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39 Cards in this Set

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  • Back
________________ is the requirement that health care providers do not harm to their clients either intentionally or unintentionally.
Nonmaleficence
__________ refers to ones duty to always be truthful.
Veracity
The concept of ________ reflects a duty to treat all individuals equally and fairly.
Justice
What five steps should be used in making ethical decisions?
1. Assessment
2. Problem Id
3. Plan
4. Implementation
5. Evaluation
True or false?

The AHA's patients bill of rights states: The patient has the right to refuse treatment to the extent permitted by law and to be informed of the medical consequences of his action.
true
What are the psychiatric bill of rights?
1. The right to appropriate treatment and related services in the setting that is most supportive and least restrictive to personal freedom.

2. The right to an individualized written treatment or service plan; the right to treatment based on such a plan and the right to periodic review and revision of the plan based on treatment needs.

3. The right consistent with one capabilities to participate in and receive a reasonable explanation of the care and treatment process.

4. The right to refuse treatment except in an emergency situation or as permitted by law.

5. The right not to participate in experimentation in the absence of informed voluntary written consent.

6. The right to freedom from restraint or seclusion except in an emergency situation.

7. The right to a humane treatment environment that affords reasonable protection from harm and appropriate privacy.

8. The right to confidentiality of medical records.

9. The right of access to medical records except information received from third parti
A ___________ law is a law that has been enacted by legislative body such as a county or city council state legislature, or the US congress. Ex Nurse practice acts.
Statutory law
___________ laws are derived from decisions made in previous cases. Ex. different states deal with nurses refusal to provide care for a specific client.
Common laws
___________ law protects the private and property rights of individuals and businesses.
Civil
A ________ is a violation of a civil law in which an individual has been wronged and seeks compensation for harm and suffering.
Tort
True or false

A tort may be intentional or unintentional.
True
________ law provides protection from conduct deemed injurious to the public welfare. It provides punishment for those found to have engaged in such conduct and commonly includes imprisonment, parole conditions, loss of privilege, or fine.
Criminal law
True or false?

There are exceptions to the laws of privacy and confidentiality. Mental health professionals have the duty not only to the client but also to the individuals who are being threatened by that client.
True
___________ is a clients permission granted to a physician to perform a therapeutic procedure. Physician must go over the pros and cons of procedure and possible outcomes.
Informed consent
True or false?

Legal liability for informed consent lies with the physician
True
True or false?

In the event of an emergency restraints or seclusion may be initiated without a physicians order.
True
True or false?

No longer than 1hr after the initiation of restraints or seclusion a qualified staff member must notify the physician about the individuals physician and psychological condition and obtain a verbal or written order for the restraints or seclusion.
True
True or false?

Order for restraints or seclusion must be reissued by a physician every 4hrs.
True
True or false?

Orders for restraints or seclusion must be reissued by a physician every 2hrs for children and adolescents ages 9 to 17.
True
True or false

Orders for restraints or seclusion must be reissued every hour for children younger than 9yrs old.
True
True or false?

An in-person evaluation of the individual must be made by the physician within 4hrs of the initiation of restraints or seclusion of an adult age 18 or older, and within 2hrs of children and adolescents ages 17 and younger.
True
True or false?

Minimum times for in persons reevaluation by a physician include 8hrs for individuals ages 18yrs and older, and 4hrs for 17 and younger.
True
True or false?

If an individual is no longer in restraints or seclusion when an original verbal order expires they physician must conduct an in person evaluation within 24hrs of initiation of the intervention.
True
Clients in restraints or seclusion must be observed and assessed and charted on every _____ to ____ minutes with regard to circulation, respiration, nutrition,hydration, and elimination.
10 to 15 mins
_________ is the deliberate and unauthorized confinement of a person with in fixed limits by the use of verbal or physical means.
False imprisonment
Why reason would a person be involuntary committed?
1. In an emergency situation (danger to self or others)

2. For observation and treatment of mentally ill persons.

3. When an individual is unable to take care of basic personal needs (gravely disabled)
Name some examples of what most states have established as mentally ill and in need of treatment.
1. Unable to make informed decisions concerning treatment

2. Likely to cause harm to others or self.

3. Unable to fulfill basic personal needs necessary for health and safety.

4. Nursing student trying to learn this last min. :)
What could lead to a IOC court hearing?
1. History of repeated decompensation requiring involuntary hospitalization.

2. Likely hood that without treatment the individual will deteriorate to the point of requiring impatient commitment.

3. Presence of severe and persistent mental illness contributing to a risk of becoming homeless incarcerated or violent or of committing suicide.

4. Presence of severe and persistent mental illness (schizo, bipolar) and limited awareness of the illness or need for treatment.
________________ is generally defined as a condition in which an individual as a result of mental illness is in danger of serious physical harm resulting from inability to provide for basic needs such as food clothing shelter, medical care and personal safety.
Gravely disabled
This is the failure to exercise the standard of care that a reasonably prudent person would have exercised in a similar situation. any conduct that falls below the legal standard established to protect other against unreasonable risk of harm, except for conduct that is intentionally wantonly or willfully disregardful of other rights.
Negligence and malpractice
When shared information is detrimental to the clients reputation, the person sharing the information may be liable for ____________
Defamation of character.
Oral defamation is called ___________-
slander
__________ is a charge that may result when a client is searched without probable cause.
Invasion of privacy
________ is an act that results in a person genuine fear and apprehension that he or she will be touched without consent.
Assault
_________ is the un consented touching of another person.
Battery
________ is the science that deals with the rightness and wrongness of actions
Ethics
___________ is the term applied to these principles when the refer to concepts within the scope of medicine nursing and allied health.
Bioethics
_______ is defined as conduct that results from serious critical thinking about how individuals ought to treat others.
Moral behavior
_______ are ideals or concepts that give meaning to the individuals life.
Values