Mental Health Legal

Front 1

ethical dilemmas

Back 1

requires a choice between 2 equally unfavorable alternative

Generally creates a great deal of emotion

in most

Front 2

an example of autonomy

Back 2

explores alternative solutions to a situation with a patient who then makes a choice. Autonomy-making one's own decisions

Front 3

beneficence

Back 3

for the greater good. two patients who are fighting restricted to the unit

Front 4

justice

Back 4

equality the best good. non-discriminatory

Front 5

consistently calling a patient by their title and sur name

Back 5

demonstrates dignity and respect

Front 6

unecessary seclusion can be charged with

Back 6

false imprisonment

Front 7

justice is treating patients

Back 7

equally and fairly-fair distribution of care

Front 8

giving medication unnecessarily can result in a

Back 8

tort: Civil wrong against a person that violate their civil rights

Front 9

battery is an intentional

Back 9

tort, when one person touches the other with out consent. example: when a patient refuses meds and the nurse gives them anyway

Front 10

false imprisonment is

Back 10

holding someone against their will, even if it's just an implied threat. Stay in your room or you'll be put in seclusion

Front 11

criteria for involuntary commitment

Back 11

threatens to harm self or others

Front 12

involuntary commitment criteria

Back 12

patients who threatens to harm self or others or cannot care for their own needs, protects other individuals in society

Front 13

restraints

Back 13

physical, mechanical, drugs, seclusion/escort

Front 14

restraints do not include

Back 14

orthopedically prescribed devices, surgical dressings, protective helmets,

Front 15

restraints

Back 15

least to most, has to be discontinued asap, tell them what to do to get out,

Front 16

right to refuse meds

Back 16

right to refuse if she is not a danger

Front 17

time limitations on restraints

Back 17

based on age can can not exceed adults age `18 and over 4 hours, child 9-17 cannot exceed 2 hours, children under the age of 9-1 hour

Front 18

physicans must renew/ reoder the use of restraints every

Back 18

4 hours

Front 19

doctor must evaluate the restrained person in person

Back 19

every 8 hours

Front 20

an rn will evaluate the pt. at the end of the ordered time restraint based on

Back 20

the pt. age 4, 2, or 1 hour and the rn can extrend the restrain based on patient behavior and the time limit

Front 21

physical restraint

Back 21

limits patients freedom of movement or normal access to one's body

Front 22

other restraints

Back 22

tucking a pt.s sheets in so tightly that cannot move, putting up side rails that inhibits the pts. ability when he/she wants to const a restraint, escorting an individual to an area

Front 23

if a medication is used to control behavior or restrict freedom of movement and is not standard tx it is a

Back 23

restraints.

Front 24

a dr. orders a prn med for his pt. in detox program when he becomes violent is this a restraint?

Back 24

no because it's a detox program

Front 25

who may issure orders of restraints

Back 25

physician, or licensed independent practitioner permitted by the state and hospital to order restraints without direct supervision. if ordered by rn, dr. must be notified aspa

Front 26

pts. in restraints must be evaluated by staff

Back 26

every 15 minutes

Front 27

restraint evaluation

Back 27

injury due to restraints, nutrition, hydration needs, circulation and muscle/skeletal needs, vital signs, hygiene and elimination needs, physical and psychological status, and comfort needs. pts. readiness to discontinue restraints.

Front 28

fed pt. bill of rights least restrictive.

Back 28

verbal interventions, -least restrictive, pharmacological interventions, seclusion, restraint

Front 29

verbal interventions

Back 29

least restrictive, listen, mini rounds follow shift report, limit setting, cognitive behavioral intervention

Front 30

communication to prevent escalation of aggression

5 steps

Back 30

make personal contact, -trust, discover the source of distress, relieve the distress, keep everyone safe, assist with alternative behaviors and problem solving

Front 31

voluntary admission

Back 31

may sign out of the hospital at anytime unles the health care profession determines that pt. is a danger to themselves or other.

Front 32

involuntary commitment

Back 32

behavior is clearing danger to self or other, usually instigated by relative, friends, police,the court or health care professionals, time limited and the individual is scheduled for court hearing within 72 hours

Front 33

who gets involuntarily committed

Back 33

the mentally ill in need of tx, unable to make informed decisions concerning tx, likely to cause harm to self or other, unable to fulfill basic person needs for health and safety, must have clear and convincing evidence that this is necessary! time limited.

Front 34

involuntary out pt.

Back 34

used to compel pt.s with mental illness to submit to tx. presence of severe and persistent mental illness and limited awareness of that illness, risk of homeless incarceration, violence or suicide

Front 35

avoiding libility

Back 35

respond to patient, educate the patient, comply with standard of care, supervising care, careful documentation, follow up and evaluate care given