assessing and predicting a patient's danger of violence toward another
- Identifying specific individual(s) being threatened
- Identifying appropriate actions to protect victim(s) - The "Duty to Warn" includes what
3 things?
- Behavior is physically harmful
- Alternative, less-restrictive measures are insufficient
- Decrease in sensory overstimulation needed (seclusion only)
- Patient requests seclusion. - What 4 things indicate the authorization of behavioral
restraints and seclusion?
- Written order of a physician