Ethical and Legal Issues in Psychiatric-Mental Health Nursing

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Five Ethical and Legal Issues

CORE CONCEPTS

Bioethics

Ethics

Moral Behavior

Values Clarification

Objectives

Ethical Considerations

Review Questions

KEY TERMS

OBJECTIVES

HOMEWORK ASSIGNMENT Please read the chapter and answer the following questions:

CORE CONCEPTS

Ethical Considerations

Utilitarianism

Kantianism

Christian Ethics

Natural Law Theory

Ethical Egoism

Ethical Dilemmas

Ethical Principles

Autonomy

Beneficence

Nonmaleficence

Justice

Veracity

A Model for Making Ethical Decisions

Ethical and Legal Issues in Psychiatric-Mental Health Nursing

The Right to Refuse Treatment (Including Medication)

STEP ONE. ASSESSMENT

STEP TWO. PROBLEM IDENTIFICATION

STEP THREE. ALTERNATIVES-BENEFITS AND CONSEQUENCES

STEP FOUR. CONSIDER PRINCIPLES OF ETHICAL THEORIES

STEP Five. SELECT AN ALTERNATIVE

STEP Six. TAKE ACTION AND COMMUNICATE

STEP Seven. EVALUATE THE OUTCOME

The Right to the Least Restrictive Treatment Alternative

Legal Considerations

Nurse Practice Acts

Types of Law

Statutory Law

Common Law

Classifications Within Statutory and Common Law

Civil Law

Torts

Contracts

Criminal Law

Legal Issues in Psychiatric-Mental Health Nursing

Health Insurance Portability and Accountability Act

Exception: A Duty to Warn (Protection of a Third Party)

Exception: Suspected Child or Elder Abuse

Informed Consent

Restraints and Seclusion

Hospitalization

Involuntary Commitment

Emergency Commitments

The Mentally Ill Person in Need of Treatment

Involuntary Outpatient Commitment

The Gravely Disabled Client

Nursing Liability

Malpractice and Negligence

Types of Lawsuits That Occur in Psychiatric Nursing

Avoiding Liability

CLINICAL PEARLS

Summary and Key Points

Review Questions

Clinical Judgment Questions

Classical References

Therapeutic Approaches in Psychiatric Nursing Care

CORE CONCEPTS Therapeutic Relationship

Objectives Homework Assignment

Review Questions

KEY TERMS

HOMEWORK ASSIGNMENT Please read the chapter and answer the following questions:

CORE CONCEPT

Role of the Psychiatric Nurse

Dynamics of a Therapeutic Nurse-Patient Relationship

Example

Therapeutic Use of Self

Gaining Self-Awareness

Beliefs

Attitudes

Values

The Johari Window

The Open or Public Self

The Unknowing Self

The Private Self

The Unknown Self

Conditions Essential to Development of a Therapeutic Relationship

Rapport

Trust

Respect

Genuineness

Empathy

Example

Phases of a Therapeutic Nurse-Patient Relationship

The Preinteraction Phase

The Orientation (Introductory) Phase

The Working Phase

Transference and Countertransference

Transference

Interventions for Transference Hilz states:

Countertransference

Interventions for Countertransference Hilz states:

The Termination Phase

Boundaries in the Nurse-Patient Relationship

Concerns regarding professional boundaries are commonly related to the following issues:

Summary and Key Points

Review Questions

Clinical Judgment Questions

Overview

The document outlines the ethical and legal foundations necessary for effective psychiatric-mental health nursing. It discusses various ethical theories, legal responsibilities, and the relationship between ethics and patient care, aiming to enhance nurses' understanding of their professional accountability.

Key Points

1Differentiating between ethics, morals, values, and rights is essential for nursing practice
2Understanding ethical theories helps in making informed decisions in complex situations
3Knowledge of statutory and common law informs legal practices in nursing
4Ethical dilemmas require careful consideration and application of ethical principles to ensure patient respect and autonomy

Details

Authors: Butts, Rich
Category: Health and Medicine

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