Contemporary PsychiatricMental Health Nursing Third Edition CHAPTER 12

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Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 12 Ethics, Clients’ Rights, and Legal and

Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 12 Ethics, Clients’ Rights, and Legal and Forensic Issues Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

1. Describe the rights of the client in a psychiatric setting. 2. Discuss the

1. Describe the rights of the client in a psychiatric setting. 2. Discuss the legal and ethical issues related to seclusion and restraint. 3. Describe the components of malpractice. 4. Identify pertinent ethical issues in the practice of psychiatric nursing. 5. Discuss the meaning of standard of care. 6. Describe the most common types of torts in the mental health setting Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Bioethics • • • Autonomy Beneficence Fidelity Justice Nonmaleficence Veracity Contemporary Psychiatric-Mental Health Nursing

Bioethics • • • Autonomy Beneficence Fidelity Justice Nonmaleficence Veracity Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Ethical Guidelines • Standards for Psychiatric-Mental Health nursing practice published by ANA • ANA

Ethical Guidelines • Standards for Psychiatric-Mental Health nursing practice published by ANA • ANA Code of Ethics Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Ethical Dilemmas • The potential stigma of psychiatric diagnostic labels • Psychiatry’s right to

Ethical Dilemmas • The potential stigma of psychiatric diagnostic labels • Psychiatry’s right to control individual freedom • The justification for involuntary treatment Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Ethical Dilemmas (cont'd) • The use of restrictive treatment interventions • The client’s right

Ethical Dilemmas (cont'd) • The use of restrictive treatment interventions • The client’s right to suicide • The client’s right to privacy Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Stigma Associated with Diagnostic Labels • Stereotypes • Need for diagnostic labels • Nurse’s

Stigma Associated with Diagnostic Labels • Stereotypes • Need for diagnostic labels • Nurse’s moral stance Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Mental Health Statutes and Regulations • Rules and regulations are set by state governments

Mental Health Statutes and Regulations • Rules and regulations are set by state governments • Vary considerably • Nurses must know the law of the state in which they practice Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Voluntary Admission • Informed consent • Client retains all rights • Client has a

Voluntary Admission • Informed consent • Client retains all rights • Client has a right to demand obtain release Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Involuntary Commitment • Hospitalization against one’s will • Criteria: – Dangerous to self or

Involuntary Commitment • Hospitalization against one’s will • Criteria: – Dangerous to self or others – Unable to provide for basic needs – Mentally ill Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Psychiatric Forensic Nursing • • • Who is the client? Mindset of nurse Focus

Psychiatric Forensic Nursing • • • Who is the client? Mindset of nurse Focus of the nurse-client relationship Location Primary purpose of relationship Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Correctional Mental Health Nursing • • • Who is the client? Mindset of nurse

Correctional Mental Health Nursing • • • Who is the client? Mindset of nurse Focus of the nurse-client relationship Location Primary purpose of relationship Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Psychiatric–Mental Health Nursing Care • Rights • Dignity • Autonomy Contemporary Psychiatric-Mental Health Nursing

Psychiatric–Mental Health Nursing Care • Rights • Dignity • Autonomy Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Psychiatric Advance Directive • Modeled after advance directives for end-of-life care • Allows competent

Psychiatric Advance Directive • Modeled after advance directives for end-of-life care • Allows competent persons to document their preferences regarding mental health treatment Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Box 12 -3 Determining Negligence Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren

Box 12 -3 Determining Negligence Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Box 12 -4 Common Sources of Liability in Psychiatric–Mental Health Services Contemporary Psychiatric-Mental Health

Box 12 -4 Common Sources of Liability in Psychiatric–Mental Health Services Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff

Client Advocacy • • Poorly funded services Stigma Isolation Denial of rights Contemporary Psychiatric-Mental

Client Advocacy • • Poorly funded services Stigma Isolation Denial of rights Contemporary Psychiatric-Mental Health Nursing , Third Edition Carol Ren Kneisl • Eileen Trigoboff