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Acute Care and Legal/Ethical Guidelines

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Most third party payers require that at lease one of the following criteria be met to justify admission:   show
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show Prevention of self harm or harm to others, stabilization of crisis with a return to community based services, initiation or modification of psychotropic meds; brief, specific problem solving to enable pt gain/regain of state of compensation, outpatient.  
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These seek to standardize the daily expected outcomes for patients.   show
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show Psychiatric Case Management  
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The therapeutic milieu operates on the understanding that   show
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Documentation of the patient's progress is the responsibility of   show
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Inpatient psychiatric nursing requires stron skills in   show
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Basic level interventions include:   show
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show An interdisciplinary care plan delineating assessments, interventions, treatents, and outcomes across a time line.  
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show The admission crisis is resolved.  
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Maintaining an atmosphere in which healing and growth can take place, where nurses strive to keep communications and interpersonal feedback open and constructively honest.   show
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This member of the psychiatric inpation unit staff anticipates, prevents, and manages emergencies and crises on the unit   show
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show Enhance resource management.  
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A client is admitted to the psychiatric inpatient unit for the first time after a suicide attempt. The nurse can expect that, like most clients, he will experience some   show
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show Rights as citizens remain intact.  
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In a behavioral managed care system, if a client who has stopped taking psychotropic medication requires hospitalization for crisis management, what length of stay would be identified in the treatment plan?   show
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show milieu management  
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In most inpatient psychiatric units administration of medications is expected to involve   show
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show Therapeutic Inpatient Milieu  
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When a number of staff gather to provide silent support for a staff member who has given a directive to a client in an attempt to deescalate a crisis, the intervention is called   show
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show Psychoeducation to promote medication compliance.  
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Arranging for rapid assessment of a newly hospitalized client best exemplifies an important focus for a   show
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show Choose or refuse.  
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show Striking a balance between the rights of the individual client and the rights of society at large.  
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This term is used in relation to ethical dilemmas surrounding client care.   show
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show Beneficience, autonomy, justice, fidelity, veracity.  
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show Beneficience  
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show Autonomy  
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Treating others fairly and equally.   show
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show Fidelity  
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This refers to one's duty always to tell the truth.   show
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show Ethical Standards  
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show Laws  
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show The group that establishes the norms.  
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Patients cannot be subjected to any procedure or treatment without their consent or ________ will have occured.   show
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show Writ of Habeas Corpus  
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show Writ of Habeas Corpus  
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The tow mose important concepts applicable to civic commitment cases.   show
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show Least Restrictive Alternative Doctrine  
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show Voluntarily Admission  
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show Involuntary Admission  
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There are 3 types of commitment procedures, what are they?   show
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The primary purpos of this type of hospitalization is observation, diagnosis, and treatment for persons who have mental illness or pose a danger to themselves or others.   show
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show Judicial or administrative action or medical certification.  
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show Involuntary Outpatient Commitment  
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This usually requires outpatient treatment for a specified period to determine the patient's compliance with medication protocols, ability to meet basic needs, and ability to reintegrate into the community.   show
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What are the criteria that treatment must meet?   show
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show Informed Consent  
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show Intentional Tort  
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show Assault  
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A harmful or offensive touching of another's person.   show
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An act with the intent to confine a person to a specific area.   show
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show False Imprisonment  
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An act or omission to act that breaches the duty of due care and results in or is responsible foa a persons injuries.   show
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show Duty, breach of duty, cause in fact, proximate cause, and damages.  
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Conduct that exposes the patient to an unreasonable risk of harm, through either commission or omission of acts by the nurse.   show
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The single most important action nurses can take to protect the rights of a psychiatric patient is to:   show
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show Treatment with antipsychotic drugs.  
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Observing the patient's right to privacy permits the psychiatric mental health hurse to:   show
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show Fidelity  
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show Right of Informed Consent  
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show Battery  
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show Disclose nothing that would have been kept confidential before death.  
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show Autonomy  
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The use of seclusion or restraint to control the behavior of a client who is at risk of harming self or others gives rise to conflict between the ethical principles of   show
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A client is released from involuntary commitment by the judge, who orders that a caseworker supervise him for the next 6 months. This is an example of   show
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