Psych Ch 3

Front 1

Universal Bill of Rights for Mental Health Patients

Back 1

-right to appropriate treatment
-right to treatment plan
-right to ongoing participation
-right to reasonable explanation
-right to informed consent
-right to not participate in experiments
-right to freedom from restraint
-right to harmfree environment
-right to access health records
-right on confidentiality
-right to be informed promptly at time of admission
-right to assert grievences
-right to exercise rights
-right to referral to other providers

Front 2

Americans with Disabilities Act

Back 2

unlawful to discriminate in employment, gov't services, transportion, public accommodation, telecommunications against qualified diabled individuals

Front 3

self determination

Back 3

being empowered or having the free will to make moral judgements
(basic need)
-right to refuse treatment, choose one's health related behaviors, second opinion

Front 4

Patient Self-Determination Act

Back 4

part of Omnibus Budget Reconcilation Act, for those receiving medicare or medicaid
-right of patient to be a central part of any health care decisions
--info about advance directive, record of advance directive, infor about rights to advance care and refusal of medical care

Front 5

Advanced Care Directives

Back 5

living wills, appointed directives, power of attorney witnessed by two people of their wishes

Front 6

competence

Back 6

degree to which the patient can understand and appreciate info given during the consent process

Front 7

incompetent

Back 7

unable to understand and appreciate the info given during the consent process

Front 8

informed consent

Back 8

right to determine what shall be done with their body and mind
-required by law

Front 9

to determine competence of informed consent:

Back 9

must be able to
-communicate choices
-understand relevant information
-appreciate the situation and its consequences
-use a logical thought process to compare risk and benefits

Front 10

voluntary admission/commitment

Back 10

individual is admitted to a public facility with full legal rights retained

Front 11

involuntary commitment

Back 11

confined hospital admission without persons consent but with a court order

Front 12

3 common requirements among states for involuntary committment

Back 12

1. individual must be mentally disordered
2. must be dangerous to self or others
3. unable to provide for basic needs

Front 13

provision most states have:

Back 13

short term hospitalization of 48-92 hours authorized by a mental health provider without court order

Front 14

most states view on refusal of treatment/meds:

Back 14

most give right to refuse treatment

Front 15

least restrictive environment

Back 15

right to be treated, patient cannot be institutionalized if successfully treated in the community, med cannot be given unnecessarilt, cannot be restrained or locked in a room unless all other less restrictive interventions have been tried

Front 16

confidentiality

Back 16

ethical duty of nondisclosure
-can be broken if society needs protection or danger to others may occur (mandated by law to report)

Front 17

privacy

Back 17

individual's personal life not governed by society's law and government

Front 18

breach of confidentiality

Back 18

release of patient info without the patient's consent
-even to family

Front 19

HIPAA

Back 19

health insurance portability and accountability act

Front 20

what documentation are nurses responsible for:

Back 20

-observations of patient's subjective and objective physical, psychological, social responses to mental disorder and emotional problems
-interventions implemented
-evaluation of outcomes of interventions

Front 21

other things nurses are response for assessing:

Back 21

-side effects of meds
-therapeutic actions
-suicidal or homicidal tendencies

Front 22

tort

Back 22

civil wrong committed by one person that causes injury to another

Front 23

assault

Back 23

threat of unlawful force to inflict bodily injury upon another

Front 24

medical battery

Back 24

intentional and unauthorized harmful or offensive contact, occuring when a patient is treated without informed consent
-failure to respect patient's advance directives

Front 25

false imprisionment

Back 25

detention or imprisionment contrary to provision of the law
-facilities that will not discharge voluntarily committed patients

Front 26

negligence

Back 26

breach of duty of reasonable care for a patient that the nurse is responsible for that results in personal injury
-getting informed consent without disclosing nature of procedure

Front 27

to prove negligence:

Back 27

1. duty- accepting assignment for care for patient
2. breach of duty- failure to practice according to acceptalbe standard care
3. cause in fact- injury would not have occured if standard care was given
4. cause in proximity- harm actually occurred within the scope of foreseeable consequences
5. damages- physical or emotional injury caused by breach of standard of care

Front 28

ways to prevent negative outcomes of malpractice litigation:

Back 28

-evaluate risks
-document decisional processes and reasons for choices among alternatives
-involve family in important decisions
-make decisions within team model and document this shared responsibility
-adhere to agency policy and procedures
-seek consultation and record input

Front 29

internal rights protection system

Back 29

Public Law, protects and advocates the rights of individuals with mental illness and investigates any incidences of abuse or neglect
(varies by state)

Front 30

external advocacy system

Back 30

organizations that operate outside of mental health facilities, advocate thru negotiation and recommendation
-can deny accreditation

Front 31

accreditation

Back 31

how mental health agencies are judged by established standards to provide quality of care
-necessary for 3rd party reimbursement
-ex-JCAHO