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30 Cards in this Set

  • Front
  • Back
This has three phases related to violence
Cycle of Violence in Spousal Abuse
Tension buidling/anger & arguing/ Abuser blames & accuse
Phase I
Violence Occurs
Phase II
Calm stage abuser may deny violence/says he is sorry/promises it will never happen again
Phase III
1)Nurses are required to report suspected CHILD abuse.
2)Nurse cannot report intimate partner abuse w/o victims consent/unless includes severe harm(GSW,burns)/required to document/chain of evidence
3)Nurses required to report elder abuse if person is incompetent
Reporting requirements in Ohio
Limitations of disability(maladaptive functioning) related to mental illness)primarilyt severe & persistant
Psych Tertiary Prevention
1)Decrease frequency/LOS
2)enhance skills
3)increase level of functioning within community
4)Increase stability
Psych rehab goals
Positive/Negative Symptoms/Behavior r/t cognitive changes & parkinsons syndrome, tardive dyskinesia, sedation, wt gain
Primary symptoms & side effects
loneliness/social isolation/alienation/substance abuse/unemployment/homeless
inadequate health care/poverty
Secondary symptoms
1)information about illness
2)illnness management & how to access support
3)medication management
Psychoeducation needs
1)has been evaluated by physician(reeval q60days)
2)be homebound
3)have a dianosed psych disorder
4)require skill of a psych nurse
Medicare requirements for Psych Home Care
Includes hope,self-responsibility & self-advocacy
Key Aspects of Client Recovery
Insurance benefits for mental illness should be comparible to medical conditions/Requires legislation(fed & state)
Mental Health Parity
Prohibits certain employtee group helath plans from imposing limits on mental health treatment
Paul Wellstone Mental Health Equitable Treatment Act 2003
Requires diagnostic & treatment services for biologically based mental illness(orginally MH Parity Act of 1996)
HB 225
Individual is determined to meet statutory criteria fro commitment & is unwilling to admit self/risk of physical harm to self or others/ unable to meet basic needs/grave & imminent risk to rights of others or self.
Involuntary Admission
Client decides to be admitted/considered to be competent/retains right to refuse tx/may request disch in writing any time/doc can hold for 3 days
Voluntary Admission
Person had disorder that results in defects of judgement, making him incapable of handling affairs
Requires legal process.
Committment doesnt presume incompetence
Guardian is appointed/person cannot enter into contracts/ ruling may include treatment over objection
Court ordered.
Criteria similar to inpt.
Oftern used to ensure follow up/if client doesnt comply may be rehospitalized
Outpatient Commitment
Duty to act on behalf of someone who is not competent
Parens patrae power
Right to question the leality of detention.
A committed person may file a writ at any time on the grounds of being sane & eligible for release
Habeas Corpus
Clinician is required to:
1)Assess threat of violence.
2)Identify the person being
3)Implement an affirmative, preventative act.
Tarasoff vs Regents of the University of California 1974
---Duty to Warn Third Party vs Protection of Privacy--
1)Incompetent to stand trial but not restorable.
2)Probability of restoration cannot be determined.
3)Incompetent to stand trial but restorable.
Assessment>>Competency to Stand Trial in Ohio
Person did not know the nature & quality of the act.
M'Naghten Test
quilty mind
mens rea
dx does not constitute defense/In Ohio, burden of proof of insanity is on the defendant/after acquittal hearing determines dispostion often commitment of hopsital.
Not guilty by reason of insanity (NGRI)
Jurors have two choices that find a person guilty: guilty but mentally ill. Hospitalized the after effective treatment is returned to prison
Guilty but mentally ill.
failure of professionl to provide the proper & competent care that is given by members of their profession.
Application of nursing science to law related aspects of health care
Forensic Nursing
Pleads no contest/2 yr probation w/ case manage/consents to take meds/
Akron Municipal Mental health court.