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Legal and Ethical Aspects of Nursing Practice Chapter 13

Legal and Ethical Aspects of Nursing Practice Chapter 13. Psychiatric / Mental Health Nursing West Coast University NURS 204. Principles of Bioethics. Autonomy Beneficence Fidelity Justice Nonmaleficence Veracity. Ethical Guidelines.

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Legal and Ethical Aspects of Nursing Practice Chapter 13

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  1. Legal and Ethical Aspects of Nursing Practice Chapter 13 Psychiatric / Mental Health Nursing West Coast University NURS 204

  2. Principles of Bioethics Autonomy Beneficence Fidelity Justice Nonmaleficence Veracity

  3. Ethical Guidelines Standards for Psychiatric–Mental Health nursing practice published by ANA ANA Code of Ethics

  4. Ethical Dilemmas The potential stigma of psychiatric diagnostic labels Psychiatry’s right to control individual freedom The justification for involuntary treatment The use of restrictive treatment interventions The client’s right to suicide The client’s right to privacy

  5. Stigma Associated with Diagnostic Labels Stereotypes Need for diagnostic labels Nurse’s moral stance

  6. 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

  7. Voluntary Admission Informed consent Client retains all rights Client has a right to demand and obtain release

  8. Involuntary Commitment • Hospitalization against one’s will • Criteria: • Dangerous to self (DTS) • Danger to others (DTO) • Gravely Disabled (Unable to provide for basic needs due to Mentally illness)

  9. Involuntary Commitment 5150 - 72 hour-hold (DTS, DTO, GD) 5250 - 14 day hold (DTS, DTO, GD) Consecutive 14 day hold for DTS 30 day hold (GD) 180 day hold for (DTO) Temporary Conservatorship - GD LPS Conservatorship - GD

  10. Legal Terms Riese Petition (Medication Capacity Hearing) Probable Cause Hearing Writ of Habeus Corpus

  11. Psychiatric–Mental Health Nursing Care Rights Dignity Autonomy

  12. Psychiatric Advance Directive Modeled after advance directives for end-of-life care Allows competent persons to document their preferences regarding mental health treatment

  13. Determining Negligence

  14. Common Sources of Liability in Psychiatric / Mental Health Services

  15. Potential Problems Poorly funded services Stigma Isolation Denial of rights

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